HPAI Poster Jennifer O Meara
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Winner of the Hospital Phamacists Association of Ireland (HPAI) Pharmaceutical Technician Poster Competition 2009
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![PRINTED BY THE DEPT. OF MEDICAL PHOTOGRAPHY AND ILLUSTRATION A.M.N.C.H. In-process checking: Expanding the role of the senior pharmaceutical technician in the Aseptic Unit. O’Meara J, Cullen N, Byrne L. Pharmacy Department, AMNCH, Tallaght, Dublin. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RESULTS The South West Accuracy Assessment course 2 was completed, accreditation was received and in-process checking commenced within the AU. These changes were accepted by all AU staff members. SOPs and the senior technician job description were updated to include that senior technicians were now doing in-process checking on completion of the in-process checking course. A re-audit of the green belt project 1 was carried out by the Aseptic Unit manager which showed that 71% of oncology day ward patients now receive their chemotherapy drugs within a 60 minute time frame from confirmation. In-process checking by technicians has contributed to this improvement. Having the senior technician undertaking extra duties previously done by a pharmacist such as in-process checking and processing prescriptions has improved skill mix. Figure 3 New Process Map from Confirmation to Supply Pharmacist interruptions have reduced to 26% in a 2 hour roster 1 . CONCLUSION In-process checking by technicians reduces the workload for pharmacists and created a shorter waiting time for volume checks for technicians. This is turn has improved the turnaround time for processing of prescriptions from start to finish and receipt of chemotherapy on the ward. REFERENCES 1 Byrne L, Mc Donnell F, Harte D, O Brady C, Macken S, Strickland M, Improving the Supply of Chemotherapy Drugs to the Oncology Day Ward using Six Sigma Process Improvement Methodology 2 South West Medicines Information and Training, South West Accuracy Assessment for pre and in-process checking in non-licensed units (Section 10) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/hpaiposterjenniferomeara-124035367817-phpapp02/85/HPAI-Poster-Jennifer-O-Meara-1-320.jpg)
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To analyze the impact of FOCUS-PDCA management model on the disinfection quality of flexible endoscopes. Method: A study was conducted on 128 flexible endoscopes in our hospital. According to different management plans, flexible endoscopes were divided into a control group (conventional management model) and an experimental group (FOCUS-PDCA management model). The flexible endoscopes evaluated in both control group and the experimental group were 64 each. The ATP values, management quality, and bacterial colony exceeding standards were observed in two groups. Results: Before management, there was no significant difference in ATP values between the two groups, with P>0.05; after management, compared with the control group (106.25 ± 6.812), the ATP value in the experimental group was lower, with P<0.05. The scores of disinfection standards (4.39 ± 0.49), cleaning standards (4.22 ± 0.45), management systems (4.13 ± 0.34), and management assessment (4.97 ± 0.25) in the experimental group were higher than those in the control group (3.89 ± 0.31, 3.20 ± 0.41, 3.12 ± 0.13, 3.95 ± 0.21), with P<0.05. In the experimental group, the bacterial colony exceeding standard rate of gastroscopy was 3.13%, bacterial colony exceeding standard rate of colonoscopy was 0.00%, bacterial colony exceeding standard rate of bronchoscopy was 1.56%, and the total bacterial colony exceeding standard rate of total colonies was 6.25%, which were significantly lower than the control group's 12.50%, 7.81%, 12.50%, and 32.81%, respectively with P<0.05. Conclusion: The FOCUS-PDCA management model is more conducive to reducing the ATP values of flexible endoscopes, improving the disinfection qualification rate, and improving management quality. This model is worthy of further promotion.
Medical audit
Medical Audit are essential not only for betterment of patient care but also for the betterment of physicians.
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Executive Certificate Program in Pharmacovigilance Audits and Inspections (Live eLearning), offered jointly by Cliniminds and CRQA, a leading global GxP Audits company.
This unique program is designed to equip participants with the essential knowledge and skills required to excel in pharmacovigilance audits and inspection preparedness. including regulatory requirements, audit methodologies, risk assessment, and best practices in pharmacovigilance.
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Change control oos oot
This document discusses concepts of change control, out of specifications (OOS), and out of trends (OOT) in pharmaceutical quality assurance. It defines change control as a procedure to review, verify, regulate, manage, approve and control changes made to systems or processes. OOS refers to test results that fall outside pre-defined acceptance criteria, while OOT describes results that do not follow expected trends. The document outlines procedures for investigating and managing changes, OOS, and OOT to ensure product quality and compliance with regulations.
Web application for clinicians - SidekickCV
How to eliminate peer-to-peer calls, generate new revenue, and deliver quality care in the physician practice setting.
Performance evaluation of_hospitals
The document discusses performance evaluation of hospitals, which is essential to ensure health services are effective and efficiently using limited resources. It describes evaluating hospitals based on the amount and quality of work, costs, and patient satisfaction. Performance is evaluated through indicators to identify areas for improvement. Methods include indirect analysis of factors influencing care quality and direct analysis of medical records. Clinical audits also evaluate patterns of care quality and resources usage by analyzing topics like diagnostic tests, medical records, and patient satisfaction. The goal is continuously improving patient care and outcomes.
Quality assurance in Nursing
This document defines quality assurance and its purpose in healthcare. It discusses evaluating the structure, process, and outcomes of care delivery. Quality assurance aims to continuously improve care quality through ongoing evaluation and promotion of excellence. It assesses staff competence and notifies administrators of deficiencies to correct. Methods include concurrent and retrospective reviews to allow simultaneous corrective action or in-depth assessments after discharge. The quality assurance committee coordinates these efforts.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Ketone bodies and metabolism-biochemistry
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