Medications are a critical component of the care provided to patients and are used for diagnostic, symptomatic,
preventive, curative, and palliative treatment and management of diseases and conditions. A medication
system that supports optimal medication management must include processes that support safe and effective
medication use. Safe, effective medication use involves a multidisciplinary, coordinated effort of health care
practitioners applying the principles of process design, implementation, and improvement to all aspects of
the medication management process, which includes the selecting, procuring, storing, ordering/prescribing,
transcribing, distributing, preparing, dispensing, administering, documenting, and monitoring of medication
therapies
Medication Error are the most preventable events and Clinical Pharmacists can play a vital role in preventing them. in this presentation i have tried to provide maximum information regarding medication error in minimum slides.
This presentation tells us about what are the medication errors and how we differentiate between them as per the National Accreditation Board for Hospital & Healthcare Providers standard for hospitals 5th Edition.
Presentation contains detailing details of medication error.
Some GIFs may not be seen.
High risk medications are medicines that are most likely to cause significant harm to the patient, even when used as intended. The Institute for Safe Medication Practices (ISMP) reports that the incident rates of this group of medicines may not necessarily be higher than the other medicines but when incidents occur the impact on the patients would be serious (significant).
In seeking to improve patient safety, the primary focus should be on preventing errors with the greatest potential for harm. Many of the highest risk medications - e.g., heparin, insulin, morphine, and propofol e are delivered by IV infusion. 61% of the most serious and life threatening potential adverse drug events (ADEs) are IV drug related.
IV administration often results in the most serious outcomes of medication errors.
Medication Error are the most preventable events and Clinical Pharmacists can play a vital role in preventing them. in this presentation i have tried to provide maximum information regarding medication error in minimum slides.
This presentation tells us about what are the medication errors and how we differentiate between them as per the National Accreditation Board for Hospital & Healthcare Providers standard for hospitals 5th Edition.
Presentation contains detailing details of medication error.
Some GIFs may not be seen.
High risk medications are medicines that are most likely to cause significant harm to the patient, even when used as intended. The Institute for Safe Medication Practices (ISMP) reports that the incident rates of this group of medicines may not necessarily be higher than the other medicines but when incidents occur the impact on the patients would be serious (significant).
In seeking to improve patient safety, the primary focus should be on preventing errors with the greatest potential for harm. Many of the highest risk medications - e.g., heparin, insulin, morphine, and propofol e are delivered by IV infusion. 61% of the most serious and life threatening potential adverse drug events (ADEs) are IV drug related.
IV administration often results in the most serious outcomes of medication errors.
2. Minimum Standard for Hospital Pharmacy_ASHP_2022-2023.pptxssuserca7d2c
I’m going back in a minute I need a little more help I have a couple things I have a question about for the next two days and then I’m not going back in for a little while I need help I have a little more money to pay my my mom has to go back in the house so I’m going back in to the hospital so I’m going back to my room so I’m going back home to do my homework
This document is about the use and misuse of controlled substances and the role and responsibilities of the pharmacist in providing these substances. The storage conditions and the drug act about the misuse of the substances.
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptxraviapr7
b) Clinical Pharmacy
Introduction to Clinical Pharmacy, Concept of clinical pharmacy
Functions and responsibilities of clinical pharmacist, Drug therapy monitoring
Medication chart review, clinical review., pharmacist intervention
Ward round participation, Medication history and Pharmaceutical care.
Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern
The Role of Pharmacist in Patient SafetyArwa M. Amin
Module: Pharmacy Professional Skills
Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Undergraduate, B.Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for Educational purpose. It has no commercial value associated with it.
35 Tips to help you Pass the 2020 PTCB ExamRxTechExam
Aspiring Pharmacy Technicians are scrambling to information about the 2020 PTCB Exam. These 35 Tips are invaluable to your success on the Pharmacy Technician Certification Board Exam. Brought to you by a premier PTCB-Recognized Online Educator - RxTechExam.com - 85% PTCB Pass Rate in 2020.
Medication Safety is vital aspect to prevent Medication error, the PPT deals with the Safety of the client and the Medical Personnel related to Medication error
dispensing pharmacy note to administrationbaharbarree
Abgabekategorie regulates which kinds of drugs can be dispensed by the pharmacist, and whether a prescription is necessary. Swiss medic, the Swiss authority for approving drugs, classifies the drugs under the appropriate category
A drug overdose is the ingestion or application of a drug or other substance in quantities greater than are recommended or generally practiced. An overdose may result in a toxic state or death.
Medication error- Etiology and strategic methods to reduce the incidence of M...Dr. Jibin Mathew
A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer
Drug interaction - Potential antimicrobial drug interaction in a hospital set...Dr. Jibin Mathew
A drug interaction is a situation in which a substance affects the activity of a drug when both are administered together. This action can be synergistic or antagonistic or a new effect can be produced that neither produces on its own
An Antimicro is any substance of natural, semisynthetic or synthetic origin that kills or inhibits the growth of microorganisms but causes little or no damage to the host. All antibiotics are antimicrobials, but not all antimicrobials are antibiotics.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. JCI Standards(6th Edition)
Chapters Total Number: 16
● Patient CenteredChapters: 8
● OrganizationManagement Chapters: 6
● Academic Medical Center Hospital Chapters: 2
3. JCI Chapters
1. International Patient Safety Goals (IPSG)
2. Access to Care and Continuity of Care (ACC)
3. Patient and Family Rights (PFR)
4. Assessment of Patients (AOP)
5. Care of Patients (COP)
6. Anesthesia and Surgical Care (ASC)
7. Medication Management and Use (MMU)
8. Patient and Family Education (PFE)
The Organization Management Standards are:
9. Quality Improvement and Patient Safety (QPS)
10.Prevention and Control of Infections (PCI)
11.Governance, Leadership, and Direction (GLD)
12.Facility Management and Safety (FMS)
13.Staff Qualifications and Education (SQE)
14.Management of Information (MOI)
The Academic Medical Center Hospital Standards are:
15.Medical Professional Education(MPE)
16.Human Subjects Research Programs(HRP)
The Patient Centered Standards:
Patient Centered Chapters
Organization Management
Academic Medical Center Hospital
4. INTERNATIONALPATIENTSAFETYGOAL(IPSG)
IPSG 1
Identify Patients Correctly
Use two identifiers; Name and UHID for both IPD and OPD. For
unknown/ comatose patient brought in ER identify as unknown 1
or 2
IPSG 2
Improve Effective Communication
(i)Use read back and verify policy for verbal order and laboratory
test result obtained on the phone and the process ( for handover
communication)
(ii)Comply to handover communication policy
IPSG 3
Improve the Safety of High-alert medications
Eg.. lnj. Pottassium Chloride, lnj. Sodium Chloride more than
0.9%, Inj. Magnesium sulphate equal to or more than 50% are not
to be stored in patient ward but stored only in the IP Pharmacy.
Look alike and sound alike medications are stored with proper
labeling with tallman method.
5. IPSG 4 Ensure Correct Site, Correct-Procedure, Correct Patient
Surgery Follow pre-surgical site marking with a
downwards arrow, pre-operative checklist and time out
in OT and Bedside procedures.
IPSG 5 Reduce the Risk of Health Care Associated
infections
Follow the WHO 2009 hand hygiene guidelines.
IPSG 6 Reduce the Risk of Patient Harm Resulting from falls.
10. STORAGE OF MEDICATIONS
• Medications and investigational medication agents are stored in the pharmacy according to the
manufacturer's recommendation. All medications are stored in designated areas which are sufficient to
ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security.
• Narcotics & Controlled Drugs: Controlled substances are stored behind a double lock.
• External Products: Disinfectants and drugs for external use are stored separately from internal and
injectable medications.
• Flammable Products: Flammable products are stored in a flammable safety cabinet.
• Refrigerated Products: Items requiring refrigeration are stored appropriately. Refrigerators are maintained
as follows:
Temperatures must be kept within 36-46 degrees F or 2-8 degrees C.
• Frozen Products: Medications which are required to be stored frozen are stored in the freezer in the
Pharmacy. This freezer is equipped with temperature chart and alarm.
11. • Light Protection: All drugs, which require light protection while in storage, remain in the original package, in
closed drawers, or in a specially wrapped manner until the time of patient administration.
• Investigational Drugs: Investigational drugs are stored in locked, segregated cabinets.
• Cytotoxic and Hazardous Drugs: To prevent accidental contamination resulting in exposure of personnel to
hazardous substances, cytotoxic and hazardous drugs are stored in segregated areas which are clearly labeled.
• Unused Drugs: All pharmacy areas are routinely inspected for discontinued, outdated, defective or deteriorated
drugs and containers with worn, illegible, or missing labels. These drugs are returned to the Pharmacy Storeroom
where they are kept in a segregated area for return or destruction.
• High Alert Medications: High alert medications are identified by RED DOT labels which are placed on all
storage locations for high alert medications within the pharmacy.
• Look Alike/Sound Alike Medications: Medications which have the potential for confusion due to look-alike or
sound-alike drug names or packaging are identified and treated with extra precautions to prevent error.
1
12. SAFE DISPENSING OF MEDICATIONS
• Only full medicine strips would be dispensed & single/cut tablets would not be dispensed & taken back.
• Before dispensing (name of drug, strength, dosage, batch no., and expiry) any physical attributes are
checked by the pharmacist and matched against the name of the patient.
• Any discolored, visible impurity, expired medications shall not be dispensed by the pharmacy.
• The pharmacist has to check the strength, quantity, expiry of all drugs.
1
13. HOSPITAL FORMULARY
• The Formulary process is a core stone of good pharmaceutical Management and safe use of medicines. It
consist of preparing, using and updating a formulary list (EML), a formulary manual and standard
treatment guidelines in a hospital. Choosing the most appropriate therapies and selecting the most cost
effective good quality products leads to better quality of care and more efficient, equitable use of resources.
• Changes in the formulary which may be made without committee approval are:
Deletion of products no longer commercially available.
Drugs recalled or withdrawn from the market.
Change in commercial size.
Addition of a new strength of a drug if the drug’s indication, side effects, etc. do not differ from that of the
formulary strength.
1
14. MEDICATION RECONCILIATION
• Medication Reconciliation (MR) process is to reduce preventable medication errors on
admission to hospital, or transfer between hospital units and discharge to primary
care. The policy describes the steps to be taken:
To ensure medicines prescribed on admission correspond to those that the patient was
taking before admission
To identify any medication related causes for admission
To communicate and record through appropriate documentation, any changes,
omissions and discrepancies in a patient’s medication
15. DRUG RECALL
• Class I recall is a situation in which there is a reasonable probability that the use of or
exposure to the product will cause serious adverse health consequences or death.
• Class II recall is a situation in which use of or exposure to product may cause temporary
or medically reversible adverse health consequences or where the probability of serious
adverse health consequences is remote.
• Class III recall is a situation in which use of or exposure to product is not likely to cause
adverse health consequences.
1
16. NARCOTIC DRUGS
Storage in designated cabinets with Security.
Ordering and Receiving of Controlled Substances should be done by licensed staff
only.
17. MEDICATION ORDERS
• Only registered medical practitioners are authorized to initiate medication orders.
• Prescriptions are verified for medication status, as well as for appropriateness of
use, dosage, route, allergies, drug-drug interactions and duplicate orders.
• Verbal orders follow the read-back or repeat-back procedure as per the policy.
18. ADMINISTRATION
• Medications given are verified and counter signed by two nurses.
• Check all the medications with proper route, dose, frequency, etc.
• High Alert Medications are always stored separately.
• Multi- dose containers are labeled with proper instructions of type of diluents used and
date and time of preparation.
• Outdated and expired medications should be returned to the pharmacy.
19. MEDICATION ERRORS
"A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the
medication is in the control of the health care professional, patient, or consumer.
Such events may be related to professional practice, health care products, procedures, and systems, including prescribing,
order communication, product labeling, packaging, and nomenclature, compounding, dispensing, distribution, administration,
education, monitoring, and use."
• Any preventable event that may cause or lead to in inappropriate medication use or patient harm due to :
Wrong time
Wrong patient
Wrong medication
Wrong dose
Wrong route
Wrong documentation
21. Errors in medication administration often arise due to
combination of factors
• Poor communication
• Lack of knowledge
• Multiple interruptions
• Stress
• working conditions.
• Carelessness
22. %Analysis of Administration Error
0 10 20 30 40 50 60 70 80 90 100
Documented before administration leads to missed dose
Staff nurse did not cross check the file before hand over
Handover was not taking without checking the medication
Wrong Initial time
Cross checking of prescribed dose before administration
Instead of half tablet, full tablet administered
Patient file not taken to the bedside during administration.
Lack of drug information for the nurses
Administer the medication at the wrong time
Lack of monitoring and supervisory mechanism from the TL/In charge for costly medicines
Escalation not done
New joined staff
COMMUNICATION GAP
39
4
4
4
6
2
11
4
4
2
4
13
4
23. MEDICATION ERROR ANALYSIS
MONITORING
TRAINING
Medication Error
MANPOWER DOCUMENTATION
Only 2Clinical pharmacist
Only 3rd floor and 4th floor
have floor Pharmacist
Shortage of doctors
Infrequent audits
No over sight by
Nursing TL
Lack of knowledge & Staffs untrained on
Medication administration
Doctors are not trained on
medication reconciliation
Staffs not sensitised
about medication error
Documented before
administration
New Nursing staff
Joined
Wrong transcription
No Documentation
Wrong documentation
No over sight of Doctors
notes
Cross checking was
not happen
COMMUNICATION
Hand Over communication
was not proper
Communication Gap between
doctors and Nursing ;
Nursing , Pharmacist and
Doctors
PRESCRIPTION
Escalation not happen
Incomplete Prescription
Illegible handwriting
Special instruction was
not written
Shortage of Pharmacist
Pharmacist are not
trained
24. ADVERSE DRUG REACTION
• Response to a medicine which is noxious and unintended and which
occurs at doses normally used in human.
25. HIGH ALERT MEDICATIONS
• “High Alert Medications” are drugs that bear a heightened risk of causing significant patient
harm, when they are used in error.
• The top high-risk medications are:- Insulin, opiates, narcotics, injectable potassium chloride
concentrate (15%), intravenous anticoagulants (heparin), and sodium chloride solutions above
0.9 percent, sedatives and hypnotics, antipsychotics, antidepressants and antidotes.
• Special safeguards strategies should take to reduce the risk of errors and minimize harm. This
strategies may include like providing mandatory patient education, improving access to
information about these drugs; using auxiliary labels and automated alerts; employing
automated or independent double checks when necessary; and standardizing the prescribing,
storage, dispensing, and administration of these products.
26.
27. LASA DRUGS(Look Alike & Sound Alike)
• Many Drugs have same look and same sounds which leads to most of the
medication errors.
• Confusions are Illegible or poor handwritings, incomplete Knowledge of drug
names, newly available products, similar Packaging or labeling, similar clinical
use, similar strengths, similar dosage forms, etc.
28. • The goal is to develop a culture of patient safety and design systems that are
“Fault Tolerant”. So that when an individual error occur it will not cause any
harm to the patient.
• Feedback and Dissemination of Information can create an awareness of
errors that can improve system designs to reduce or eliminate errors.