My name is Fridah Nyambeka Onsare. I was born in Maua District (Meru County) on 9th September 1988. My education begun in 1992 and completed Primary School education at St. George’s Grassland Academy- Nakuru in 2002. I later joined Bahati Girls Secondary School (2006) then proceeded to The University of Nairobi for my Bachelors’ in Pharmacy (2013). I worked with the Ministry of Health as a Pharmacist Intern at Machakos Level 5 Hospital, Malibu Pharmacy for community pharmacy internship and Universal Corporations Limited for my industrial internship. In 2014, I was registered as a Kenyan pharmacist by the Pharmacy and Poisons Board (PPB). In 2017, I enrolled for my Masters’ degree – (Pharmacoepidemiology and Pharmacovigilance) - awaiting graduation. I have also pursued several professional development certificate courses including Leadership and Management in Health and Project Management in Global Health – (University of Washington), a certificate of Ethical Decisions Making in Care – (University of Surrey, UK) and a certificate in Senior Management Course (SMC) – Kenya School of Government (KSG).
Currently, I am employed by Kisii County (since 2015), where I work as the Pharmacist in-charge at Keumbu Sub-county Hospital with special interest in Patient safety and medication use monitoring & control before going on Study leave in 2017. I have a profound interest in patient safety, pharmacovigilance, quality control, quality assurance, healthcare management, healthcare policy development and my personal mission is to improve and strengthen healthcare systems in Kenya and beyond by having proper monitoring and evaluation measures and policies in place.
Project Summary
PRESCRIPTION ERRORS IN PEDIATRIC INPATIENTS WITH INFECTIOUS DISEASES AT MBAGATHI DISTRICT HOSPITAL
ABSTRACT
Background: Medicines are the most common health-care intervention, and the errors they cause are a preventable iatrogenic problem. Prescription errors are a type of medication errors in the choice of administration of drugs Literature suggests that children experience prescription errors three times more than adults. This study sought out to find the occurrence of prescription errors in one of the major public district hospitals in Nairobi County.
Methods: The study entailed prospective review of patient files of pediatric in-patients on antimicrobials aged 0-12 years at Mbagathi District Hospital pediatric ward between April and June 2019. Patient data was collected and reviewed for prescription errors.
Results: 206 participants (median age 9months) recruited. Common diagnoses included pneumonia (36.5%), acute diarrheal disease (21.5%), meningitis (10.3%), neonatal sepsis (7.3%), and malaria (4.7%). 502 antimicrobials were prescribed. Antibacterials were most prescribed (87%). Most patients were on two antimicrobials (40.3%). Prescribing errors were 1298. Each prescription had at least one prescribing error. These were incomplete prescriptions (53.2%), dosing errors (25.3%), indication errors (10.9%) and documentation errors (10.6%). Weight was a significant dosing error predictor that children receiving artesunate were 30.5 times more likely to be under-dosed (cOR=30.5: 95% CI: 9.3, 99.7, p=<0.001) an 28.7 times more likely to be overdosed (cOR 28.7: 95% CI: 1.95, 422.7, p=<0.001). Benzyl penicillin and ceftriaxone had most dosing errors.
Conclusion: The prevalence of prescribing errors was high. Interventions are in place to promote safe prescribing for pediatric patients.
Links
https://scholar.google.com/citations?view_op=new_articles&hl=en&imq=ONSARE+FRIDAH+NYAMBEKA#
https://www.ijhsr.org/IJHSR_Vol.10_Issue.6_June2020/IJHSR_Abstract.039.html
