Evaluating Medication Errors for Hospitalized Patients : The Jordanian Experience = تقييم الأخطاء الدوائية لمرضى المستشفى : التجربة الأردنية

2017 ◽  
Vol 10 (2) ◽  
pp. 87-101 ◽  
Author(s):  
Zena H. Sulaiman ◽  
Iman A. Basheti ◽  
Salim A. Hamadi
2008 ◽  
Vol 23 (2) ◽  
pp. 115-127 ◽  
Author(s):  
Debra Matsen Picone ◽  
Marita G. Titler ◽  
Joanne Dochterman ◽  
Leah Shever ◽  
Taikyoung Kim ◽  
...  

2011 ◽  
Vol 45 (4) ◽  
pp. 459-468 ◽  
Author(s):  
Ann M Snyder ◽  
Kenneth Klinker ◽  
Joanne J Orrick ◽  
Jennifer Janelle ◽  
Almut G Winterstein

2016 ◽  
Vol 12 (3) ◽  
pp. 428-437 ◽  
Author(s):  
Insun Choi ◽  
Seung-Mi Lee ◽  
Linda Flynn ◽  
Chul-min Kim ◽  
Saerom Lee ◽  
...  

2008 ◽  
Vol 42 (4) ◽  
pp. 491-497 ◽  
Author(s):  
Sonak D Pastakia ◽  
Amanda H Corbett ◽  
Ralph H Raasch ◽  
Sonia Napravnik ◽  
Todd A Correll

2013 ◽  
Vol 47 (7-8) ◽  
pp. 953-960 ◽  
Author(s):  
Kristin H Eginger ◽  
Laura L Yarborough ◽  
Lisa DeVito Inge ◽  
Sharon A Basile ◽  
Donald Floresca ◽  
...  

Author(s):  
Arthur T. M. Wasylewicz ◽  
Renske J. B. Grinsven ◽  
Jessica M. W. Bikker ◽  
Hendrikus H. M. Korsten ◽  
Toine C. G. Egberts ◽  
...  

1993 ◽  
Vol 9 (1) ◽  
pp. 139-144 ◽  
Author(s):  
James E. Groves ◽  
Philip W. Lavori ◽  
Jerrold F. Rosenbaum

AbstractEight hundred and six medical and surgical patients who were hospitalized via the emergency ward were followed over their entire inpatient stays and rated in anterograde, double-blind fashion for inpatient incidents (falls, medication errors, other). Injuries were minor but affected 2.2% of admissions, a figure which is strikingly similar to studies in other hospitals. There was a statistical trend toward a higher-than-normal risk of hazardous in-hospital incidents for males age 20 to 40 admitted because of injury and for medically ill females over 60 years old.


2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Andrew S Rhinehart ◽  
Melanie Mabrey ◽  
Valerie Garrett

Abstract BACKGROUND On average, 1 of every 3 hospitalized patients — the majority with diabetes — requires insulin to control blood glucose during their stay. Although widely prescribed and absolutely necessary, insulin is inherently dangerous: 50% of all medication errors involve insulin, including 1/3 of all fatal medication errors. Results of a nationwide survey indicate that prioritization of glycemic control is lacking, which hinders high reliability and increases risk of morbidity and mortality. METHODS Healthcare professionals who serve in roles involving diabetes care and glycemic management were invited to participate in an online survey. To qualify, an initial question that read: “Where do you work?” had to be answered “hospital or health system with focus on inpatients” (those who answered “physician’s office or clinic with focus on outpatients” were disqualified). There were a total of 619 respondents from 408 U.S. hospitals. KEY RESULTS • The consensus among respondents is that fear of hypoglycemia has a strong influence on the prescribing of insulin (i.e., causes non-prescribing or lack of intensification following hyperglycemia). On a scale of 1 to 5, with 1 being ‘very little if any influence’ and 5 being ‘considerable influence,’ the average weighted score was 3.45. • About 70% of respondents are of the opinion glycemic control is ‘extremely important’ or ‘very important’ to nurses and physicians, whereas about 48% believe this to be true of senior clinical executives and 25% believe this to be true of non-clinical senior executives. • Only 24% of respondents maintain their hospital uses primarily basal bolus for subcutaneous insulin therapy. Close to 34% maintain their hospital uses primarily sliding scale and 42% maintain their hospital uses sliding scale and basal bolus equally as often. The top three barriers to full adoption of basal bolus insulin are: (1) inadequate prescriber knowledge about basal-bolus-correction regimens, (2) beliefs that sliding scale is acceptable practice and not harmful, and (3) difficulties coordinating glucose monitoring, insulin administration and meal delivery. • Slightly more than 2/3 of respondents work at a hospital that routinely tracks and reports the rate of hypoglycemia (on a monthly or quarterly basis). Of those, 54% use a threshold of 60 and/or 70 mg/dL exclusively, which encompasses all episodes of hypoglycemia without accounting for severity; only 24% use thresholds of 60 and/or 70 mg/dL as well as thresholds of 40, 50 and/or 54 mg/dL, allowing episodes of greater severity to be isolated for analysis and quality improvement. CONCLUSION Results of the survey indicate better care, specifically better glycemic control, is needed for hospitalized patients with diabetes. With the shift from volume to value and a stronger focus on quality and safety, this data should be catalyst for making glycemic control a strategic imperative.


2013 ◽  
Vol 26 (4) ◽  
pp. 428-433 ◽  
Author(s):  
Laura A. Siemianowski ◽  
Sanchita Sen ◽  
Jomy M. George

Purpose: This study aimed to examine the role of a pharmacy technician-centered medication reconciliation (PTMR) program in optimization of medication therapy in hospitalized patients with HIV/AIDS. Methods: A chart review was conducted for all inpatients that had a medication reconciliation performed by the PTMR program. Adult patients with HIV and antiretroviral therapy (ART) and/or the opportunistic infection (OI) prophylaxis listed on the medication reconciliation form were included. The primary objective is to describe the (1) number and types of medication errors and (2) the percentage of patients who received appropriate ART. The secondary objective is a comparison of the number of medication errors between standard mediation reconciliation and a pharmacy-led program. Results: In the PTMR period, 55 admissions were evaluated. In all, 50% of the patients received appropriate ART. In 27of the 55 admissions, there were 49 combined ART and OI-related errors. The most common ART-related errors were drug–drug interactions. The incidence of ART-related medication errors that included drug–drug interactions and renal dosing adjustments were similar between the pre-PTMR and PTMR groups ( P = .0868). Of the 49 errors in the PTMR group, 18 were intervened by a medication reconciliation pharmacist. Conclusion: A PTMR program has a positive impact on optimizing ART and OI prophylaxis in patients with HIV/AIDS.


2006 ◽  
Vol 7 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Jaime Pinilla ◽  
Carles Murillo ◽  
Genís Carrasco ◽  
Carlos Humet

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