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Predictive system x med errors

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By Oswaldo Vargas Health system pharmacist currently working on Medication Safety as a part of Patient Safety work task force group
Annelies van der Ham, Henri Boersma, Arno van Raak, Dirk Ruwaard, Frits van Merode
In order to improve the quality and efficiency of hospitals, they can be viewed as a logistical system in which integration is a critical factor for performance. This paper describes the results of a scoping study that identifies the logistical parameters mentioned in international research on hospitals and indicates whether literature reflects system integration. When subsystems collaborate in order to accomplish the task of the entire organization, there is integration. A total number of 106 logistical parameters are identified in our study...
November 21, 2018: Health Services Management Research
Úrsula Baños Roldán, Xavier Badia, Jose Antonio Marcos-Rodríguez, Luis de la Cruz-Merino, Jaime Gómez-González, Ana Melcón-de Dios, María de la O Caraballo-Camacho, Jaime Cordero-Ramos, María Dolores Alvarado-Fernández, José Manuel Galiana-Auchel, Miguel Ángel Calleja-Hernández
OBJECTIVES: The aim of this study was to develop and to assess a specific Multi-Criteria Decision Analysis (MCDA) framework to evaluate new drugs in an hospital pharmacy and therapeutics committee (P&TC) setting. METHODS: A pilot criteria framework was developed based on the EVIDEM (Evidence and Value: Impact on DEcisionMaking) framework, together with other relevant criteria, and assessed by a group of P&TC's members. The weighting of included criteria was done using a 5-point weighting technique...
October 23, 2018: International Journal of Technology Assessment in Health Care
Mirelle Hanskamp-Sebregts, Marieke Zegers, Wilma Boeijen, Hub Wollersheim, Petra J van Gurp, Gert P Westert
Objective: To identify factors that explain the observed effects of internal auditing on improving patient safety. Design setting and participants: A process evaluation study within eight departments of a university medical centre in the Netherlands. Intervention(s): Internal auditing and feedback for improving patient safety in hospital care. Main outcome measure(s): Experiences with patient safety auditing, percentage implemented improvement actions tailored to the audit results and perceived factors that hindered or facilitated the implementation of improvement actions...
August 18, 2018: International Journal for Quality in Health Care
Sophie Marien, Delphine Legrand, Ravi Ramdoyal, Jimmy Nsenga, Gustavo Ospina, Valéry Ramon, Benoit Boland, Anne Spinewine
Objective: Medication reconciliation (MedRec) can improve patient safety by resolving medication discrepancies. Because information technology (IT) and patient engagement are promising approaches to optimizing MedRec, the SEAMPAT project aims to develop a MedRec IT platform based on two applications: the "patient app" and the "MedRec app." This study evaluates three dimensions of the usability (efficiency, satisfaction, and effectiveness) and usefulness of the patient app...
November 1, 2018: Journal of the American Medical Informatics Association: JAMIA
Mitchell S Buckley, Jeffrey R Rasmussen, Dale S Bikin, Emily C Richards, Andrew J Berry, Mark A Culver, Ryan M Rivosecchi, Sandra L Kane-Gill
Background: Medication safety strategies involving trigger alerts have demonstrated potential in identifying drug-related hazardous conditions (DRHCs) and preventing adverse drug events in hospitalized patients. However, trigger alert effectiveness between intensive care unit (ICU) and general ward patients remains unknown. The objective was to investigate trigger alert performance in accurately identifying DRHCs associated with laboratory abnormalities in ICU and non-ICU settings. Methods: This retrospective, observational study was conducted at a university hospital over a 1-year period involving 20 unique trigger alerts aimed at identifying possible drug-induced laboratory abnormalities...
April 2018: Therapeutic Advances in Drug Safety
Emine Ozgur Bayman, Franklin Dexter
No abstract text is available yet for this article.
June 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Allan Fong, Nicole Harriott, Donna M Walters, Hanan Foley, Richard Morrissey, Raj R Ratwani
OBJECTIVES: Many healthcare providers have implemented patient safety event reporting systems to better understand and improve patient safety. Reviewing and analyzing these reports is often time consuming and resource intensive because of both the quantity of reports and length of free-text descriptions in the reports. METHODS: Natural language processing (NLP) experts collaborated with clinical experts on a patient safety committee to assist in the identification and analysis of medication related patient safety events...
August 2017: International Journal of Medical Informatics
Sarah E Stumbar
No abstract text is available yet for this article.
March 1, 2017: American Family Physician
Andrew A White, Douglas M Brock, Patricia I McCotter, Sarah E Shannon, Thomas H Gallagher
National guidelines call for health care organizations to provide around-the-clock coaching for medical error disclosure. However, frontline clinicians may not always seek risk managers for coaching. As part of a demonstration project designed to improve patient safety and reduce malpractice liability, we trained multidisciplinary disclosure coaches at 8 health care organizations in Washington State. The training was highly rated by participants, although not all emerged confident in their coaching skill. This multisite intervention can serve as a model for other organizations looking to enhance existing disclosure capabilities...
January 2017: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Mahin Jamshidi Makiani, Somayyeh Nasiripour, Mahnaz Hosseini, Alireza Mahbubi
No abstract text is available yet for this article.
January 2017: Journal of Research in Pharmacy Practice
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Journal of Anesthesia
I Ralph Edwards
Causality in pharmacovigilance is a difficult and time consuming exercise. This paper presents the challenges in determining causation by drug therapy. The first is that causation is complex and needs to be viewed from the context of the patient treated, rather than the drug product. Multiple causal vectors should be considered if we are to tackle the many issues involved in, for example, medication error and the many other factors that lead to bad outcomes from therapy, including failure to recognise known risk factors...
May 2017: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
Samuel Lapkin, Tracy Levett-Jones, Lynn Chenoweth, Maree Johnson
AIM: The aim of this overview was to examine the effectiveness of interventions designed to improve patient safety by reducing medication administration errors using data from systematic reviews. BACKGROUND: Medication administration errors remain unacceptably high despite the introduction of a range of interventions aimed at enhancing patient safety. Systematic reviews of strategies designed to improve medication safety report contradictory findings. A critical appraisal and synthesis of these findings are, therefore, warranted...
October 2016: Journal of Nursing Management
Amanda Hanora Lavan, Paul Gallagher
Adverse drug reactions (ADRs) are common in older adults, with falls, orthostatic hypotension, delirium, renal failure, gastrointestinal and intracranial bleeding being amongst the most common clinical manifestations. ADR risk increases with age-related changes in pharmacokinetics and pharmacodynamics, increasing burden of comorbidity, polypharmacy, inappropriate prescribing and suboptimal monitoring of drugs. ADRs are a preventable cause of harm to patients and an unnecessary waste of healthcare resources...
February 2016: Therapeutic Advances in Drug Safety
Anthony S Fauci, David M Morens
The explosive pandemic of Zika virus infection occurring throughout South America, Central America, and the Caribbean (see map) and potentially threatening the United States is the most recent of four unexpected arrivals of important arthropod-borne viral diseases in the Western Hemisphere over the..
February 18, 2016: New England Journal of Medicine
Ercan Celikkayalar, Minna Myllyntausta, Matthew Grissinger, Marja Airaksinen
BACKGROUND: The US Institute for Safe Medication Practices' (ISMP) Medication Safety Self-Assessment (MSSA) tool for hospitals is a comprehensive tool for assessing safe medication practices in hospitals. AIMS: To adapt and remodel the ISMP MSSA tool for hospitals so that it can be used in individual wards in order to support long-term medication safety initiatives in Finland. METHODS: The MSSA tool was first adapted for Finnish hospital settings by a four-round (applicability, desirability and feasibility were evaluated) Delphi consensus method (14 panellists), and then remodelled by organizing the items into a new order which is consistent with the order of the ward-based pharmacotherapy plan recommended by the Ministry of Social Affairs and Health...
August 2016: International Journal of Pharmacy Practice
Adam J Vanderman, Jason M Moss, William E Bryan, Richard Sloane, George L Jackson, S Nicole Hastings
Potentially inappropriate medications (PIMs) have been associated with poor outcomes in older adults. Electronic health record (EHR)-based interventions may be an effective way to reduce PIM prescribing. The main objective of this study was to evaluate changes in PIM prescribing to older adult veterans ≥65 years old in the ambulatory care setting preimplementation and postimplementation of medication alert messages at the point of computerized provider order entry (CPOE). Additional exploratory objectives included evaluating provider type and patient-provider relationship as a factor for change in PIM prescribing...
February 2017: Journal of Pharmacy Practice
Susan Knapp
PURPOSE: The purpose of this paper is to examine the relationship between four organizational cultural types defined by the Competing Values Framework and three Lean Six Sigma implementation components - management involvement, use of Lean Six Sigma methods and Lean Six Sigma infrastructure. DESIGN/METHODOLOGY/APPROACH: The study involved surveying 446 human resource and quality managers from 223 hospitals located in Maine, New Hampshire, Vermont, Massachusetts and Rhode Island using the Organizational Culture Assessment Instrument...
2015: International Journal of Health Care Quality Assurance
Urmimala Sarkar
No abstract text is available yet for this article.
July 2016: BMJ Quality & Safety
Abdulmaged M Traish, Michael Zitzmann
Testosterone deficiency (TD) is a well-established and recognized medical condition that contributes to several co-morbidities, including metabolic syndrome, visceral obesity and cardiovascular disease (CVD). More importantly, obesity is thought to contribute to TD. This complex bidirectional interplay between TD and obesity promotes a vicious cycle, which further contributes to the adverse effects of TD and obesity and may increase the risk of CVD. Testosterone (T) therapy for men with TD has been shown to be safe and effective in ameliorating the components of the metabolic syndrome (Met S) and in contributiong to increased lean body mass and reduced fat mass and therefore contributes to weight loss...
September 2015: Reviews in Endocrine & Metabolic Disorders
2015-11-25 15:39:55
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