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"Medical incident"

Joseph Carson, Stephanie Gottheil, Sherri Lawson, Tim Rice
BACKGROUND: Long-term care (LTC) homes expressed concern that patients had experienced medication incidents after hospital discharge as a result of poor coordination of care. OBJECTIVE: The London Transfer Project aimed to reduce LTC medication incidents by 50% within 48 hours of discharge from general medicine units at the London Health Sciences Centre. DESIGN: This quality improvement study involved 2 hospitals and 5 LTC homes in London, Ontario, Canada...
December 4, 2018: Journal of the American Medical Directors Association
Moninne M Howlett, Brian J Cleary, Cormac V Breatnach
BACKGROUND: The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication error reduction strategies. The introduction of new errors on HIT implementation is, however, also recognised. To determine the impact of HIT interventions, clear medication error definitions are required. This study aims to achieve consensus on defining as medication errors a range of either technology-generated, or previously unaddressed infusion-related scenarios, common in the paediatric intensive care setting...
December 7, 2018: BMC Medical Informatics and Decision Making
Dana Badau, Adela Badau
Background : The study was focused on identifying the relationship between the incidence of exercise dependence attitudes, the level of body perception, and preferences for use of fitness technology monitoring. Methods: We investigated 241 students from physical education and sports specializations. We used a questionnaire structured in 5 parts: personal information (age, gender, weight, height, and institutional membership), Exercise Dependence Scale-R (EDS-21), the Compulsive Exercise Test (CET), Body perception questionnaire, and Fitness Monitoring Technology...
November 22, 2018: International Journal of Environmental Research and Public Health
Forrest C Wells, Craig R Warden
INTRODUCTION: Outdoor education (OE) expeditions travel far from definitive care and have unique epidemiology. Most OE expedition studies have examined a single organization and results may not generalize. This study examines the injuries, illnesses, medical evacuations, and nonmedical incidents of the Northwest Outward Bound School (NWOBS) to broaden our understanding and demonstrate commonalities within the field. METHODS: This retrospective database review examined incidents and evacuations on NWOBS expeditions from June 1, 2014 through October 31, 2016...
December 2018: Wilderness & Environmental Medicine
Taehwan Park
BACKGROUND: Despite the rising popularity of using specialty medications for patients with rheumatoid arthritis (RA), little is known about the use or spending on medical services among these patients. OBJECTIVE: The objective of this study was to investigate health care utilization and expenditures among patients with RA using specialty medications compared with those using non-specialty (i.e., traditional) medications. METHODS: This was a retrospective cohort study using Medical Expenditure Panel Survey data from 2009 through 2015...
September 12, 2018: Research in Social & Administrative Pharmacy: RSAP
Renaud Roy, Janice Ma
Background: Spontaneous reports of adverse drug reactions (ADRs) form an essential component of both drug safety monitoring and patient safety initiatives. Pharmacists are well positioned to report ADRs, but many barriers exist to their doing so. Over the past decade, substantial changes have occurred with regard to drug regulations and medication safety initiatives, and it is possible that knowledge-based interventions may be needed to enhance ADR reporting by pharmacists. Objective: To determine whether ADR reporting behaviours of pharmacists improved after release of a revised policy on the reporting of medication incidents...
July 2018: Canadian Journal of Hospital Pharmacy
Albert R Dreijer, Jeroen Diepstraten, Vera E Bukkems, Peter G M Mol, Frank W G Leebeek, Marieke J H A Kruip, Patricia M L A van den Bemt
Objective: To assess the proportion of all medication error reports in hospitals and primary care that involved an anticoagulant. Secondary objectives were the anticoagulant involved, phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. Additional secondary objectives were the total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month and the proportion of causes of 1000 anticoagulant medication errors (comparing the pre- and post-guideline phase)...
August 25, 2018: International Journal for Quality in Health Care
Suvapun Bunniran, Edward Lee, Pravin Kamble, Brandon Suehs, Billy Franks, Jason Schwartz, Gary Thal, James Spalding
AIMS: Switching drug manufacturers in transplant patients may require an increased intensity of therapeutic monitoring, leading to additional healthcare visits, associated laboratory tests, and perhaps hospitalizations. As real-world studies examining the interchangeability of tacrolimus from different manufacturers are limited, the purpose of this study was to examine the healthcare resource utilization (HRU) and economic impact of tacrolimus-switching in kidney transplantation. MATERIALS AND METHODS: This cross-sectional, retrospective study examined HRU and healthcare costs (HCCs) among patients with a kidney transplant who were prescribed tacrolimus from fixed-source (FS) vs variable-source (VS) manufacturers using claims data from the large US health plan Humana from October 1, 2012, to December 31, 2013...
August 14, 2018: Journal of Medical Economics
Andrew H Nguyen, Nima Fatehi, Pablo Romero, Arezoo Miraftabi, EunAh Kim, Esteban Morales, JoAnn Giaconi, Anne L Coleman, Simon K Law, Joseph Caprioli, Kouros Nouri-Mahdavi
Importance: There is evidence that patients of African descent (AD) experience higher surgical failure rate after trabeculectomy without antimetabolites. Objective: To compare outcomes of initial trabeculectomy with mitomycin C in AD patients with those of patients of European descent (ED) and to identify prognostic factors for failure. Design, Setting, and Participants: In this retrospective matched cohort study, 135 eyes of 105 AD patients were matched with 135 eyes of 117 ED patients by age (within 5 years), surgeon, lens status, and follow-up time (within 1 year) from a single tertiary academic center...
October 1, 2018: JAMA Ophthalmology
Trevor Jain, Aaron Sibley, Henrik Stryhn, Ives Hubloue
IntroductionThe proliferation of unmanned aerial vehicle (UAV) technology has the potential to change the way medical incident commanders (ICs) respond to mass-casualty incidents (MCIs) in triaging victims. The aim of this study was to compare UAV technology to standard practice (SP) in triaging casualties at an MCI. METHODS: A randomized comparison study was conducted with 40 paramedic students from the Holland College Paramedicine Program (Charlottetown, Prince Edward Island, Canada)...
August 2018: Prehospital and Disaster Medicine
J V Hasanov, E M Kasimov
PURPOSE: To assess the safety and efficacy of phaco-canaloplasty in patients with concomitant advanced pseudoexfoliation glaucoma and cataract. MATERIAL AND METHODS: The study included 56 patients (57 eyes) who underwent phacoanaloplasty guided by Glaucolight microcatheter. All patients were followed up for 48 months. Visual acuity, changes of intraocular pressure (IOP), use of glaucoma medications, incidence of complications, as well as postsurgical interventions were examined...
2018: Vestnik Oftalmologii
Yang Zhao, Zoie Shui-Yee Wong, Kwok Leung Tsui
Identifying rare but significant healthcare events in massive unstructured datasets has become a common task in healthcare data analytics. However, imbalanced class distribution in many practical datasets greatly hampers the detection of rare events, as most classification methods implicitly assume an equal occurrence of classes and are designed to maximize the overall classification accuracy. In this study, we develop a framework for learning healthcare data with imbalanced distribution via incorporating different rebalancing strategies...
2018: Journal of Healthcare Engineering
Farhan Muhammad Qureshi, Nadia Khalid, Seema Nigah-E-Mumtaz, Tahira Assad, Khola Noreen
Background and Objective: Children spend most of their time in schools and are vulnerable to injuries and mild ailments, hence requiring first-aid care. School teacher can provide immediate first-aid care in the absence of any health professional. This study assesses first-aid facilities within school premises and assessment of teachers on first aid training. Methods: A cross sectional study was conducted from July-December 2017, participants were full time school teachers of both public and private sectors at both primary and secondary levels, having a minimum of one year experience...
March 2018: Pakistan Journal of Medical Sciences Quarterly
Maeve Morrison, Vicki Cope, Melanie Murray
Medication errors remain a commonly reported clinical incident in health care as highlighted by the World Health Organization's focus to reduce medication-related harm. This retrospective quantitative analysis examined medication errors reported by staff using an electronic Clinical Incident Management System (CIMS) during a 3-year period from April 2014 to April 2017 at a metropolitan mental health ward in Western Australia. The aim of the project was to identify types of medication errors and the context in which they occur and to consider recourse so that medication errors can be reduced...
December 2018: International Journal of Mental Health Nursing
Fabien Lefebvre, Benjamin Baudin, Antoine Bronstein, Hugues Lefort, Frank Peduzzi
Nursing practice on a ship involves certain risks and constraints inherent to the facilities themselves and the maritime environment. The response in the case of a medical incident at sea is guided by an organisation adapted to these constraints, overseen by a specific regulatory body. Different entities, players and resources may be involved depending on the diverse situations encountered.
May 2018: Revue de L'infirmière
Melita Van de Vreede, Anne McGrath, Jan de Clifford
Objective. The aim of the present study was to identify and quantify medication errors reportedly related to electronic medication management systems (eMMS) and those considered likely to occur more frequently with eMMS. This included developing a new classification system relevant to eMMS errors. Methods. Eight Victorian hospitals with eMMS participated in a retrospective audit of reported medication incidents from their incident reporting databases between May and July 2014. Site-appointed project officers submitted deidentified incidents they deemed new or likely to occur more frequently due to eMMS, together with the Incident Severity Rating (ISR)...
May 14, 2018: Australian Health Review: a Publication of the Australian Hospital Association
George O Agogo, Christine M Ramsey, Danijela Gnjidic, Daniela C Moga, Heather Allore
ABSTRACTBackground:Longitudinal studies of older adults are characterized by high dropout rates, multimorbid conditions, and multiple medication use, especially proximal to death. We studied the association between multiple medication use and incident dementia diagnoses including Alzheimer's disease (AD), vascular dementia (VD), and Lewy-body dementia (LBD), simultaneously accounting for dropout. METHODS: Using the National Alzheimer's Coordinating Center data with three years of follow-up, a set of covariate-adjusted models that ignore dropout was fit to complete-case data, and to the whole-cohort data...
October 2018: International Psychogeriatrics
Elaine Erasmus, Cleeve Robertson, Daniel Jacobus van Hoving
BACKGROUND: Injuries remain a major contributor of morbidity and mortality worldwide, with drowning accounting for 7% of all injury-related deaths with rates of between 4 and 8 per 100,000. The African region has death rates comparable to most low-income countries. Non-fatal drowning in Africa remains unquantified but it is estimated to be ten times higher than the fatal drowning rate. Timely search and rescue, initial resuscitation and rapid transportation to definitive care play a crucial role in preventing injury- related morbidity and mortality...
2018: International Maritime Health
Hamed Esfandiari, Tarek Shazly, Priyal Shah, Kiana Hassanpour, Pooya Torkian, Mehdi Yaseri, Nils A Loewen
PURPOSE: To evaluate the efficacy and survival rates of same session ab interno trabeculectomy with the trabectome and Ahmed glaucoma valve implant (AT) in comparison to the Ahmed glaucoma valve alone (A). METHOD: A total of 107 eyes undergoing primary glaucoma surgery were enrolled in this retrospective comparative case series, including 48 eyes which underwent AT and 59 eyes which received A alone. Participants were identified using the procedural terminology codes, and their medical records were reviewed...
August 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
Hanan Khalil, Sarah Lee
AIMS AND OBJECTIVES: To identify the issues surrounding medication error reporting in community nursing and improvement strategies related to medication safety. BACKGROUND: Medication-related problems have been identified from various sources in the literature. Examples of these include incident reporting by healthcare professionals, medico-legal and patient complaints and systematic identification of organisational structure. Only a few studies report on the clinicians' perceptions of medication safety in community nursing and the challenges they face within their workplace to implement medication safety initiatives...
May 2018: Journal of Clinical Nursing
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