Pharmacist: Thorya Al-zahrany
Member In National Drug Information Center
supervisor of medication patient education at pharmacy care administration at Medina Region
This document defines medication error and outlines procedures for reporting medication errors. It also lists common types of medication errors including prescribing errors, omission errors, wrong time errors, and improper dose errors. Causes of errors include look-alike and sound-alike drug names, illegible handwriting, and unapproved abbreviations. Nursing responsibilities in preventing errors and standard precautions are discussed.
stages of the medication use process and medication errorsMEEQAT HOSPITAL
This document discusses stages of the medication use process and medication errors. It describes the five stages where errors can occur: physician ordering, transcribing orders, dispensing, administration, and monitoring. Errors commonly happen during ordering and administration. Types of errors include wrong dose, duration, medication, frequency and drug interactions. Adverse drug events can be preventable due to errors or non-preventable reactions. The document provides examples of errors like prescribing a contraindicated drug and scenarios to classify error types. It emphasizes learning from errors to enhance patient safety.
This document summarizes safety precautions for high-alert medications. It identifies several categories of medications considered high-risk, including anticoagulants, digoxin, electrolytes, insulin, narcotics, and sedatives. Surveys found practitioners identify more medications as high-alert than organizations officially designate. Recommendations are provided for organizational safety policies and individual nursing practices like independent double checks and monitoring. The top root causes of medication-related adverse events are identified as human factors, the physical environment, and communication issues.
Pharmacist: Thorya Al-zahrany
Member In National Drug Information Center
supervisor of medication patient education at pharmacy care administration at Medina Region
A study was conducted at a community pharmacy in Madrid, Spain to evaluate dispensing errors over a 3-month period. Investigators observed over 12,000 prescriptions and identified 55 dispensing errors. The most common errors were dispensing the wrong drug strength (31.5% of errors) and dispensing the wrong quantity (25.9% of errors). Pharmacy technicians were found to make errors more frequently than pharmacists. The study aims to help identify ways to reduce dispensing errors and improve patient safety.
This document defines medication error and outlines procedures for reporting medication errors. It also lists common types of medication errors including prescribing errors, omission errors, wrong time errors, and improper dose errors. Causes of errors include look-alike and sound-alike drug names, illegible handwriting, and unapproved abbreviations. Nursing responsibilities in preventing errors and standard precautions are discussed.
stages of the medication use process and medication errorsMEEQAT HOSPITAL
This document discusses stages of the medication use process and medication errors. It describes the five stages where errors can occur: physician ordering, transcribing orders, dispensing, administration, and monitoring. Errors commonly happen during ordering and administration. Types of errors include wrong dose, duration, medication, frequency and drug interactions. Adverse drug events can be preventable due to errors or non-preventable reactions. The document provides examples of errors like prescribing a contraindicated drug and scenarios to classify error types. It emphasizes learning from errors to enhance patient safety.
This document summarizes safety precautions for high-alert medications. It identifies several categories of medications considered high-risk, including anticoagulants, digoxin, electrolytes, insulin, narcotics, and sedatives. Surveys found practitioners identify more medications as high-alert than organizations officially designate. Recommendations are provided for organizational safety policies and individual nursing practices like independent double checks and monitoring. The top root causes of medication-related adverse events are identified as human factors, the physical environment, and communication issues.
Pharmacist: Thorya Al-zahrany
Member In National Drug Information Center
supervisor of medication patient education at pharmacy care administration at Medina Region
A study was conducted at a community pharmacy in Madrid, Spain to evaluate dispensing errors over a 3-month period. Investigators observed over 12,000 prescriptions and identified 55 dispensing errors. The most common errors were dispensing the wrong drug strength (31.5% of errors) and dispensing the wrong quantity (25.9% of errors). Pharmacy technicians were found to make errors more frequently than pharmacists. The study aims to help identify ways to reduce dispensing errors and improve patient safety.
1) Medication errors are a major cause of preventable harm and death, with over 1.5 million errors occurring annually in the US.
2) Medication errors can occur at several stages including prescribing, dispensing, and administration and are often caused by look-alike and sound-alike drug names and illegible handwriting.
3) Examples of medication errors found in hospitals include administering the wrong drug due to similar names, missed doses, incorrect doses prescribed, and therapeutic duplication in prescriptions. Hospitals have implemented reporting and corrective actions to address medication errors.
This document discusses medication errors, which are preventable events that can cause inappropriate medication use or harm to a patient. It defines medication errors based on definitions from the American Society of Health-System Pharmacists and the National Coordinating Committee on Medication Error Reporting and Prevention. Common types of medication errors include prescribing errors, dispensing errors, administration errors, and compliance errors. The document also discusses causes of medication errors and strategies to prevent errors, including standardized ordering processes, double checks, limiting abbreviations, and use of computerized prescriber order entry systems.
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.
Vir Vikram Sharma provides information on look-alike and sound-alike (LASA) drug names that can cause medication errors. The document discusses the origin and sources of errors caused by LASA drug names, including illegible handwriting and similar brand names. It identifies several categories of LASA drug pairs and conceptual frameworks for reducing errors. Possible solutions include educating healthcare professionals about LASA drugs, improving legibility, confirming prescriptions, and regulatory agencies carefully considering drug names. The predictable nature of errors caused by LASA drug names allows for risk assessment and safety enhancements like tall man lettering to differentiate names.
Stages of the medication use process and medication errorsMEEQAT HOSPITAL
The document discusses stages of the medication use process and where medication errors commonly occur. It identifies five stages - physician ordering, transcribing orders, dispensing, administration, and monitoring effects. Errors most often happen during ordering and administration. Common causes include incorrect dosages, frequencies, drugs, and failures in communication. The relationship between medication errors, adverse drug events, and adverse drug reactions is explained. Errors are also classified by stage, category, and severity to help identify and prevent future errors.
ADVERSE DRUG REACTION | PHARMACY PRACTICE | PDF | SHIVAM DUBEY B PHARMA | PHA...MrHotmaster1
PHARMACY PRACTICE
SHIVAM DUBEY
BPYN1PY18041
ADVERSE DRUG REACTION Abstract
We define an adverse drug reaction as "an appreciably harmful or
unpleasant reaction
This document discusses safety measures for using medication and outlines key factors that can lead to medication errors. It defines medication errors and adverse drug events, and identifies high-alert medications and black box drug warnings. The five stages of the medication process are described as well as common types of errors that can occur at each stage, particularly prescribing and administering. Working conditions like staffing shortages, distractions, and high workloads are highlighted as latent factors that can facilitate medication errors.
This document discusses best practices for handling high-alert medications and look-alike/sound-alike medications in nursing. It defines high-alert medications as those most likely to cause harm if misused due to their properties. The document outlines the process the Institute for Safe Medical Practices uses to identify high-alert medications and how healthcare facilities incorporate them into policies. It provides examples of high-alert medication risks and recommendations to prevent errors and harm for medications like warfarin, insulin, narcotics, and sedatives. The document also discusses look-alike/sound-alike medication names as a common cause of errors and outlines individual, environmental, and technological factors that can contribute to incidents.
This document contains information related to pharmacy services and medication management standards. It discusses topics like the pharmacy and therapeutics committee, hospital formulary development and management, medication prescribing, storage and dispensing practices, and definitions of high-risk medications. The document emphasizes that pharmacy services and medication usage must follow written guidance and procedures to ensure safety.
This document discusses medication errors, including definitions, types, causes, and ways to improve safety. Some key points:
- Medication errors are preventable events that may harm patients and are caused by failures in prescribing, dispensing, administration, or monitoring.
- Errors can occur at various stages of the medication use process and be due to factors like high workload, look-alike drug names, and poor communication.
- High-risk medications like anticoagulants require special precautions. Healthcare professionals should know drugs well, use memory aids, and develop checking habits to minimize errors.
- Encouraging patient involvement, thorough documentation, learning from past errors, and clear communication can also
Thank You✨ ClinoSol Research Mujeebuddin Shaik (Founder & CEO)#Sir uma priya(Director) #Mem at ClinoSol Research Pvt. Ltd & Kabya Pratap (ClinoSol) at #Business #Development #Intern for giving me a great #opportunity in #internship at #ClinoSol Your all Best Efforts & Support helps me alot #Slideshare #innovation #pharmacovigilance #pv #linkedin #thankyou again ♂️拾
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
This document discusses the importance of evaluating clinical literature and provides guidance on how to systematically approach literature evaluation. It describes how to identify the level and type of reference (tertiary, secondary, primary), and provides tips for evaluating different aspects of clinical studies, such as the objective, subjects, treatment administration, setting, methods, controls, and data analysis. The document also discusses how the FDA communicates important drug safety information to healthcare professionals and the public.
The document discusses medication errors and high alert medications that are most likely to cause significant harm if misused. It defines medication errors and high alert medications, provides examples of common high alert medications, and lists strategies to avoid errors involving high alert medications such as independent double checks, avoiding abbreviations, and monitoring patients after administration. The goal is to raise awareness of the risks of high alert medications and put procedures in place to use them as safely as possible.
This document analyzes reporting of adverse drug reactions (ADRs) by pharmacists in the Pharmacovigilance Programme of India (PvPI) between July 2011 and December 2014. It finds that of 110,000 reports in the database, 16,646 (15%) were reported by pharmacists. Of these, 3,782 (22.7%) were serious reactions while 9,601 (57.7%) were non-serious. Reporting by pharmacists has increased over time. The document concludes that pharmacists can play an important role in pharmacovigilance by detecting, reporting, and assessing ADRs.
Medication errors are a significant issue, with 10,791 reports of errors from 2001-2005 in Canada. Of these, 465 resulted in patient harm, and 10 medications accounted for 43% of harmful incidents. The top medication errors were with insulin, morphine, potassium chloride, albuterol, heparin, vancomycin, cefazolin, acetaminophen, warfarin, and furosemide. Most common adverse drug events were related to antibiotics, insulin, anticoagulants, NSAIDs, and hydrocodone/acetaminophen. Errors can be reduced by taking a systems approach to identify issues in design, standardization, access to information, work schedules
This document outlines a strategic plan to minimize medication errors in healthcare. It begins by defining medication errors and classifying their significance. It then discusses the extent of medication errors, finding they occur in 1 in every 19 hospital admissions. The document examines the many factors that contribute to errors, including poor communication, look-alike drug names, and busy work environments. It also presents approaches to reduce errors such as electronic medical records, barcoding medications, and computerized physician order entry, which can reduce serious medication errors by up to 81%. The goal of the plan is to understand, prevent, and minimize medication errors to improve patient safety.
This document discusses medication errors, including their scope and causes. It notes that medication errors are a major problem, causing many preventable deaths each year and billions in costs. Common causes of errors include look-alike drug names and packaging, multiple drug concentrations, labeling issues, and time constraints on nurses. High-risk drugs and IV medications are particularly prone to errors. Errors can involve wrong drugs, doses, preparations or contamination. The document outlines various technologies and practices that can help reduce errors, such as electronic prescribing, bar coding, and computerized physician order entry.
This document discusses medication errors that can occur in hospitals. It defines medication errors as any error in prescribing, dispensing, or administering drugs, regardless of whether harm occurs. Medication errors are a major cause of preventable patient harm. The document classifies medication errors as mistakes, slips, or lapses, depending on where the error occurs in the medication use process. It also discusses different ways medication errors have been estimated to cause deaths in other countries to highlight the significant impact of these errors.
1) Medication errors are a major cause of preventable harm and death, with over 1.5 million errors occurring annually in the US.
2) Medication errors can occur at several stages including prescribing, dispensing, and administration and are often caused by look-alike and sound-alike drug names and illegible handwriting.
3) Examples of medication errors found in hospitals include administering the wrong drug due to similar names, missed doses, incorrect doses prescribed, and therapeutic duplication in prescriptions. Hospitals have implemented reporting and corrective actions to address medication errors.
This document discusses medication errors, which are preventable events that can cause inappropriate medication use or harm to a patient. It defines medication errors based on definitions from the American Society of Health-System Pharmacists and the National Coordinating Committee on Medication Error Reporting and Prevention. Common types of medication errors include prescribing errors, dispensing errors, administration errors, and compliance errors. The document also discusses causes of medication errors and strategies to prevent errors, including standardized ordering processes, double checks, limiting abbreviations, and use of computerized prescriber order entry systems.
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.
Vir Vikram Sharma provides information on look-alike and sound-alike (LASA) drug names that can cause medication errors. The document discusses the origin and sources of errors caused by LASA drug names, including illegible handwriting and similar brand names. It identifies several categories of LASA drug pairs and conceptual frameworks for reducing errors. Possible solutions include educating healthcare professionals about LASA drugs, improving legibility, confirming prescriptions, and regulatory agencies carefully considering drug names. The predictable nature of errors caused by LASA drug names allows for risk assessment and safety enhancements like tall man lettering to differentiate names.
Stages of the medication use process and medication errorsMEEQAT HOSPITAL
The document discusses stages of the medication use process and where medication errors commonly occur. It identifies five stages - physician ordering, transcribing orders, dispensing, administration, and monitoring effects. Errors most often happen during ordering and administration. Common causes include incorrect dosages, frequencies, drugs, and failures in communication. The relationship between medication errors, adverse drug events, and adverse drug reactions is explained. Errors are also classified by stage, category, and severity to help identify and prevent future errors.
ADVERSE DRUG REACTION | PHARMACY PRACTICE | PDF | SHIVAM DUBEY B PHARMA | PHA...MrHotmaster1
PHARMACY PRACTICE
SHIVAM DUBEY
BPYN1PY18041
ADVERSE DRUG REACTION Abstract
We define an adverse drug reaction as "an appreciably harmful or
unpleasant reaction
This document discusses safety measures for using medication and outlines key factors that can lead to medication errors. It defines medication errors and adverse drug events, and identifies high-alert medications and black box drug warnings. The five stages of the medication process are described as well as common types of errors that can occur at each stage, particularly prescribing and administering. Working conditions like staffing shortages, distractions, and high workloads are highlighted as latent factors that can facilitate medication errors.
This document discusses best practices for handling high-alert medications and look-alike/sound-alike medications in nursing. It defines high-alert medications as those most likely to cause harm if misused due to their properties. The document outlines the process the Institute for Safe Medical Practices uses to identify high-alert medications and how healthcare facilities incorporate them into policies. It provides examples of high-alert medication risks and recommendations to prevent errors and harm for medications like warfarin, insulin, narcotics, and sedatives. The document also discusses look-alike/sound-alike medication names as a common cause of errors and outlines individual, environmental, and technological factors that can contribute to incidents.
This document contains information related to pharmacy services and medication management standards. It discusses topics like the pharmacy and therapeutics committee, hospital formulary development and management, medication prescribing, storage and dispensing practices, and definitions of high-risk medications. The document emphasizes that pharmacy services and medication usage must follow written guidance and procedures to ensure safety.
This document discusses medication errors, including definitions, types, causes, and ways to improve safety. Some key points:
- Medication errors are preventable events that may harm patients and are caused by failures in prescribing, dispensing, administration, or monitoring.
- Errors can occur at various stages of the medication use process and be due to factors like high workload, look-alike drug names, and poor communication.
- High-risk medications like anticoagulants require special precautions. Healthcare professionals should know drugs well, use memory aids, and develop checking habits to minimize errors.
- Encouraging patient involvement, thorough documentation, learning from past errors, and clear communication can also
Thank You✨ ClinoSol Research Mujeebuddin Shaik (Founder & CEO)#Sir uma priya(Director) #Mem at ClinoSol Research Pvt. Ltd & Kabya Pratap (ClinoSol) at #Business #Development #Intern for giving me a great #opportunity in #internship at #ClinoSol Your all Best Efforts & Support helps me alot #Slideshare #innovation #pharmacovigilance #pv #linkedin #thankyou again ♂️拾
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
This document discusses the importance of evaluating clinical literature and provides guidance on how to systematically approach literature evaluation. It describes how to identify the level and type of reference (tertiary, secondary, primary), and provides tips for evaluating different aspects of clinical studies, such as the objective, subjects, treatment administration, setting, methods, controls, and data analysis. The document also discusses how the FDA communicates important drug safety information to healthcare professionals and the public.
The document discusses medication errors and high alert medications that are most likely to cause significant harm if misused. It defines medication errors and high alert medications, provides examples of common high alert medications, and lists strategies to avoid errors involving high alert medications such as independent double checks, avoiding abbreviations, and monitoring patients after administration. The goal is to raise awareness of the risks of high alert medications and put procedures in place to use them as safely as possible.
This document analyzes reporting of adverse drug reactions (ADRs) by pharmacists in the Pharmacovigilance Programme of India (PvPI) between July 2011 and December 2014. It finds that of 110,000 reports in the database, 16,646 (15%) were reported by pharmacists. Of these, 3,782 (22.7%) were serious reactions while 9,601 (57.7%) were non-serious. Reporting by pharmacists has increased over time. The document concludes that pharmacists can play an important role in pharmacovigilance by detecting, reporting, and assessing ADRs.
Medication errors are a significant issue, with 10,791 reports of errors from 2001-2005 in Canada. Of these, 465 resulted in patient harm, and 10 medications accounted for 43% of harmful incidents. The top medication errors were with insulin, morphine, potassium chloride, albuterol, heparin, vancomycin, cefazolin, acetaminophen, warfarin, and furosemide. Most common adverse drug events were related to antibiotics, insulin, anticoagulants, NSAIDs, and hydrocodone/acetaminophen. Errors can be reduced by taking a systems approach to identify issues in design, standardization, access to information, work schedules
This document outlines a strategic plan to minimize medication errors in healthcare. It begins by defining medication errors and classifying their significance. It then discusses the extent of medication errors, finding they occur in 1 in every 19 hospital admissions. The document examines the many factors that contribute to errors, including poor communication, look-alike drug names, and busy work environments. It also presents approaches to reduce errors such as electronic medical records, barcoding medications, and computerized physician order entry, which can reduce serious medication errors by up to 81%. The goal of the plan is to understand, prevent, and minimize medication errors to improve patient safety.
This document discusses medication errors, including their scope and causes. It notes that medication errors are a major problem, causing many preventable deaths each year and billions in costs. Common causes of errors include look-alike drug names and packaging, multiple drug concentrations, labeling issues, and time constraints on nurses. High-risk drugs and IV medications are particularly prone to errors. Errors can involve wrong drugs, doses, preparations or contamination. The document outlines various technologies and practices that can help reduce errors, such as electronic prescribing, bar coding, and computerized physician order entry.
This document discusses medication errors that can occur in hospitals. It defines medication errors as any error in prescribing, dispensing, or administering drugs, regardless of whether harm occurs. Medication errors are a major cause of preventable patient harm. The document classifies medication errors as mistakes, slips, or lapses, depending on where the error occurs in the medication use process. It also discusses different ways medication errors have been estimated to cause deaths in other countries to highlight the significant impact of these errors.
The document discusses medication non-adherence, which is a major problem that impacts health and costs the healthcare system billions annually. It describes various technologies that have been developed to help patients better manage and adhere to their medication schedules, ranging from basic pillboxes and reminders to more advanced automated dispensers and sensors. The document recommends pilot studies be conducted to evaluate the real-world effectiveness of different medication adherence technologies in improving patient outcomes beyond standard discharge instructions alone.
Patient safety is a fundamental principle of healthcare. Medical errors harm millions of patients annually, costing billions of dollars. Up to 15% of hospital activity results from preventable adverse events, many of which are infections, pressure ulcers, or complications from unsafe medication practices and medical radiation. Investing in improved safety measures like hand hygiene could reduce patient harm and healthcare costs significantly.
This study examined Jordanian critical care nurses' perceptions of medication errors through a survey of 83 nurses. The key findings were:
- Nurses perceived the top causes of medication errors to be nurse miscalculating doses, physicians prescribing wrong doses, and illegible physician handwriting.
- There were differences in what nurses considered reportable errors, with more agreement on fast TPN rates but disparate views on withholding digoxin due to late lab results.
- Only 41.8% of nurses believed all errors are reported. Barriers to reporting included fear of manager and peer reactions rather than disciplinary action. Nurses tended to inform physicians instead of completing incident reports.
- The study highlights
1. Adverse drug reactions (ADRs) are a major public health problem, causing over 2 million serious reactions, 100,000 deaths, and up to 440,000 preventable medical deaths per year in the US. ADRs are one of the leading causes of death ahead of other illnesses.
2. Older adults are particularly at risk of ADRs due to changes in body composition, decreased liver and kidney function, and increased drug sensitivity with age. Over 6.6 million older adults per year receive inappropriate prescriptions putting them at risk.
3. In addition to deaths, ADRs cause over 1.5 million hospitalizations per year and additional hospitalizations when patients experience reactions after
The document discusses various ways hospitals can improve patient safety and reduce medical errors in areas such as surgery, medication administration, infections, and diagnosis. It provides examples of how hospitals have successfully reduced errors rates in these areas through methods like checklists, standardized processes, computerized order entry, barcoding, and visual aids. Overall, the document advocates for applying lean problem solving methods to identify and address the root causes of common medical mistakes and adverse events.
This document discusses the need for pharmacovigilance activities in Yemen. It notes that adverse drug reactions are a major cause of hospitalization worldwide and contribute significantly to morbidity, mortality, and healthcare costs. Yemen established a pharmacovigilance center in 2011 to monitor adverse drug reactions, but there is no published information on its work or number of reports received. The country faces safety issues related to drug smuggling, counterfeit medications, irrational drug use, and medical errors. Therefore, stronger regulations and active pharmacovigilance are needed in Yemen to ensure public safety regarding medication use.
Medication therapy is becoming increasingly more complex as new drugs are developed and more therapeutic targets are elucidated. In addition, polypharmacy (≥5 scheduled medications) has become exceedingly common in geriatric patients and in patients with chronic disease states. As the complexity of drug therapy and the number of medications increase, patients are at a high risk for medication errors and adverse drug events (ADEs), or injuries resulting from medication. The type of adverse events may be associated with professional practices, healthcare products, procedures, and systems including prescription, communication through instructions, drug labeling, packaging and nomenclature, reformulation, dissolution, distribution, administration, education, monitoring, and use. Classification and evaluation of medication errors according to their importance may constitute an important factor for process improvement in order to render the administration of medicines as safe as possible. In hospitals, medication errors occur at a rate of about one per patient per day. A dispensing error is one made by pharmacy staff when distributing medications to nursing units or directly to patients in an ambulatory-care pharmacy; the error rates for doses dispensed via the cart-filling process range from 0.87% to 2.9%. Technology has grown to be a constituent part of medicine these days. A few advantages that technology can supply are categorized as follows: the assisting of communication between clinicians; enhancing medication safety; decreasing potential medical errors and adverse events; rising access to medical information and encouraging patient-centered healthcare. The aim of this article is to provide a compendious literature review regarding Medication errors
More people die annually from medication errors than from workplace injuries. An error in the prescribing, dispensing, administration of a drug irrespective of whether such errors lead to adverse consequences or not. In India, Medication Error is just a TERM and its significance is undervalued and remains unreported. Reported incidence of this iatrogenic disease related to medication error- tip of the iceberg. medication error can be visualized with the SWISS CHEESE MODEL OF SYSTEM accidents
Medication errors are described under prescription errors, transcription errors, administration errors. Based on the causes of errors the NCC MERP Index is formulated to categorize medication errors from Category A- I. Appropriate monitoring, good team communication, knowledgeable staff, RCA and policy on check of medication errors can reduce its incidence and make patient more safe.
Medication Administration Errors at Children's University Hospitals: Nurses P...iosrjce
Medication administration errors(MAE) can threaten patient outcomes and are a dimension of
patient safety directly linked to nursing care. Children are particularly vulnerable to medication errors because
of their unique physiology and developmental needs.
Aims: The present study aims to examine types, stages and causes of medication errors. Barriers of medication
administration errors reporting and its facilitator at pediatric University hospitals from nurses point of view.
Methods: A descriptive study was conducted in Pediatric intensive care units, medical, surgical and urology
ward of children's university hospital at Mansoura University, intensive care units, kidney dialysis at
Abouelrash pediatric hospital and general wards of Elmonaira at Cairo University Hospitals. 80 nurses were
included in the study after fulfilling the criteria of selection. A structured interview questionnaire that consists
of four sections was used.
Results: The highest types of medication errors as reported by studied nurses occurred when the medication is
delivered by the wrong route, the highest stage of medication errors done by nurses was missing of medication
then patient monitoring and administration and the highest cause of medication errors was due to heavy
workload. The results of this study indicated that the strongest perceived barriers to medication administration
errors reporting were fear from consequences of reporting, then managerial factor and then the process of
reporting from the nurse's viewpoint. The nurses agree that identifying benefits of reporting followed agree that
feeling safe about working environment, and agree that good professional relationship with physicians was the
most facilitating factors of reporting medication errors.
Conclusions: It was concluded that medication errors result from interrelated factors, the strongest perceived
barriers to medication administration errors reporting were fear from consequences of reporting, and good
relationship with nurse managers and physicians were the most facilitators of reporting medication errors.
Recommendation: The study recommended that the assessment of medication errors should be done
periodically and in- service training program about medication administrations should be applied
The NHS’ vision for medicines optimisation - the role for pharma in driving ...PM Society
The document discusses the challenges facing the NHS, including an aging population and rising costs of medicines. It notes that 30-50% of medicines are not taken as intended, leading to poor patient outcomes and increased healthcare spending. The NHS envisions a strategy of "medicines optimisation" to improve adherence, safety, and value. This will require engaging patients, health professionals, companies, and using health technology to optimize the use and management of medicines across care settings.
HTAi 2015 - The Cost of Drugs Related Morbidity that lead to emergency visit ...REBRATSoficial
The study estimated the cost of managing health problems related to drugs that led to emergency department visits at a large teaching hospital in Brazil. Of the 535 patients interviewed, 14.6% sought emergency care due to drug-related morbidity. The average treatment cost was $812.38 per patient, with a mean hospital stay of 5.7 days. The total estimated annual cost of treating these patients ranged from $1.043 million in the best-case scenario to $12.989 million in the worst-case scenario. Non-adherence, adverse drug reactions, and incorrect dosing were the leading causes of costs. Reducing preventable drug-related morbidity could help lower healthcare costs.
The Centers for Medicare & Medicaid Services outlines their opioid misuse strategy to address the national opioid epidemic. Their strategy includes 4 priority areas: 1) implementing more effective strategies to reduce risks of opioid use disorder, overdoses, and inappropriate prescribing; 2) expanding access to naloxone to reverse overdoses; 3) expanding screening, diagnosis, and treatment of opioid use disorder including medication-assisted treatment; and 4) increasing use of evidence-based practices for pain management. Opioid misuse has led to alarming increases in overdoses and deaths, and CMS aims to combat this through promoting safe opioid use, improving access to treatment, and alternative pain management options.
This document provides a literature review on opioid use for chronic noncancer pain. It discusses how opioid prescriptions and related harms have increased substantially in recent decades. Several studies highlighted found higher opioid doses were associated with greater risks of overdose and other adverse outcomes. The document also reviews literature on risk evaluation strategies like urine drug testing and treatment agreements. It identifies a need for more research on nurse practitioner-specific guidelines and long-term opioid effectiveness for chronic pain.
This document discusses policy options for reducing adverse surgical outcomes in Illinois. It summarizes the research showing that surgical safety checklists can reduce complications rates by up to 57% and mortality rates by up to 25%. Checklists improve communication and teamwork in the operating room. The document proposes amending Illinois' Hospital Licensing Act to mandate checklist use in hospitals and require circulating nurses to oversee checklist completion. Hospitals would also form patient safety committees including providers and administrators to promote checklist compliance. Evaluating this policy change could help reduce Illinois' annual $14.3 million costs from preventable surgical complications.
This document provides guidelines for moderate sedation/analgesia (conscious sedation). It defines levels of sedation from minimal to general anesthesia. Moderate sedation involves patients responding purposefully to verbal commands with spontaneous breathing. The guidelines discuss patient evaluation, monitoring, personnel, equipment, drugs and discharge criteria for providing moderate sedation. Proper patient screening, credentialed practitioners and personnel, appropriate facilities and emergency equipment are emphasized to minimize risks while allowing benefits of sedation for certain medical procedures.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Blood units are transported from the central blood bank to the blood bank at BB Meegat General Hospital. Upon receipt, staff must monitor and record the temperature of transport containers to ensure blood products are within specified temperature ranges. Staff also inspect each blood unit, checking for hemolysis, leakage, damage, and verifying ABO and Rh typing. Units are then organized by blood type and labeled as ready for cross-match or reserved. Daily preservation tasks include temperature monitoring, checking expiration dates, and inventory levels. Blood is then delivered to hospital departments as needed upon receiving transfusion request forms and completing cross-match details.
Post covid-19 syndrome, also known as long covid, refers to symptoms that can persist for weeks or months after recovery from the initial acute illness. While people are not infectious during this time, there is no agreed upon definition. A wide range of long-term symptoms have been reported, including fatigue, chest pain, muscle pain, loss of smell, and depression. Certain groups, such as older individuals, those who are obese, and people with diabetes or lung/kidney disease, appear to be at higher risk of developing long-term effects from covid-19.
Sepsis and septic shock guidelines 2021. part 1MEEQAT HOSPITAL
1. Sepsis is a critical imbalance between oxygen supply and demand that can affect any system. Serum lactate levels rise in response to tissue hypoxia and higher levels correlate with poorer outcomes.
2. Guidelines recommend screening high-risk patients for sepsis and using standard treatment protocols. Blood lactate should be measured in suspected cases and treatment begun immediately.
3. Fluid resuscitation of at least 30mL/kg should begin within 3 hours, guided by dynamic measures over static parameters alone. Antimicrobial therapy should also begin immediately or within 1-3 hours depending on risk level and presence of shock.
sepsis SSC 2021 Updates Ventilation and additional therapyMEEQAT HOSPITAL
This document discusses ventilation strategies and additional therapies for sepsis patients with respiratory failure. It covers conservative oxygen targets, types of respiratory failure, benefits of non-invasive ventilation (NIV) and positive airway pressure (PAP), and risks of NIV. The Berlin definition for acute respiratory distress syndrome (ARDS) severity is also presented. Recommendations are provided for mechanical ventilation settings and various treatments for sepsis patients.
This document discusses sepsis scoring systems. It describes the historical definitions and consensus guidelines for sepsis from 1991 to 2016. It also discusses the Surviving Sepsis Campaign from 2004 to 2008. The document compares different scoring systems for sepsis like SIRS, SOFA, qSOFA, and MEWS and explains which are best for identifying sepsis in ICU versus non-ICU patients. It outlines the pathogens commonly associated with sepsis and trends in incidence and mortality.
CRRT is a continuous renal replacement therapy that provides a gentler form of dialysis for critically ill patients. It works through slow, continuous removal of waste and fluid over multiple days rather than the typical 4 hour sessions of hemodialysis. This puts less stress on the heart. CRRT can be delivered through various modes including continuous venovenous hemofiltration, hemodialysis, or hemodiafiltration that utilize diffusion, convection, or both to clean the blood. Anticoagulation is required to prevent clotting of the dialysis circuit and can include regional citrate or low-dose heparin.
Deep vein thrombosis (DVT) is a blood clot that forms in the deep veins, usually in the legs. Virchow's triad of venous stasis, hypercoagulability, and endothelial injury can lead to thrombus formation. Risk factors include age, immobilization, surgery, cancer, and genetic factors. Patients may experience pain, swelling, warmth, and tenderness. Diagnosis involves a Wells score, D-dimer test, ultrasound or venography. Treatment is anticoagulation with heparin, low molecular weight heparin, fondaparinux, or warfarin to prevent pulmonary embolism. Long-term anticoagulation and compression stockings can help prevent
This document discusses bed sore management and prevention. It defines bed sores as injuries to the skin and underlying tissues caused by prolonged unreleived pressure. Risk factors include advanced age, malnutrition, physical disability, and chronic illness. Bed sores are staged from Stage 1 involving changes in skin color to Stage 4 involving full thickness tissue loss reaching muscle, bone and tendon. Treatment involves surgical procedures like debridement, dressings, antibiotics, regular posture changes, diet, and hygiene to prevent further complications. The nursing perspective focuses on assessing risk factors, inspecting the skin and environment, staging any sores present, and ensuring regular care and prevention measures.
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MR. MOHAMMAD TALAL AL JOHANY
RESPIRATORY THERAPIST
Meqaat Hospital Madina
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OVID-19 Management experience
What we learned from bedside experience in COVID-19 treatment
Dr. Essam A. Salem, ICU Registrar, Meeqat GENERAL.HOSPITAL, Head OF ICU Unit Meeqat General Hospital
Hassan Mohamed Ali
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The recent surge in pro-Palestine student activism has prompted significant responses from universities, ranging from negotiations and divestment commitments to increased transparency about investments in companies supporting the war on Gaza. This activism has led to the cessation of student encampments but also highlighted the substantial sacrifices made by students, including academic disruptions and personal risks. The primary drivers of these protests are poor university administration, lack of transparency, and inadequate communication between officials and students. This study examines the profound emotional, psychological, and professional impacts on students engaged in pro-Palestine protests, focusing on Generation Z's (Gen-Z) activism dynamics. This paper explores the significant sacrifices made by these students and even the professors supporting the pro-Palestine movement, with a focus on recent global movements. Through an in-depth analysis of printed and electronic media, the study examines the impacts of these sacrifices on the academic and personal lives of those involved. The paper highlights examples from various universities, demonstrating student activism's long-term and short-term effects, including disciplinary actions, social backlash, and career implications. The researchers also explore the broader implications of student sacrifices. The findings reveal that these sacrifices are driven by a profound commitment to justice and human rights, and are influenced by the increasing availability of information, peer interactions, and personal convictions. The study also discusses the broader implications of this activism, comparing it to historical precedents and assessing its potential to influence policy and public opinion. The emotional and psychological toll on student activists is significant, but their sense of purpose and community support mitigates some of these challenges. However, the researchers call for acknowledging the broader Impact of these sacrifices on the future global movement of FreePalestine.
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Social Laboratory, New Zealand,
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🔥🔥🔥🔥🔥🔥🔥🔥🔥
إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
💀💀💀💀💀💀💀💀💀💀
تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
#فهم_ماكو_درخ
3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
كل التوفيق زملائي وزميلاتي ، زميلكم محمد الذهبي 💊💊
🔥🔥🔥🔥🔥🔥🔥🔥🔥
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) Curriculum
the extent of the medications error problem
1. Pharmacist: Thorya Al-zahrany
Member In National Drug Information Center
supervisor of medication patient education at pharmacy care
administration at Medina Region
2. Presentation titles and details
First presentation
Introduction the importance of medication safety
implantation
• Second presentation
Most common causal factors which contribute to
medication errors during prescribing stage
• Third presentation
Medication safety terminology, strategies to reduce
Medication error, and reporting system
3. The Extent of the Medications
Error Problem
• 1. INTRODUCTION
• The matter of medical errors is not a new
topic and it did not become a widespread
subject until the last decade. Statistics show
the medical field has improved greatly since
IOM’s report in 1999; However, those error
ratios can still be improved upon or even
eliminated completely.
4. The Extent of the Medications Error problem
الدوائية األخطاء مشكلة حجم
In the Institution of Medicine (IOM) report, To Err is a Human:
األحزاب سورة في يقول وجل عز هللا:َع َةَناَمَ ْاأل َانْضَرَع اَّنِإ ﴿ِض ْرَ ْاأل َو ِتا َاوَمَّسال ىَل
ْنَأ َْنيَبَأَف ِلاَب ِجْال َوِ ْال اَهَلَمَح َو اَهْنِم َنْقَفْشَأ َو اَهَنْلِمْحَيوماِلَُ َانَك ِكَّنِإ ِانَسْنَج﴾ والِه
• و الصالة عليك وقالالسالم(:(ِوخير ٌءاَّخط َآدم نيَب ُّلِكَائينََّطخالَوابونَّتال))
• [مالك بن أنس عن الترمذي أخرجك]
.
4
5. Error Occurrence
حدوثالخطأ
• Most error are committed by hardworking,
well trained individuals 5
Errors are not surprising
given the fact that human
beings by their very nature
make errors.
حالةاألنساناألصلية
6. The Extent of the Medications Error
problem
Building a Safer Health System, estimates that:
44,000 to 98,000 Americans die each year from medical
error, with an associated cost of$17 to $29 billion.
More than 7,000 American die each year from medication
error.
Those numbers as high and unacceptable as they seem may
still be an underestimate
7. Burden of the Medical Errors
• The Institute of Medicine’s (IOM) estimated as
many as 98,000 people die every year at a cost of
$29 billion.
• (2004) Health Grades report stated that annual
deaths attributable to medical errors may be as
high as 195,000 deaths.
• This number compared to other causes of death
is exceeded only by heart disease (700,142) and
cancer (553,768).
• 1 out of 5 injuries or deaths from errors
associated with Adverse Drug Events are
preventable. (Pronovost)
1 To Err Is Human: Building a Safer Health System, Institute of Medicine, 1999
2 Deaths/Mortality, 2005, National Center for Health Care Statistics at the Centers for Disease Control, viewed at
http://www.cdc.gov/nchs/fastats/deaths.htm.
8. • Approximately 5% of all patients admitted to
the hospitals experienced a medication error
during their hospital stay.
• Based on the number of medication errors,
one medication error occurs approximately
every 23 hours.
1 medication error /23hr.
The Extent of the Medications Error
problem (cont.)
8
1
9. • 25 Medication errors that resulted in adverse patient
outcomes occurs in 10,000 of admitted patients.
• A medication-related adverse outcome occurs every 19
days.
The Extent of the Medications Error
problem (cont.)
9
2
10.
11. Medication errors occurring in hospitals have become a worldwide concern for
healthcare policy makers, professionals and the public.
These errors harm at least 1.5 million United States residents annually, and
treating injuries caused by these errors cost at least 3.5 billion dollars (Aspden
et al., 2006).
In one U.S. study in two academic hospitals, the incidence of adverse drug
events (ADEs) for hospitalized patients was estimated to be 6.5 per hundred
admissions (Bates et al., 1995).
A more recent study in community hospitals found an even higher rate of ADEs
of 15 per hundred admissions (Hug et al., 2010).
In Australia, up to 4% of all hospital admissions are medication-related
(Runciman et al., 2003).
In Saudi Arabia, two recent studies estimated that the prevalence of
prescribing errors in hospital inpatient ranges between 13 and 56 per 100
medication orders (Al-Dhawailie, 2011; Al-Jeraisy and M., 2011). These data
suggest that medication safety is an important international contributor to
morbidity and costs of healthcare.
Facts
20. Impactاثر of Medication Errors
• Loss of confidence
• Psychological impact
• قانوني مسئولية Liability issues
• Cost
• Death
The Extent of the Medications Error problem
(cont.)
الدوائية األخطاء مشكلة حجم(تابع)
20
3
21.
22. Medication Errors Cost
الدوائية األخطاء تكلفة
Medication errors are bad business because they
are costly in both human and financial terms.
22
23. • 2 serious medication errors that caused patient harm
occurs with every 100 admissions.
• An average of 4.6 days were added to these patients’
lengths of stay.
• In a 700-bed teaching hospital, the extrapolated cost of
preventable adverse drug events over the course of a
year was $2.8 million dollars.
Medication Errors Cost (cont.)
األخطاء تكلفةالدوائية(تابع)
23
1
24. • An extra $5,857 per event was
added to these patients’ costs.
• Additional Care
• Loss of income for patient, / their
caregivers.
Medication Errors Cost (cont.)
الدوائية األخطاء تكلفة(تابع)
24
2
28. Patient Safety Definition
• Healthcare organizations including
hospitals were founded to give care to
those who need it and to keep
patients safe.
• It is generally agreed upon that the
definition of patient safety is…
29. National Safety Goals
• Improve the accuracy of patient
identification.
• Improve the effectiveness of
communication among caregivers.
• Improve the safety of using medications.
30. National Safety Goals
• Reduce the risk of healthcare associated
infections.
• Accurately and completely reconcile
medications across the continuum سلسلة
متصلةof care.
• Reduce the risk of patient harm resulting
from falls.
Editor's Notes
This number represents deaths not from the medical conditions they checked in with, but from preventable medical error (ME).
Definition of error:
Errors are generally defined as mental or physical activities that fail to achieve their intended outcome.
Other Definitions:
A deviation between what was actually done and what should have been done.
Error is the inevitable downside of having a brain.
Errors are not surprising given the fact that human beings by their very nature make errors.
Most error are committed by hardworking, well trained individuals and are unlikely to be prevented by admonishing people to be more careful, or by shaming and suing them .
Some conditions and medications by their nature can increase the likelihood of error.
Medication such as LASA, High-alert medication (e.g. Insulin, heparin,..)
Condition
Work condition
Patient condition
Practitioner condition
Loss of public confidence and future business
Compromise patient confidence in health care system
Psychological impact on patient and medical staff
Liability issues for medical staff and facility
Increase health care cost
Negative patient outcome death
An extra $5,857 per event was added to these patients’ costs.
In a 700-bed teaching hospital, the extrapolated cost of preventable adverse drug events over the course of a year was $2.8 million dollars.
Patients also bear some of the financial burden from serious medication errors.
Additional care may be required due to long- or short-term disability and a loss of income may result, not just for the patient, but also for their caregivers
.
Eric J. Thomas, David M. Studdert, Joseph P.
Newhouse, et al., “Costs of Medical Injuries in Utah and
Colorado,” Inquiry 36 (Fall 1999): 255-64.
7. Diana Brahams,“Medical Errors: A Costs Burden on
Society,”Medico-Legal Journal 68 (Part 1 2000): 1-2.