P21 The level of compliance with medication reconciliation on discharge for paediatric patients at hospital

2018 ◽  
Vol 103 (2) ◽  
pp. e2.24-e2
Author(s):  
Hani Addada ◽  
Maria Moss ◽  
Joanne Crook
Keyword(s):  
Data Collection ◽  
Electronic Prescribing ◽  
Accurate Information ◽  
List Type ◽  
Data Collection Form ◽  
Health And Social Care ◽  
Drug History ◽  
Regular Medication ◽  
Collection Form ◽  
Supply Information

BackgroundMedicines reconciliation (MR) is the process of creating the most accurate list possible of all medications a patient is taking.1 The National Institute of Excellence (NICE) published guidance in 2015 on MR for all care settings which advise health and social care practitioners to proactively share and complete accurate information about medication, ideally within 24 hours of the patient being transferred.2ObjectiveTo determine if NICE guidance for MR and communication on discharge is being followed on the paediatric inpatient wards at this HospitalStandards100% of discharge summaries (DSUMs) include any known drug allergy status100% of patients have their medicines accurately reconciled by a pharmacist and/or doctor at discharge100% of relevant DSUMs include the reason for the stop, start or change to medication100% of patients have their DSUM sent to the GP within 24 hours of discharge100% of relevant DSUMs include the appropriate supply information for special/unlicensed medications.MethodologyData was collected retrospectively for 2 weeks on the paediatric wards. Each patient discharged was assessed for eligibility for the audit. The inclusion criteria were: Any patient admitted for ≥24 hour stay in hospital with ≥1 regular medication from the drug history. DSUMs were printed for each patient and a data collection form completed to assess compliance with audit standards using the electronic prescribing system. The data collection form was piloted and amended as appropriate. Ethics approval was not required. Trust approval was obtained. The sample size was 30 DSUMs.ResultsStandard 1 was met. All other standards were not met. For standard 2, 63% DSUMs did have regular medication reconciled at discharge. Not having this record will cause errors especially for patients receiving care from different specialist centres. For standard 3, 71% of DSUMs had documented change and standard 4, 83% DSUMs where sent in time. In order for healthcare professionals in primary care to continue medications correctly they need to be fully informed with respect to ongoing treatment in a timely manner; including medication that have been stopped, started or changed and the reason for this. Communication is essential to improve adherence to treatment plans and reduce the likelihood of adverse events caused by failure to prescribe and monitor. For standard 5, 40% included supply information. Seamless care letters are available for special/unlicensed products that can be easily attached to the DSUM and send to the GP and community pharmacy to aid with further supply.ConclusionThis audit has emphasised that MR should take place for every patient on discharge as it is a vital part of communication for all transfer settings. Unintended changes to medication regimens can jeopardise treatment, and increase the risk of re-admission to hospital.ReferencesChief name. Section: 10. Discharge medicines. Trust medicines policy(1st ed.) 2015:7–9.Medicines optimisation: The safe and effective use of medicines to enable best possible outcomes. http://www.nice.org.uk/guidance/ng5/evidence/full-guideline-6775454

MEDICINES RECONCILIATION FOR PAEDIATRIC PATIENTS ON ADMISSION AND DISCHARGE

2016 ◽  
Vol 101 (9) ◽  
pp. e2.50-e2
Author(s):  
Maria Moss ◽  
Celine Bilbul ◽  
Jo Crook
Keyword(s):  
Data Collection ◽  
Clinical Excellence ◽  
Discharge Summary ◽  
World Health ◽  
Electronic Prescribing ◽  
Data Collection Form ◽  
Timely Manner ◽  
Paediatric Patients ◽  
Medicines Reconciliation ◽  
Collection Form

IntroductionNational guidance from National Institute for Health and Clinical Excellence (NICE), National Patient Safety Agency (NPSA), World Health Organization and the Royal Pharmaceutical Society has long highlighted the importance of accurate and timely medicines reconciliation (MR) in reducing medication errors for patients upon transfer of care setting.1 – 4 Current guidance for MR excludes children <16 years of age, where widespread use of off-label and unlicensed formulations puts this group of patients at a higher risk.AimTo quantitatively assess the level of MR for paediatric inpatients on admission and discharge and to ascertain whether Discharge Summary (DSUM) information is sent to the GP in a timely manner.Method▸ Data was collected retrospectively over a two week period for paediatric take home prescriptions.▸ An electronic prescribing system was used to complete a data collection form, documenting their MR process and timeframe on admission and discharge.▸ The information was recorded onto an online template of the data collection form using Qualtrics software to prepare a Microsoft Excel file for data analysis.Results65 paediatric patients on four wards were audited.▸ Standard 1: 32/65 (49.2%) of patients had their drug history (DH) documented within 24 hrs of admission.▸ Standard 2: 39/65 (60.0%) of patients had their medicines reconciled by a pharmacist within 72 hrs of admission.▸ Standard 3: 46/65 (70.8%) of patients had their medicines reconciled by a pharmacist and/or doctor at discharge.▸ Standard 4: 57/65 (87.7%) of patients had their DSUM sent to the GP within 24 hrs of discharge.ConclusionNone of the four standards were met, emphasising the need to develop better MR practice. The following conclusions were identified:▸ A need for more MMTs at ward level to conduct accurate DHs within a timely manner.▸ MR on admission and discharge suffers out-of-hours (OOH), thus supporting plans for seven-day working.▸ A combined effort between different members of the multidisciplinary team is paramount to ensure accurate MR.▸ Doctors need to have the resources available OOH to allow them to prioritise completion of DSUMs in a timely manner to optimise accurate MR communication with GPs.▸ It is evident that anecdotally MR is done to a higher level; however a possible lack of pharmacist understanding on the MR process and its documentation may have contributed to this audit's standards not being met.

scholarly journals BENEFITS AND DIFFICULTIES OF OBSTETRIC PSYCHOPROPHYLAXIS IN PREGNANT WOMEN, GUAYAS -ECUADOR

2020 ◽  
Vol 8 (2) ◽  
pp. 14-18
Author(s):  
Vicky Narea Morales ◽  
Jorge Daher Nader ◽  
Katherine Rodriguez ◽  
Yesica Pazmiño Mera ◽  
Cecilia Herrera Martínez
Keyword(s):  
Data Collection ◽  
Pregnant Women ◽  
Health Center ◽  
Research Methodology ◽  
Ad Hoc ◽  
Research Work ◽  
Case Group ◽  
Data Collection Form ◽  
Exclusion Criteria ◽  
Collection Form

The objective of this research work was to determine the benefits and difficulties of obstetric psychoprophylaxis in pregnant women of the Cerecita Health Center, Guayas - Ecuador from January - December 2017. The study design is non-experimental, cases and controls, retrospective, in the The research methodology used the data collection form and an ad hoc form was prepared. To carry out the investigation, an application was submitted to the director of the health center. The sample consisted of 80 nulliparous and multiparous pregnant women, who met the inclusion and exclusion criteria. The following results were obtained: that if there are significant benefits with pregnant women who attended the psychoprophylaxis sessions; With an adequate assistance of pregnant women, 70% completed all the sessions of Psychoprophylaxis, with a time of less than 6 hours of the dilation period of 46.43%; With an expulsion period of less than 25 minutes in 76.79% More eutocic deliveries in 82.14% of the pregnant women who completed the PPO sessions, 78.57% of the cases did not require medication in the dilation phase; Apgar at the minute, greater than 8 in 96.43%, and at 5 minutes in 98.21%. Only 1.78% of the newborns of the mothers in the case group had apnea and in fetuses of 3500 gms or more, the 40% had an expulsive no greater than 25 minutes. The benefits observed in the present study, on labor, on the newborn, was a better Apgar at the first minute of life (p = 0.091x10-4, OR = 9).

Investigating Children’s Perception of Nurses Through Their Drawings

2017 ◽  
Vol 27 (8) ◽  
pp. 984-1001 ◽  
Author(s):  
Nazan Çakirer Çalbayram ◽  
Sebahat Altundağ ◽  
Bahise Aydin
Keyword(s):  
Data Collection ◽  
Health Staff ◽  
Hospitalized Children ◽  
Data Collection Form ◽  
Research Model ◽  
Descriptive Research ◽  
Important Sign ◽  
Sick Children ◽  
Collection Form ◽  
Data Collection Procedure

Hospitalized children can have various fantasies about hospital, health staff, and related tools and equipment. They need to develop new coping strategies for compliance with hospitalization.This study aimed to investigate the perception of nurses by children with acute and chronic illness through their drawings. The study was carried out using a descriptive research model. “Nurses through the eyes of sick children data collection form” was used in data collection procedure. The instruction “draw a picture of a nurse, please” was used to get the children to draw a picture. The majority of the children portrayed nurses as a smiling face. The children with chronic diseases featured nurses more in their drawings and they mentioned more nurse duties. The most important sign of the progression of nursing is that the mentioning of the modern roles of nursing by the children in their drawings and expressions. As children are influenced by their emotions, thoughts, observations, and experiences while drawing pictures, nurses can determine their thoughts about the disease, hospitals, physicians, and nurses by having sick children draw pictures.

Descriptive Data Collection Form

2014 ◽  
Author(s):  
Naime Altay ◽  
Ebru Kilicarslan Toruner ◽  
Ebru Akgun Citak
Keyword(s):  
Data Collection ◽  
Data Collection Form ◽  
Descriptive Data ◽  
Collection Form

scholarly journals Long-Term Outcomes from a 10-Year Follow-Up of Women Living with a Restrictive Eating Disorder: A Brief Report

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2331
Author(s):  
Enza Speranza ◽  
Lidia Santarpia ◽  
Maurizio Marra ◽  
Emilia De Filippo ◽  
Olivia Di Vincenzo ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Data Collection ◽  
Laboratory Evaluation ◽  
Data Collection Form ◽  
Restrictive Eating ◽  
Outpatient Unit ◽  
General Data ◽  
Collection Form

Background: This study aimed to evaluate several socio-demographic and long-term clinical outcomes in a cohort of women living with a restrictive eating disorder. Methods: Patients were asked to fill in a general data collection form aiming to investigate their current conditions and to attend the outpatient unit for a 10-year follow-up clinical and laboratory evaluation. Results: Forty-four patients completed the follow-up general data collection form and 20 agreed to attend the outpatient unit for the 10 year-follow-up evaluation. In total, 52% of patients were single, 55% had achieved a university degree, and 55% had steady employment. After 10 years, there was a clear improvement in biochemical markers, but cholesterol levels were still slightly high. The prevalence of osteopenia in the whole sample was 70% when measured on the lumbar column and 20% on the total body, while osteoporosis was found in 10% of patients and only on the lumbar column. Conclusion: According to the collected data, women with a history of restrictive eating disorders appear to re-adapt well to social life by obtaining the level of their unaffected peers in terms of education and employment.

Creating a Clinically Useful Data Collection Form for the DASH Questionnaire

2011 ◽  
Vol 65 (1) ◽  
pp. 45-54 ◽  
Author(s):  
L. A. Lehman ◽  
B. S. Sindhu ◽  
J. Johnson ◽  
C. A. Velozo
Keyword(s):  
Data Collection ◽  
Data Collection Form ◽  
Collection Form ◽  
Dash Questionnaire

scholarly journals Contributions of pregnancy school program, opinions of women on the education and their post-education experiencesGebelerin, gebe okulu programı hakkındaki görüşleri ve eğitim sonrası deneyimleri

2017 ◽  
Vol 14 (2) ◽  
pp. 1609 ◽  
Author(s):  
İlknur Münevver Gönenç ◽  
Nazan Çakırer Çalbayram
Keyword(s):  
Data Collection ◽  
Pregnant Women ◽  
Postpartum Period ◽  
Healthcare Professionals ◽  
Research Data ◽  
Data Collection Form ◽  
School Program ◽  
Pregnancy And Delivery ◽  
Collection Form

The purpose of finding out the opinions of pregnancy on the education given in their antenatal periods, their post-education experiences and contributions. This research was conducted retrospectively. The study was completed with 40 pregnant women who took part in the pregnancy school program and  met the study criteria. The research data were collected using a data collection form developed by the investigators. 95% of the women stated that the education that they received was helpful during their pregnancy and 72.5% stated in the process of delivery and all of them stated during their postpartum periods. 52.5% of the woman stated that they lived labour fear and all of them explained they defeated fear using education given by pregnancy school program. 70% woman found the education satisfactory, the others proposed that some topics should be detailed especially coping accidents during pregnancy and also wished husbands should participate this education. We found in the research that the pregnancy school program had contributions during pregnancy and delivery and in the postpartum period and we think that it has an important role in solving the obstetric problems.  Pregnancy school program will increase the women’s adaptation to pregnancy and decrease the workload of healthcare professionals. ÖzetAraştırma, gebelerin antenatal dönemde verilen eğitim hakkındaki görüşlerini, eğitim sonrası deneyimlerini ve katkılarını belirlemek amacıyla yapılmıştır. Retrospektif olarak yürütülen araştırma gebe okulu programına katılan ve çalışma kriterlerine uyan 40 gebe ile tamamlanmıştır. Araştırmanın verileri araştırmacılar tarafından geliştirilen veri toplama formu ile toplanmıştır. Kadınların %95’i gebe okulunda aldıkları eğitimin gebelik döneminde, %72.5’i ise doğum sürecinde fayda sağladığını ifade etmiştir. Kadınların %52.5’i gebeliğinde doğum korkusu yaşadığını, korku yaşadığını ifade edenlerin tamamına yakını ise gebe okulundan aldığı bilgilerle bu korkuları ile baş edebildiğini belirtmiştir.  Kadınların %70’i eğitimi yeterli bulurken, diğerleri ise bazı konuların daha detaylı verilmesini, gebelikte görülen kazalar ve baş etme konusunun programa eklemesini, eşlerinde bu eğitime katılmalarını önermişlerdir. Araştırmada gebe okulu programının; gebelik, doğum ve doğum sonrası dönemde önemli katkıları olduğu belirlenmiş olup obstetrik problemlerin çözümünde önemli bir yere sahip olduğu düşünülmektedir. Gebe okulu programı kadınların gebeliğe adaptasyonunu arttıracak ve sağlık bakım profesyonellerinin iş yükünü azaltacaktır.

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