scholarly journals Comparison of Medication History Accuracy Between Nurses and Pharmacy Personnel

2017 ◽  
Vol 32 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Connor Bowman ◽  
Jennifer McKenna ◽  
Phil Schneider ◽  
Brian Barnes
Keyword(s):  
Error Rate ◽  
Community Hospital ◽  
Total Error ◽  
Medication History ◽  
Total Error Rate ◽  
Number Of Patients ◽  
Pharmacy Technicians ◽  
Secondary Outcomes ◽  
The Difference ◽  
Clinically Significant

Purpose: To evaluate the differences in medication history errors made by pharmacy technicians, students, and pharmacists compared to nurses at a community hospital. Methods: One hundred medication histories completed by either pharmacy or nursing staff were repeated and evaluated for errors by a fourth-year pharmacy student. The histories were analyzed for differences in the rate of errors per medication. Errors were categorized by their clinical significance, which was determined by a panel of pharmacists, pharmacy students, and nurses. Errors were further categorized by their origin as either prescription (Rx) or over the counter (OTC). The primary outcome was the difference in the rate of clinically significant errors per medication. Secondary outcomes included the differences in the rate of clinically insignificant errors, Rx errors, and OTC errors. Differences in the types of errors for Rx and OTC medications were also analyzed. Additionally, the number of patients with no errors was compared between both groups. Results: The pharmacy group had a lower clinically significant error rate per medication (0.03 vs 0.09; relative risk [RR] = 0.66; 95% confidence interval [CI]: 0.020-0.093; P = .003). For secondary outcomes, the pharmacy group had a lower total error rate (0.21 vs 0.36, RR = 0.58; 95% CI: 0.041-0.255; P = .007), Rx error rate (0.09 vs 0.27, RR = 0.44; 95% CI: 0.071-0.292; P = .002), and OTC error rate (0.24 vs 0.46; RR = 0.52; 95% CI: 0.057-0.382; P = .009) per medication. The pharmacy group completed 20% more medication histories without Rx errors ( P = .045) and 25% more histories without OTC errors ( P = .041). Conclusion: This study demonstrated that expanded use of pharmacy technicians and students improves the accuracy of medication histories in a community hospital.

Discussion on Burden Calculation of Ferromanganese Alloy Production

2011 ◽  
Vol 194-196 ◽  
pp. 248-254
Author(s):  
Shao Jun Chu ◽  
Pei Xiao Liu ◽  
Pei Xian Chen
Keyword(s):  
Error Rate ◽  
Total Error ◽  
Reference Value ◽  
Mass Conservation ◽  
Recovery Method ◽  
Total Error Rate ◽  
Calculation Results ◽  
Improve Production Technology ◽  
Technology Product ◽  
Better Than

The burden calculation of ferromanganese alloy was calculated based on the slag composition and designed product. The calculation results showed the total error rate of this method was 1.53% and the error rate of ore, coke and silicon was 4.66%, 1.71%, and 5.66% respectively, which was much better than using the traditional elements recovery method with the total error rate was 8.00% and the silicon error rate reached to 18.55%. This new method is more accurate than the traditional method and much closer to the actual production data. And it can apply to different ferroalloy factories because it is based on phase diagram and the mass conservation law. At the same time, the calculation result can reflect the gap between enterprise production craft level and ideal production level. This method has certain reference value to improve production technology, product quality and economic profit of enterprise.

Biometric scores fusion based on total error rate minimization

2008 ◽  
Vol 41 (3) ◽  
pp. 1066-1082 ◽  
Author(s):  
Kar-Ann Toh ◽  
Jaihie Kim ◽  
Sangyoun Lee
Keyword(s):  
Error Rate ◽  
Total Error ◽  
Total Error Rate

Recursive total error rate minimization

2016 ◽  
Author(s):  
Se-In Jang ◽  
Geok-Choo Tan ◽  
Kar-Ann Toh
Keyword(s):  
Error Rate ◽  
Total Error ◽  
Total Error Rate

Tourniquet use in the prehospital setting: Are they being used appropriately?

2018 ◽  
Vol 13 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Kevin M. Duignan, MS, EMT-B ◽  
Laura C. Lamb, MD ◽  
Monica M. DiFiori, BS ◽  
John Quinlavin, BS ◽  
James M. Feeney, MD, FACS
Keyword(s):  
Emergency Medicine ◽  
Error Rate ◽  
Trauma Center ◽  
Total Error ◽  
First Responders ◽  
Prehospital Setting ◽  
Extremity Injury ◽  
Inclusion Criteria ◽  
Total Error Rate ◽  
Level Ii

Objective: The objective of this study was to evaluate tourniquet use in the Hartford prehospital setting during a 34-month period after the Hartford Consensus was published, which encouraged increasing tourniquet use in light of military research.Design: This was a retrospective review of patients with bleeding from a serious extremity injury to determine appropriateness of tourniquet use or omission.Setting: Level II trauma center between April 2014 and January 2017.Participants: Eighty-four patients met inclusion criteria and were stratified based on tourniquet use during prehospital care.Main Outcome Measures: Five of the 84 patients received a tourniquet. All five of those tourniquets (100 percent of the group, 6.0 percent of the population) were not indicated and deemed inappropriate. Three of the 84 patients did not receive a tourniquet when one was indicated (3.8 percent of the group, 3.6 percent of the population) and these omissions were also deemed inappropriate. Total error rate was 9.5 percent (8/84).Results: There was a significant association between Mangled Extremity Severity Score (MESS) and likelihood of requiring a tourniquet (p = 0.0013) but not between MESS and likelihood of receiving a tourniquet (p = 0.1055). There was also a significant association between wrongly placed tourniquets and the type of providers who placed them [first responders, p = 0.0029; Emergency Medicine Technicians (EMTs), p = 0.0001].Conclusions: Tourniquets are being used inappropriately in the Hartford prehospital setting. Misuse is associated with both EMTs and first responders, highlighting the need for better training and more consistent protocols.

scholarly journals Quotation errors in general science journals

2020 ◽  
Vol 476 (2242) ◽  
pp. 20200538 ◽  
Author(s):  
Neal Smith ◽  
Aaron Cumberledge
Keyword(s):  
Error Rate ◽  
Scientific Discovery ◽  
Total Error ◽  
Error Rates ◽  
High Impact ◽  
Scientific Writing ◽  
General Science ◽  
Total Error Rate ◽  
Academic Fields ◽  
The Future

Due to the incremental nature of scientific discovery, scientific writing requires extensive referencing to the writings of others. The accuracy of this referencing is vital, yet errors do occur. These errors are called ‘quotation errors’. This paper presents the first assessment of quotation errors in high-impact general science journals. A total of 250 random citations were examined. The propositions being cited were compared with the referenced materials to verify whether the propositions could be substantiated by those materials. The study found a total error rate of 25%. This result tracks well with error rates found in similar studies in other academic fields. Additionally, several suggestions are offered that may help to decrease these errors and make similar studies more feasible in the future.

scholarly journals Use of an anti-reflux catheter to improve tumor targeting for holmium-166 radioembolization—a prospective, within-patient randomized study

2020 ◽  
Author(s):  
Caren van Roekel ◽  
Andor F. van den Hoven ◽  
Remco Bastiaannet ◽  
Rutger C. G. Bruijnen ◽  
Arthur J. A. T. Braat ◽  
...  
Keyword(s):  
Dose Response ◽  
Concentration Ratio ◽  
Tumor Targeting ◽  
Activity Concentration ◽  
Randomized Study ◽  
Residual Activity ◽  
Number Of Patients ◽  
Secondary Outcomes ◽  
The Difference ◽  
Colorectal Cancer Patients

Abstract Purpose The objective of this study was to investigate whether the use of an anti-reflux catheter improves tumor targeting for colorectal cancer patients with unresectable, chemorefractory liver metastases (mCRC) treated with holmium-166 (166Ho)-radioembolization. Materials and methods In this perspective, within-patient randomized study, left and right hepatic perfusion territories were randomized between infusion with a Surefire® anti-reflux catheter or a standard microcatheter. The primary outcome was the difference in tumor to non-tumor (T/N) activity distribution. Secondary outcomes included the difference in infusion efficiency, absorbed doses, predictive value of 166Ho-scout, dose-response relation, and survival. Results Twenty-one patients were treated in this study (the intended number of patients was 25). The median T/N activity concentration ratio with the use of the anti-reflux catheter was 3.2 (range 0.9–8.7) versus 3.6 (range 0.8–13.3) with a standard microcatheter. There was no difference in infusion efficiency (0.04% vs. 0.03% residual activity for the standard microcatheter and anti-reflux catheter, respectively) (95%CI − 0.05–0.03). No influence of the anti-reflux catheter on the dose-response rate was found. Median overall survival was 7.8 months (95%CI 6–13). Conclusion Using a Surefire® anti-reflux catheter did not result in a higher T/N activity concentration ratio in mCRC patients treated with 166Ho-radioembolization, nor did it result in improved secondary outcomes measures. Trial registration clinicaltrials.gov identifier: NCT02208804

scholarly journals Features of community-acquired pneumonia treatment with 3rd generation cephalosporins in combination with azithromycin and as monotherapy

2012 ◽  
Vol 93 (2) ◽  
pp. 278-281
Author(s):  
R F Khamitov ◽  
I V Grigoreva
Keyword(s):  
Treatment Options ◽  
Laboratory Data ◽  
Clinical Signs ◽  
Community Acquired Pneumonia ◽  
Shortness Of Breath ◽  
Course Of Disease ◽  
Number Of Patients ◽  
The Difference ◽  
Clinically Significant ◽  
Severe Community Acquired Pneumonia

Aim. To refine the indications for oral administration of a combination of 3rd generation cephalosporins together with azithromycin and also as monotherapy in patients with moderate and severe community-acquired pneumonia. Methods. A questionnaire was developed to evaluate the clinical and laboratory data on the 1st, 3rd, 5th, 7th and 10-14th days of treatment. The patients were included in the study if clinical signs of pneumonia were present, the disease occurred outside a hospital, and if there was radiological verification of lung tissue infiltration. The study included 77 patients (32 women and 45 men) aged 16 to 84 years. In 56 patients (73%) pneumonia had signs of a moderate course, in 21 (27%) - a severe course. Results. As a result of treatment the number of patients without shortness of breath significantly increased. The difference in comparison with the time of hospitalization was statistically significant starting from day 7 of treatment in patients treated with ceftriaxone and azithromycin (31 and 69%, p 0.05). Intergroup differences also became significant on the same time since treatment initiation (43% of patients on monotherapy, p 0.05). The increase in the proportion of patients without shortness of breath, receiving only ceftriaxone in comparison with the beginning of treatment became significant only by the 10th day (18 and 54%, p 0.05). Conclusion. A combination antibiotic therapy is indicated for patients with a severe course of disease and clinically significant dyspnea, as well as for women with a moderate community-acquired pneumonia with a productive cough. No significant differences in the safety and tolerability of the studied variants of treatment options have been revealed.

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