Managing medication
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This document discusses best practices for managing medication for residents in care homes. It outlines the legal responsibilities of care homes to safely manage residents' medications. It also describes the common stages where errors can occur like prescribing, ordering and administration. The document emphasizes implementing systems and processes to improve safety, such as reviewing medications regularly and having clear policies. It identifies high-risk medications that require close monitoring and potential difficulties residents may have that could lead to errors. Overall, the document provides guidance for care homes to establish medication management protocols that consider residents' needs and minimize risks of errors.
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3) The goal is to efficiently provide an accurate, unbiased response by following a standardized process for clarifying the request, searching appropriately for the answer, and synthesizing the data.
final duplication and misuse ppt
Duplication prescribing and misuse of medicine can harm patients and lead to death. Duplication prescribing occurs when multiple medications are prescribed for the same condition without coordination. Misuse involves using medication other than as intended, such as through addiction. Strategies to reduce these risks include implementing electronic health records and clinical decision support to avoid therapeutic duplication, educating patients, and enhancing prescription drug monitoring programs and enforcement of drug disposal laws.
Medication Safety Policy
1. The document discusses medication safety policies and reducing medication errors. It identifies the top 10 medications commonly involved in errors in hospitals in the US and potential causes of errors during prescribing, dispensing, and administration.
2. Recommendations are provided for safer practices across the medication use process from prescribing to administration. This includes reducing reliance on memory, standardizing processes, improving communication, and automating where possible.
3. Specific high-risk populations like pediatrics, geriatrics, and those with allergies are addressed. Key strategies proposed include standardized documentation, education of patients and caregivers, and enhanced monitoring for adverse events.
pharmacist patient education and counseling
Lack of sufficient knowledge about their health problems and medications cause of patients’ non-adherence to their pharmaco-therapeutic regimens and monitoring plans so pharmacist need to have skills and knowledge to improve patient adherence and reduce medication-related problems
Medication errors in Pediatrics
This document discusses medication errors in pediatrics. It defines key terms like adverse drug reactions, side effects, and prescribing errors. Medication errors are common in pediatrics due to dosing challenges from weight-based calculations and off-label use. Common causes of errors include human factors like fatigue, workplace issues like distractions, and drug factors like confusing labels. Preventing errors involves standardized processes, clear communication, limiting verbal orders, confirming patient identity, and involving pharmacists. Nursing students and faculty have specific responsibilities when administering medications to ensure safety. The goal is to establish best practices to minimize harmful medication errors in children.
Med safety nj ph a 10 10 11 final 3 (97-2003)
The document discusses medication errors, including common types, causes, and strategies for prevention. It notes that medication errors are a serious issue, causing up to 98,000 deaths per year. Errors can occur at any step in the medication process and are often due to human factors like poor communication or illegible handwriting, as well as system factors like confusing drug names. Strategies to reduce errors include using clear verbal order protocols, limiting dangerous abbreviations, implementing computerized physician order entry and barcoding, and having a just culture approach that supports healthcare workers involved in errors.
Med safety nj ph a 10 10 11 final 3 (97-2003)
The document discusses medication errors, including common types, causes, and strategies for prevention. It notes that medication errors are a serious issue, causing up to 98,000 deaths per year. Errors can occur at any step in the medication process and are often due to human factors like poor communication or illegible handwriting, as well as system factors like confusing drug names. Strategies to reduce errors include using clear verbal order protocols, limiting dangerous abbreviations, implementing computerized physician order entry and barcoding, and having a just culture approach that supports healthcare workers involved in errors.
Clinical pharmacy
Clinical pharmacy involves pharmacists taking a patient-centered approach to medication therapy to promote health and wellness. It requires advanced clinical knowledge and skills beyond traditional dispensing roles. Clinical pharmacists work directly with patients, physicians, and other healthcare providers to optimize medication use, identify and resolve medication-related problems, educate patients, and ensure the safe, effective, and economical use of medications. They are integral members of the healthcare team across various clinical practice settings and specialties.
research 1
- The document discusses a study that assessed the attitudes and behaviors of pharmacy professionals towards patient counseling in Awi Zone, North West Ethiopia.
- The study found that over half of respondents believed counseling is a shared responsibility between pharmacists and physicians. The main reason respondents cited for counseling was improved patient compliance.
- Lack of knowledge and confidence was the primary barrier preventing respondents from counseling patients more. Most respondents felt counseling promotes rational drug use.
Drug Information Centre
The document provides information about Drug Information Centres (DIC). It defines a DIC as a service that provides advice and refers queries about drugs to appropriate resources. DICs aim to promote evidence-based practice and improve patient care. They classify DICs as hospital-based, industry-based, or community-based. Clinical pharmacists working in DICs provide written or verbal drug information to healthcare professionals and patients. They respond to queries about various drug attributes like indications, dosages, interactions and side effects. When answering drug information questions, pharmacists gather background details, clarify the question, search multiple sources for relevant data, interpret the findings and formulate an appropriate response to address the query.
Unnecesary Medication Use in Long Term Care Facilites
Meds are a key component in the clinical process.
The guidelines are intended to insure medication use is of value and necessary. T
Significant emphasis is placed on preventing and recognizing adverse drug reactions ASAP.
Consequently, surveyors will expect to see:
Rationale for use, Parameters for monitoring
Prompt recognition and evaluation of new onset problems and conditions worsening
Consideration for dose reduction and discontinuance as appropriate.
Similar to Managing medication (20)
PMY 6120_1-2-Pharmaceutical Formulation Systems_Compound and Dispensing Proce...
PMY 6120_1-2-Pharmaceutical Formulation Systems_Compound and Dispensing Proce...
systematic approach in answering Drug queries.pptx
systematic approach in answering Drug queries.pptx
Unnecesary Medication Use in Long Term Care Facilites
Unnecesary Medication Use in Long Term Care Facilites
Managing medication
- 1. Managing medication Linda Nazarko Nurse consultant https://uk.linkedin.com/in/linda-nazarko- 1952a746
- 2. Aims and objectives To be aware of: Legal and professional responsibilities The five rights of medication How systems and processes can improve safety How to reduce the risk of errors High risk medications Resident’s difficulties with medication
- 3. Legal responsibilites Care Quality Commission Standards (2010) (outcome nine p104-109) Regulation thirteen of the Health & Social Care Act. National Institute for Health and Care Excellence (NICE) (2014) guidance on medication management in care homes.
- 4. NICE StandardsRecommendation Comments Residents involved in care and treatment decision Provide support to enable residents to make decisions. Record on care plan and update regularly Care homes must have a written policy Policy details of how the care home share information about medicines, keeps records on medication, manage drug errors, list and review medications, order receive, store, dispense and dispose of medicines Prescribers should assume that people who live in care homes are able to make decisions about their own medicines. If a prescriber is concerned about a person's ability to make such decisions, they should check whether the person is able to understand why, for example, a new medicine is needed before offering it. Providers of health or social care services should have processes in place for sharing accurate information about a resident's medicines This should include details of medicines that is recorded and transferred when a resident moves from one care setting to another e.g. from hospital to care home and care home to hospital Commissioners and health and social care services should ensure a robust process is in place for identifying, reporting, reviewing and learning from medicines errors Responsibility shared between health and social care.
- 5. Medication errors Older people vulnerable to adverse effects medication Between 5-15% of older people admitted to hospital because ill effects medication Around 40% of older people in nursing homes may be prescribed medicines inappropriately
- 6. Stages at which errors occur Prescribing and monitoring Ordering Dispensing Administration
- 7. Prescribing & monitoring Medical history Good information from hospital Knowledge drug interactions Routine monitoring Minimise medication
- 8. Medication review 50% require a review & 47% of reviewed medications discontinued. Problems identified: Side effects Not taking Ineffective treatment Unnecessary treatment Inappropriate treatment Treatment not indicated
- 9. Ordering Consider lead person(s) to check stocks, order medication and ensure reviews carried out Electronic prescribing coming
- 10. Dispensing Lack information Some research -7% medication mis-labelled Change working practices reduce errors
- 11. The five R’s of medication administration. Right resident Right medication Right route Right dose Right time
- 12. Medication administration errors Nurse should follow procedures If problems with procedures report it If the system is broken we need to fix the system not shoot the messenger
- 13. Ways to reduce risk of errors
- 14. High risk medications Warfarin, Insulin, antiplatelet drugs such as aspirin and clopidogrel, and oral hypoglycaemic drugs such as metformin high risk adverse reactions (Budnitz et al, 2011). The risks increase as the number of medications rise. Potential drug interaction risk when patients are taking 2 to 3, 4 to 5, and 6 to 7 medications are 39%, 88.8%, and 100
- 15. Hypnotics Reduced awareness Increased risk falls, pressure damage, dehydration Not for long term use
- 16. Diuretics Can affect renal function Increase or decrease potassium Cause hypotension Increase risk falls Monitoring and blood tests
- 17. Antipsychotics
- 18. Resident difficulties Large pills – hard to swallow Dry mouth Swallowing difficulties Adverse effects
- 20. Key points Care home residents are vulnerable to ADRS Home should have systems to enhance safety Small changes can make a big difference Work with person to overcome difficulties
- 21. Thank you for listening Any questions?
Editor's Notes
- Prescribing and monitoring Ordering Dispensing Administration