INT-004 The use of clinical pharmacists and pharmacoeconomists in regards to medication safety and resource consumption in a hospital setting

2016 ◽  
Vol 23 (Suppl 1) ◽  
pp. A168.3-A169
Keyword(s):  
Medication Safety ◽  
Hospital Setting ◽  
Resource Consumption ◽  
Clinical Pharmacists

A simulation study of the interception of prescribing errors by clinical pharmacists in an acute hospital setting

2015 ◽  
Vol 21 (4) ◽  
pp. 673-680 ◽  
Author(s):  
Thibaut Caruba ◽  
Abdelali Boussadi ◽  
Emilie Lenain ◽  
Virginie Korb-Savoldelli ◽  
Florence Gillaizeau ◽  
...  
Keyword(s):  
Simulation Study ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Prescribing Errors ◽  
Clinical Pharmacists ◽  
Acute Hospital Setting

scholarly journals Finding Consensus About the Level of Medication Safety in a Hospital Setting: Development and an Example of Application of a Modified Delphi Method

2021 ◽  
Vol 9 ◽  
Author(s):  
Birgit Böhmdorfer-McNair ◽  
Wolfgang Huf ◽  
Reinhard Strametz ◽  
Michael Nebosis ◽  
Florian Pichler ◽  
...  
Keyword(s):  
Delphi Method ◽  
Medication Safety ◽  
Synthesis Method ◽  
Hospital Setting ◽  
Inpatient Setting ◽  
Group Level ◽  
Safety Level ◽  
Healthcare Facilities ◽  
Information Synthesis ◽  
Level Ii

A version of the Institute for Safe Medication Practices (ISMP) questionnaire adapted to the Austrian inpatient setting was used to sample the estimates of a group of experts regarding the level of medication safety in a level II hospital. To synthesize expert opinions on a group level reproducibly, classical Delphi method elements were combined with an item weight and performance weight decision-maker. This newly developed information synthesis method was applied to the sample dataset to examine method applicability. Method descriptions and flow diagrams were generated. Applicability was then tested by creating a synthesis of individual questionnaires. An estimate of the level of medication safety in an Austrian level II hospital was, thus, generated. Over the past two decades, initiatives regarding patient safety, in general, and medication safety, in particular, have been gaining momentum. Questionnaires are state of the art for assessing medication practice in healthcare facilities. Acquiring consistent data about medication in the complex setting of a hospital, however, has not been standardized. There are no publicly available benchmark datasets and, in particular, there is no published method to reliably synthesize expertise regarding medication safety on an expert group level. The group-level information synthesis method developed in this study has the potential to synthesize information about the level of medication safety in a hospital setting more reliably than unstructured approaches. A medication safety level estimate for a representative Austrian level II hospital was generated. Further studies are needed to establish convergence characteristics and benchmarks for medication safety on a larger scale.

It’s Like Scanning the Spoon: Problems and Interventions in Insulin Pen Safety

2018 ◽  
Vol 7 (1) ◽  
pp. 213-217
Author(s):  
Susan Harkness Regli ◽  
Suzanna Ho ◽  
Margaret Yoho ◽  
Ilona Lorincz ◽  
Rebecca Stamm ◽  
...  
Keyword(s):  
Best Practices ◽  
Medication Safety ◽  
Multiple Solutions ◽  
Hospital Setting ◽  
Quality And Safety ◽  
Single Patient ◽  
Safety Issues ◽  
Insulin Pens ◽  
Insight Into ◽  
Expert Recommendations

This paper describes a multifaceted patient safety project undertaken to address the complex medication safety issues of single-patient insulin pens in the hospital setting. The project makes the following contributions: a) provides observation- and data-based insight into root causes for the wrong pen/wrong patient problem; b) provides multiple solutions that can work together to significantly reduce the incidence of insulin pen-related safety events; c) shows how Quality and Safety methodologies can work hand-in-hand with human factors and human computer interaction methodologies to produce richer, more in depth results, and d) confirm expert recommendations for best practices that can reduce risks.

Impact of admission medication reconciliation performed by clinical pharmacists on medication safety

2014 ◽  
Vol 25 (9) ◽  
pp. 808-814 ◽  
Author(s):  
Géraldine Leguelinel-Blache ◽  
Fabrice Arnaud ◽  
Sophie Bouvet ◽  
Florent Dubois ◽  
Christel Castelli ◽  
...  
Keyword(s):  
Medication Safety ◽  
Medication Reconciliation ◽  
Clinical Pharmacists

Effects of an integrated clinical information system on medication safety in a multi-hospital setting

2007 ◽  
Vol 64 (18) ◽  
pp. 1969-1977 ◽  
Author(s):  
Charles D. Mahoney ◽  
Christine M. Berard-Collins ◽  
Reid Coleman ◽  
Joseph F. Amaral ◽  
Carole M. Cotter
Keyword(s):  
Information System ◽  
Medication Safety ◽  
Clinical Information System ◽  
Hospital Setting ◽  
Clinical Information

Pediatric medication safety considerations for pharmacists in an adult hospital setting

2019 ◽  
Vol 76 (19) ◽  
pp. 1481-1491
Author(s):  
Audrey R Kennedy ◽  
Lindsay R Massey
Keyword(s):  
Medication Safety ◽  
Pediatric Patients ◽  
Risk Mitigation ◽  
Medication Use ◽  
Hospital Setting ◽  
Early Career ◽  
Mitigation Strategies ◽  
External Resources ◽  
Use Of Technology ◽  
Safety Considerations

Abstract Purpose Risks and vulnerabilities of the medication-use process in nonpediatric institutions that also serve pediatric patients are reviewed, and guidance on risk mitigation strategies is provided. Summary There are many risks and vulnerabilities in the medication-use process as it relates to pharmacotherapy for pediatric patients admitted to adult institutions. Mitigation of these risks is critical and should encompass various available resources and strategies. Special emphasis should be placed on use of technology to improve overall safety. Available literature recommends optimization of technology and resource use, institutional support for pediatric pharmacists’ involvement in managing pediatric medication use, and provision of early exposure to pediatric patients in pharmacist training programs as additional methods of mitigating risks associated with pediatric medication use in adult institutions. Adult hospitals that provide care for pediatric patients should assess their processes in order to identify hospital-specific interventions to promote pediatric medication safety. Conclusion Pediatric medication safety frameworks in U.S. adult institutions vary widely. Treating pediatric patients involves risks in all areas of the medication-use process. Optimizing technology, utilizing external resources, supporting a pediatric pharmacist, and providing early-career exposure to pediatric patients are methods to mitigate risks in institutions that primarily serve adult patients.

scholarly journals Drug Error beyond the Hospital and Role of Pharmacists in drug Safety Process

2019 ◽  
Vol 8 ◽  
pp. 169-176
Author(s):  
Gulam Muhammad Khan
Keyword(s):  
Medication Error ◽  
Medication Safety ◽  
Information Transfer ◽  
Healthcare Professionals ◽  
Hospital Setting ◽  
Outpatient Setting ◽  
Drug Error ◽  
Contributing Factors ◽  
Common Error ◽  
Malpractice Claims

Medication related error is one of the most common error prevailing in this time. Medication error can be defined as a ‘failure in the treatment process that leads to or has potential to lead to harm to the patient. Medication error can occur from the process of ordering to the administration to the patient. Among the healthcare professionals; a pharmacist can be responsible in identification of contributing factors and reducing its occurrence. Great efforts are needed in this area, due to diversity in the types of errors, the relationship between the provider and the patient, information transfer, optimization of e-prescribing systems, the lack of adequate training in analyzing the collected data and poor practical strategies for maintaining accurate drug lists in electronic medical records. Recently healthcare professionals have started becoming aware about the risks of patients’ medication exposure. After all, still the area of medication safety beyond the hospital setting needs community pharmacy intervention to avoid malpractice claims and misled decisions in solving medication safety-related problems in the outpatient setting. Approaches like medication reviews and reconciliation, monitoring drug therapy, reporting error will help in identify and prompt the detection of errors, open productive discussions, quality control checks, and effective system-based decisions like performing risk assessment subsequently reduces the harm and risks before patient is exposed to any form of drug error.

scholarly journals Factors Associated With Burnout Among US Hospital Clinical Pharmacy Practitioners: Results of a Nationwide Pilot Survey

2017 ◽  
Vol 52 (11) ◽  
pp. 742-751 ◽  
Author(s):  
G. Morgan Jones ◽  
Neil A. Roe ◽  
Les Louden ◽  
Crystal R. Tubbs
Keyword(s):  
Health Care ◽  
Clinical Pharmacy ◽  
Response Rate ◽  
Univariate Analysis ◽  
Multivariable Analysis ◽  
Hospital Setting ◽  
The United States ◽  
Pilot Survey ◽  
Clinical Pharmacists ◽  
Burnout Rate

Background: In health care, burnout has been defined as a psychological process whereby human service professionals attempting to positively impact the lives of others become overwhelmed and frustrated by unforeseen job stressors. Burnout among various physician groups who primarily practice in the hospital setting has been extensively studied; however, no evidence exists regarding burnout among hospital clinical pharmacists. Objective: The aim of this study was to characterize the level of and identify factors independently associated with burnout among clinical pharmacists practicing in an inpatient hospital setting within the United States. Methods: We conducted a prospective, cross-sectional pilot study utilizing an online, Qualtrics survey. Univariate analysis related to burnout was conducted, with multivariable logistic regression analysis used to identify factors independently associated with the burnout. Results: A total of 974 responses were analyzed (11.4% response rate). The majority were females who had practiced pharmacy for a median of 8 years. The burnout rate was high (61.2%) and largely driven by high emotional exhaustion. On multivariable analysis, we identified several subjective factors as being predictors of burnout, including inadequate administrative and teaching time, uncertainty of health care reform, too many nonclinical duties, difficult pharmacist colleagues, and feeling that contributions are underappreciated. Conclusions: The burnout rate of hospital clinical pharmacy providers was very high in this pilot survey. However, the overall response rate was low at 11.4%. The negative effects of burnout require further study and intervention to determine the influence of burnout on the lives of clinical pharmacists and on other health care–related outcomes.

There is no I in Escape: Using an Escape Room Simulation to Enhance Teamwork and Medication Safety Behaviors in Nursing Students

2020 ◽  
pp. 104687812097670
Author(s):  
Dawn Sarage ◽  
Barbara J. O’Neill ◽  
Carrie Morgan Eaton
Keyword(s):  
Nursing Students ◽  
Medication Errors ◽  
Medication Safety ◽  
International Association ◽  
Team Building ◽  
Hospital Setting ◽  
Student Response ◽  
Learning Activity ◽  
Safety Behaviors ◽  
Learning Platform

Background. Nurse educators are challenged to develop simulation activities that will engage interest and help baccalaureate nursing students administer medications safely. Students must be able to recognize and report medication errors and effectively collaborate with their patient care team to provide safe and competent care to patients across the healthcare spectrum. Escape rooms are an innovative learning platform where students can work as a team to build these skills. Aim. We report on the strategies and resources used to create and implement an escape room simulation for a problem-based learning activity to practice medication safety behaviors, using critical thinking, communication and team building skills. Methods. Using Kolb’s Learning Cycle and the International Association for Clinical Simulation in Learning (INACSL) Standards of Best PracticeSM, we developed a team-based, four-hour escape room simulation activity around detecting and reporting medication errors in the hospital setting. The escape room simulation included a high-fidelity patient manikin, two embedded participants in the roles of family member and health care provider (HCP), puzzles, riddles, clues and lifelines. The learning objectives were paired with essential Quality and Safety Education for Nurses (QSEN) competencies. Promoting Excellence and Reflective Learning in Simulation (PEARLS) was used for debriefing. Results. The result was a hybrid escape room simulation that mimics a situation nursing students might face in the hospital setting where they have to work as a team to assess a new patient, reconcile medications, perform medication calculations, problem solve intravenous infusion set ups, and communicate medication errors. Data collected for quality purposes indicated a positive student response. Discussion / Conclusion / Implication. The escape room platform served as a foundation for incorporating other simulation modalities and provided a stimulating learning activity. The next step is to conduct a multi-site study with pre-test and post-test data collected from students to gauge learning and behavior change.

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