Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors

<h3>Objective</h3><p dir="ltr">Medication errors pose a significant challenge in health care, impacting patient safety. Pharmacists play a key role in mitigating errors by using clinical reasoning skills. This study examined Qatar University College of Pharmacy students’...

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Main Author: Maguy Saffouh El Hajj (14151477) (author)
Other Authors: Israa Mahdi (22804091) (author), Nourhan Mohamed (8331291) (author), Nadin Hany Kamel (22804094) (author), Alla El-Awaisi (13987947) (author), Derek Stewart (117849) (author)
Published: 2025
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author Maguy Saffouh El Hajj (14151477)
author2 Israa Mahdi (22804091)
Nourhan Mohamed (8331291)
Nadin Hany Kamel (22804094)
Alla El-Awaisi (13987947)
Derek Stewart (117849)
author2_role author
author
author
author
author
author_facet Maguy Saffouh El Hajj (14151477)
Israa Mahdi (22804091)
Nourhan Mohamed (8331291)
Nadin Hany Kamel (22804094)
Alla El-Awaisi (13987947)
Derek Stewart (117849)
author_role author
dc.creator.none.fl_str_mv Maguy Saffouh El Hajj (14151477)
Israa Mahdi (22804091)
Nourhan Mohamed (8331291)
Nadin Hany Kamel (22804094)
Alla El-Awaisi (13987947)
Derek Stewart (117849)
dc.date.none.fl_str_mv 2025-07-24T12:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.ajpe.2025.101449
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Pharmacy_Students_Clinical_Reasoning_and_Decision-Making_to_Detect_and_Resolve_Medication_Errors/30819986
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Pharmacology and pharmaceutical sciences
Education
Education systems
Health sciences
Health services and systems
Public health
Clinical reasoning
Think aloud
Medication errors
Student pharmacist
dc.title.none.fl_str_mv Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objective</h3><p dir="ltr">Medication errors pose a significant challenge in health care, impacting patient safety. Pharmacists play a key role in mitigating errors by using clinical reasoning skills. This study examined Qatar University College of Pharmacy students’ clinical reasoning and decision-making processes in case scenarios involving medication errors. </p><h3>Methods</h3><p dir="ltr">A qualitative case study using the think-aloud procedure was conducted with senior fourth-year Bsc Pharm and PharmD students, using the Clinical Reasoning Model. Data were analyzed thematically. </p><h3>Results</h3><p dir="ltr">A total of 25 interviews were conducted and 8 themes were identified as follows: (1) Gaining Initial Patient Impression, (2) Assessing Patient Data, (3) Difficulty Recalling Therapeutic Knowledge, (4) Interpreting Patient Data, (5) Synthesizing Facts and Inferences for a Definitive Diagnosis of Errors, (6) Describing Desired Outcomes, (7) Optimizing Decision-Making, and (8) Process and Recommendations. </p><h3>Conclusion</h3><p dir="ltr">Qatar University student pharmacists used various strategies to detect and resolve medication errors. The think-aloud procedure offered insights into factors influencing clinical reasoning and decision-making, highlighting the importance of future educational interventions to further develop students’ skills.</p><h2>Other Information</h2><p dir="ltr">Published in: American Journal of Pharmaceutical Education<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ajpe.2025.101449" target="_blank">https://dx.doi.org/10.1016/j.ajpe.2025.101449</a></p>
eu_rights_str_mv openAccess
id Manara2_d56a0960defac58b8b380a4a3dd4ff68
identifier_str_mv 10.1016/j.ajpe.2025.101449
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/30819986
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication ErrorsMaguy Saffouh El Hajj (14151477)Israa Mahdi (22804091)Nourhan Mohamed (8331291)Nadin Hany Kamel (22804094)Alla El-Awaisi (13987947)Derek Stewart (117849)Biomedical and clinical sciencesPharmacology and pharmaceutical sciencesEducationEducation systemsHealth sciencesHealth services and systemsPublic healthClinical reasoningThink aloudMedication errorsStudent pharmacist<h3>Objective</h3><p dir="ltr">Medication errors pose a significant challenge in health care, impacting patient safety. Pharmacists play a key role in mitigating errors by using clinical reasoning skills. This study examined Qatar University College of Pharmacy students’ clinical reasoning and decision-making processes in case scenarios involving medication errors. </p><h3>Methods</h3><p dir="ltr">A qualitative case study using the think-aloud procedure was conducted with senior fourth-year Bsc Pharm and PharmD students, using the Clinical Reasoning Model. Data were analyzed thematically. </p><h3>Results</h3><p dir="ltr">A total of 25 interviews were conducted and 8 themes were identified as follows: (1) Gaining Initial Patient Impression, (2) Assessing Patient Data, (3) Difficulty Recalling Therapeutic Knowledge, (4) Interpreting Patient Data, (5) Synthesizing Facts and Inferences for a Definitive Diagnosis of Errors, (6) Describing Desired Outcomes, (7) Optimizing Decision-Making, and (8) Process and Recommendations. </p><h3>Conclusion</h3><p dir="ltr">Qatar University student pharmacists used various strategies to detect and resolve medication errors. The think-aloud procedure offered insights into factors influencing clinical reasoning and decision-making, highlighting the importance of future educational interventions to further develop students’ skills.</p><h2>Other Information</h2><p dir="ltr">Published in: American Journal of Pharmaceutical Education<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ajpe.2025.101449" target="_blank">https://dx.doi.org/10.1016/j.ajpe.2025.101449</a></p>2025-07-24T12:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.ajpe.2025.101449https://figshare.com/articles/journal_contribution/Pharmacy_Students_Clinical_Reasoning_and_Decision-Making_to_Detect_and_Resolve_Medication_Errors/30819986CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/308199862025-07-24T12:00:00Z
spellingShingle Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
Maguy Saffouh El Hajj (14151477)
Biomedical and clinical sciences
Pharmacology and pharmaceutical sciences
Education
Education systems
Health sciences
Health services and systems
Public health
Clinical reasoning
Think aloud
Medication errors
Student pharmacist
status_str publishedVersion
title Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
title_full Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
title_fullStr Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
title_full_unstemmed Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
title_short Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
title_sort Pharmacy Students’ Clinical Reasoning and Decision-Making to Detect and Resolve Medication Errors
topic Biomedical and clinical sciences
Pharmacology and pharmaceutical sciences
Education
Education systems
Health sciences
Health services and systems
Public health
Clinical reasoning
Think aloud
Medication errors
Student pharmacist