The incidence, prevalence and contributing factors associated with the occurrence of medication errors for children and adults in the community

Depression and cognitive impairment are the most common complications of patients on hemodialysis. The objective of this study is to identify contributing factors to depression and cognitive impairment in hemodialysis patients. This is a cross-sectional study involving 110 hemodialysis patients in Hospital Kuala Lumpur. The samples were recruited through universal sampling. Patients were assessed with the Beck Depression Inventory and Montreal Cognitive Assessment. This study found that 18.2% of patients had depression, and 48.2% had cognitive impairment. Factors associated with depression were unmarried status, low education level, and cognitive impairment. Factors associated with cognitive impairment were low education level, depression, and unemployment. Keywords: hemodialysis, depression, cognitive, ESRD eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2468.

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Mass School Shootings in the United States: A Novel Root Cause Analysis Using Lay Press Reports

Clinical Pediatrics ◽

10.1177/0009922819873650 ◽

2019 ◽

Vol 58 (13) ◽

pp. 1423-1428 ◽

Cited By ~ 2

Author(s):

Chris A. Rees ◽

Lois K. Lee ◽

Eric W. Fleegler ◽

Rebekah Mannix

Keyword(s):

United States ◽

Environmental Factors ◽

Root Cause Analysis ◽

The United States ◽

School Shootings ◽

Contributing Factors ◽

Mass Shootings ◽

Cause Analysis ◽

Factors Associated ◽

Root Cause

School shootings comprise a small proportion of childhood deaths from firearms; however, these shootings receive a disproportionately large share of media attention. We conducted a root cause analysis of 2 recent school shootings in the United States using lay press reports. We reviewed 1760 and analyzed 282 articles from the 10 most trusted news sources. We identified 356 factors associated with the school shootings. Policy-level factors, including a paucity of adequate legislation controlling firearm purchase and ownership, were the most common contributing factors to school shootings. Mental illness was a commonly cited person-level factor, and access to firearms in the home and availability of large-capacity firearms were commonly cited environmental factors. Novel approaches, including root cause analyses using lay media, can identify factors contributing to mass shootings. The policy, person, and environmental factors associated with these school shootings should be addressed as part of a multipronged effort to prevent future mass shootings.

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Prevalence and Contributing Factors Associated With Postoperative Pain in Pediatric Patients: A Cross-Sectional Follow-up Study

Perioperative Care and Operating Room Management ◽

10.1016/j.pcorm.2021.100159 ◽

2021 ◽

Vol 23 ◽

pp. 100159

Author(s):

Zemenay Ayinie Mekonnen ◽

Debas Yaregal Melesse ◽

Habitamu Getinet Kassahun ◽

Tesera Dereje Flatie ◽

Misganaw Mengie Workie ◽

...

Keyword(s):

Postoperative Pain ◽

Pediatric Patients ◽

Contributing Factors ◽

Cross Sectional ◽

Factors Associated ◽

Follow Up Study

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The factors associated with medication errors in adult medical and surgical inpatients: a direct observation approach with medication record reviews

Scandinavian Journal of Caring Sciences ◽

10.1111/scs.12163 ◽

2014 ◽

Vol 29 (2) ◽

pp. 297-306 ◽

Cited By ~ 23

Author(s):

Marja Härkänen ◽

Jouni Ahonen ◽

Marjo Kervinen ◽

Hannele Turunen ◽

Katri Vehviläinen-Julkunen

Keyword(s):

Medication Errors ◽

Direct Observation ◽

Medication Record ◽

Factors Associated

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Factors Associated with a Perceived Harmful Outcome from Medication Errors: A Pilot Study

The Journal of Continuing Education in Nursing ◽

10.3928/0022-0124-19960301-06 ◽

1996 ◽

Vol 27 (2) ◽

pp. 65-74

Author(s):

Zane Robinson Wolf ◽

Terry B McGoldrick ◽

Elaine R Flynn ◽

Frances Warwick

Keyword(s):

Pilot Study ◽

Medication Errors ◽

Factors Associated

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Medication Safety: Reducing Anesthesia Medication Errors and Adverse Drug Events in Dentistry Part 2

Anesthesia Progress ◽

10.2344/anpr-67-01-10 ◽

2020 ◽

Vol 67 (1) ◽

pp. 48-59

Author(s):

Daniel S. Sarasin ◽

Jason W. Brady ◽

Roy L. Stevens

Keyword(s):

General Anesthesia ◽

Medication Errors ◽

Medication Safety ◽

Adverse Drug Events ◽

Contributing Factors ◽

Full Spectrum ◽

Dental Profession ◽

Novel Method ◽

Dental Providers ◽

Preventive Methods

For decades, the dental profession has provided the full spectrum of anesthesia services ranging from local anesthesia to general anesthesia in the office-based ambulatory environment to alleviate pain and anxiety. However, despite a reported record of safety, complications occasionally occur. Two common contributing factors to general anesthesia and sedation complications are medication errors and adverse drug events. The prevention and early detection of these complications should be of paramount importance to all dental providers who administer or otherwise use anesthesia services. Unfortunately, there is a lack of literature currently available regarding medication errors and adverse drug events involving anesthesia for dentistry. As a result, the profession is forced to look to the medical literature regarding these issues not only to assess the likely severity of the problem but also to develop preventive methods specific for general anesthesia and sedation as practiced within dentistry. Part 1 of this 2-part article illuminated the problems of medication errors and adverse drug events, primarily as documented within medicine. Part 2 will focus on how these complications affect dentistry, discuss several of the methods that medical anesthesia has implemented to manage such problems that may have utility in dentistry, and introduce a novel method for addressing these issues within dentistry known as the Dental Anesthesia Medication Safety Paradigm (DAMSP).

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TP6.1.9 Prolonged post-operative stay following emergency and elective laparoscopic cholecystectomies and its contributing factors

British Journal of Surgery ◽

10.1093/bjs/znab362.030 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

James Lucocq ◽

Ganesh Radhakishnan ◽

John Scollay ◽

Pradeep Patil

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gallstone Disease ◽

Contributing Factors ◽

Surgical Decision ◽

Logistic Regression Models ◽

Factors Associated ◽

Surgical Units ◽

Emergency Group ◽

Elective Group ◽

Heterogenous Population

Abstract Aims Patients who undergo laparoscopic cholecystectomy (LC) for gallstone disease are a heterogenous population with many variables involved in their management. The aim was to identify the proportion of patients who have a prolonged post-operative stay (PPS; >3days) following elective and emergency LC and the variables that most contribute to PPS. Methods We retrospectively collected data for all patients who underwent an elective and emergency LC across three surgical units from 2015 to 2020. Rates of PPS were compared between elective and emergency groups and variables associated with PPS were identified using multivariate logistic regression models. Results 2769 patients were included in the study (median age, 53years(range, 13-92); M:F,1:2.7; emergency:elective,1:3.6) The rate of PPS was higher in the emergency versus elective group (25.1% versus 6.6%; p<0.0001). Pain was one of the major causes in both groups. In the elective group, factors associated with PPS included cholecystitis (OR,1.96; p=0.008), previous gallstone related admissions (OR,1.48; p=0.008), pre-operative ERCP (OR,3.58;p<0.0001), ASA (OR,1.82; p=0.001) and age (years) (OR,1.03;p=0.001). In the emergency group, factors associated with PPS include cholecystitis (OR,5.3;p<0.0001), ASA (OR,1.96; p = 0.01) and pre-operative ERCP (OR,4.44;p=0.001). Conclusions The rate of PPS following laparoscopic cholecystectomy is significant, particularly in the emergency group. Although the possibility of PPS cannot be avoided, patient information regarding the possibility of PPS is important, particularly for those at risk. The risk factors for PPS should be used to guide surgical decision making and should be followed by targeted management of these patients including optimised pain relief.

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