scholarly journals What do double-check routines actually detect? An observational assessment and qualitative analysis of identified inconsistencies

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039291
Author(s):  
Yvonne Pfeiffer ◽  
Chantal Zimmermann ◽  
David L. B. Schwappach

ObjectivesDouble checking is used in oncology to detect medication errors before administering chemotherapy. The objectives of the study were to determine the frequency of detected potential medication errors, i.e., mismatching information, and to better understand the nature of these inconsistencies.DesignIn observing checking procedures, field noteswere taken of all inconsistencies that nurses identified during double checking the order against the prepared chemotherapy.SettingOncological wards and ambulatory infusion centres of three Swiss hospitals.ParticipantsNurses’ double checking was observed.Outcome measuresIn a qualitative analysis, (1) a category system for the inconsistencies was developed and (2) independently applied by two researchers.ResultsIn 22 (3.2%) of 690 observed double checks, 28 chemotherapy-related inconsistencies were detected. Half of them related to non-matching information between order and drug label, while the other half was identified because the nurses used their own knowledge. 75% of the inconsistencies could be traced back to inappropriate orders, and the inconsistencies led to 33 subsequent or corrective actions.ConclusionsIn double check situations, the plausibility of the medication is often reviewed. Additionally, they serve as a correction for errors and that are made much earlier in the medication process, during order. Both results open up new opportunities for improving the medication process.

2002 ◽  
Vol 8 (5) ◽  
pp. 270-273 ◽  
Author(s):  
Richard Chua ◽  
John Craig ◽  
Thomas Esmonde ◽  
Richard Wootton ◽  
Victor Patterson

In a retrospective review, the telemedical management of 65 outpatients from a randomized controlled trial (RCT) of telemedicine for non-urgent referrals to a consultant neurologist was compared with the management of 76 patients seen face to face in the same trial, with that of 150 outpatients seen in the neurology clinics of district general hospitals and with that of 102 neurological outpatients seen by general physicians. Outcome measures were the numbers of investigations and of patient reviews. The telemedicine group did not differ significantly from the 150 patients seen face to face by neurologists in hospital clinics in terms of either the number of investigations or the number of reviews they received. Patients from the RCT seen face to face had significantly fewer investigations but a similar number of reviews to the other 150 patients seen face to face by neurologists (the disparity in the number of investigations may explain the negative result for telemedicine in that RCT). Patients with neurological symptoms assessed by general physicians had significantly more investigations and were reviewed significantly more often than all the other groups. Patients from the RCT seen by telemedicine were not managed significantly differently from those seen face to face by neurologists in hospital clinics but had significantly fewer investigations and follow-ups than those patients managed by general physicians. The results suggest that management of new neurological outpatients by neurologists using telemedicine is similar to that by neurologists using a face-to-face consultation, and is more efficient than management by general physicians.


Author(s):  
Michelle Mentis

This study examined the comprehension of four pairs of deictic terms in a group of language impaired children and compared their interpretation of these terms with those of non-language impaired children of the same age range. Each group was comprised of ten subjects within the age range of 9,6 to 10,6 years. Two tasks were administered, one to assess the comprehension of the terms here, there, this, and that and the other to assess the comprehension of the terms, come, go, bring and take. The results showed that while the non-language impaired subjects comprehended the full deictic contrast between the pairs of terms tested, the language impaired group did not. A qualitative analysis of the data revealed that the language impaired subjects appeared to follow the same developmental sequence as normal children in their acquisition of these terms and responded by using the same strategies that younger non-language impaired children use at equivalent stages of development. Furthermore, the language impaired subjects appeared to comprehend the deictic terms in a predictable order based on their relative semantic complexity.


2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Yolanda López-Benavente ◽  
José Arnau-Sánchez ◽  
Tania Ros-Sánchez ◽  
Mª Beatriz Lidón-Cerezuela ◽  
Araceli Serrano-Noguera ◽  
...  

ABSTRACT Objective: to identify difficulties and motivations for the practice of physical exercise in women older than 65 years. Method: qualitative study based on the phenomenological theory, with focus groups and in-depth interviews. The nursing staff selected 15 women by intentional sampling using the following criteria: age, time dedicated to physical exercise, independence, and absence of cognitive impairment and contraindication for this activity. Two focus groups were formed (one of them did physical exercise for less than 150 minutes per week and the other at least 150 minutes per week) in addition to conducting five in-depth interviews. Qualitative analysis of the data was performed through transcription, coding, categorization, and verification of results. Results: the difficulties to start and develop physical exercise were circumscribed to the perception of poor health and lack of free time; both circumstances result from care obligation, being represented as a gender imposition. However, the motivations are related to perception of strength, need for socialization, and perception of autonomy and freedom. Conclusions: the ideological representation of gender determines the women’s decision to exercise. Knowing the meaning and significance that women give to health and their role in the socio-family environment allows nurses to develop relationships and interventions to encourage the practice of physical exercise.


2019 ◽  
Vol 3 (2) ◽  
pp. 154-166
Author(s):  
Rachma Frattiwi

This research was conducted at the Yogya Purwakarta Toserba Food Court. The problem that occurred at the Yogya Purwakarta Toserba Food Court was that the concept of the collaboration agreement that was carried out tended to be wrong. The purpose of this study was first to determine the cooperation agreement undertaken by the UMKM with the "Yogya Rasa", namely the system of cooperation agreements for results. Cooperation agreement for profit sharing here is a cooperation agreement made by one party with another party. Where one party provides facilities or infrastructure in the form of a place in the form of a counter while the other party occupies the counter with a profit sharing system. second to find out the suitability of the Musyarakah contract concept. The cooperation agreement that has been carried out by the UMKM with the manager of Yogya Toserba Food Court is in accordance with the Syirkah Mudharabah concept in which this collaboration is carried out by the first party contributing capital and work at the same time while the second party only contributes only venture capital while profits are shared according to mutual agreement. This research uses descriptive qualitative analysis approach method. Data collection can be done by the method of observation, interviews and documentation


2020 ◽  
Vol 17 (1) ◽  
pp. 25-34
Author(s):  
Ary Iswanto Wibowo ◽  
Gilang Cempaka

The research is aimed to find out the speech act classification and types of request strategy from a dialogue of the characters in Tall Girl movie. The method of this study is descriptive qualitative analysis. Data is taken out of all dialogues of the characters and is observed by using theories. In this analysis, the writers found the speech Act Classification and Types of Request Strategy in the Speech Act. The speech act is classified in declaration, representatives, directives, commissives, and expressive. Directives served the dominant form among the five types of illocutionary act mostly expressed their utterance. And as request strategy is typed in mood derivable, explicit performative, hedged performative, locution derivable, want statement, suggestive formula and preparatory. Mood derivable served the dominant form among the other types to deliver their willingness.  


1995 ◽  
Vol 24 (1) ◽  
pp. 53-77 ◽  
Author(s):  
Dick Leith

ABSTRACTAnalysis of two versions of a long fairy tale, “The Green Man of Knowledge,” as narrated by the same storyteller on two separate occasions, shows considerable variation in the use of performance features, especially the historic present tense. One narration is in “additive” style, with the historic present as the norm; the other shows a gradual “breakthrough to performance,” with the historic present dominant in certain segments. There are more patterns in the use of this tense, and more factors affecting it, than have hitherto been acknowledged; it may be instructive to see how it co-occurs with other performance features. The discussion raises questions about the usefulness of quantitative analysis, and about issues of meaning, genre, audience, and the individuality of the storyteller. (Folklore; Scots; narratology; genre; rhetoric; qualitative analysis)


2020 ◽  
Vol 6 (2) ◽  
pp. 205630512091398
Author(s):  
Tal Orian Harel ◽  
Jessica Katz Jameson ◽  
Ifat Maoz

Our study uses a qualitative analysis of social media discourse on a Facebook page to demonstrate how the phenomena of affective polarization and dehumanization are manifested through participation in a homogeneous enclave, or echo chamber. We employ Northrup’s theory of identity in intractable conflict to show how users express their desire for psychological and physical separation from the other and use dehumanizing language that normalizes potentially dangerous levels of hatred during their participation on a Facebook page. This study contributes to our understanding of the link between identity, affective polarization, and dehumanization.


2018 ◽  
Vol 31 (5) ◽  
pp. 346-352 ◽  
Author(s):  
Albert R Dreijer ◽  
Jeroen Diepstraten ◽  
Vera E Bukkems ◽  
Peter G M Mol ◽  
Frank W G Leebeek ◽  
...  

Abstract Objective To assess the proportion of all medication error reports in hospitals and primary care that involved an anticoagulant. Secondary objectives were the anticoagulant involved, phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. Additional secondary objectives were the total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month and the proportion of causes of 1000 anticoagulant medication errors (comparing the pre- and post-guideline phase). Design A cross-sectional study. Setting Medication errors reported to the Central Medication incidents Registration reporting system. Participants Between December 2012 and May 2015, 42 962 medication errors were reported to the CMR. Intervention N/A. Main outcome measure Proportion of all medication error reports that involved an anticoagulant. Phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. The total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month (comparing the pre- and post-guideline phase) and the total number of causes of 1000 anticoagulant medication errors before and after introduction of the LSKA 2.0 guideline. Results Anticoagulants were involved in 8.3% of the medication error reports. A random selection of 1000 anticoagulant medication error reports revealed that low-molecular weight heparins were most often involved in the error reports (56.2%). Most reports concerned the prescribing phase of the medication process (37.1%) and human factors were the leading cause of medication errors mentioned in the reports (53.4%). Publication of the national guideline on integrated antithrombotic care had no effect on the proportion of anticoagulant medication error reports. Human factors were the leading cause of medication errors before and after publication of the guideline. Conclusions Anticoagulant medication errors occurred in 8.3% of all medication errors. Most error reports concerned the prescribing phase of the medication process. Leading cause was human factors. The publication of the guideline had no effect on the proportion of anticoagulant medication errors.


2020 ◽  
Vol 10 (2) ◽  
pp. 355
Author(s):  
Diana-Manuela Lina

Studies addressing the use of Balanced Scorecard for measuring the management performance generally focus on private organizations and less on non-profit organizations, particularly on universities. On the other hand, there is a great research interest in defining the entrepreneurial university dimensions. In this context, the objective of this study is to explore the evaluation of the entrepreneurial potential of the university using Balanced Scorecard, based on the understanding and development of the concept of entrepreneurial university.Adopting the method of qualitative analysis and using primary data obtained from the university’s official strategic planning documents, the study analyzes the entrepreneurial potential of the university using BSC as an evaluation tool.The analysis is made at the „Alexandru Ioan Cuza” University of Iași level. This university located in Romania, together with other Romanian universities are taking the first steps towards becoming entrepreneurial by: introducing entrepreneurship courses, setting up student entrepreneurial societies, supporting competitions that stimulate entrepreneurship among students, creating technology transfer offices.The results reflect the perspective of using BSC as a useful management instrument for evaluation and development of the entrepreneurial potential of university.The study can contribute to a better understanding of using BSC as a management tool for evaluating entrepreneurial universities.


2010 ◽  
Vol 9 (3) ◽  
pp. 364-392 ◽  
Author(s):  
Karin Bischof ◽  
Florian Oberhuber ◽  
Karin Stögner

This article presents results from a qualitative analysis of religious and gender-specific ‘othering’ in Austrian and French media discourse on Turkey’s accession to the EU (2004–2006). A typology of arguments justifying inclusion and exclusion of Turkey from Europe or the EU is presented, and gender-specific othering is placed in the context of differing national discourses about Europe and diverging visions of secularisation and citizenship. Secondly, various topoi of orientalism are reconstructed which play a crucial role in both national corpora, and it is shown how various historically shaped discourses of alterity intersect and produce gendered images of cultural and religious otherness.


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