assessment of the logical prescription of albumin drug according to guideline and patient safety for inpatients in intensive care units of iranian hospital: a cross-sectional study

Background: medication errors in healthcare settings, including outpatient and hospital environments, pose a significant risk to patient safety. these errors can arise from incorrect dosages, drug interactions, contraindications, or inappropriate drug combinations.methods: this study aimed to assess the logical prescription of albumin according to guidelines and patient safety for inpatients in the intensive care units of imam reza hospital in mashhad through a cross-sectional study. methods: data were collected over a 3-month period from albumin prescriptions in intensive care units, using a checklist based on information from prescription forms, patient files, and consultations.results: the study found that 60.57% of albumin prescriptions were reviewed by due unit, with 51.53% complying with guidelines and 48.47% not. the highest prescription rate was in the intensive care unit of heart surgery (icuoh), at 36.83%, and the lowest in the neonatal intensive care unit (nicu), at 0.63%. the patient safety parameter, calculated based on correct/incorrect albumin prescriptions according to guidelines, showed an average safety of 67.10% across prescribing units and 62.34% based on indications. it reduced the financial burden caused by inappropriate prescriptions approximately $21,390 through due process. conclusion: the research highlights the importance of continuous guideline-base due on rational drug utilization, patient safety and hospitals costs.