scholarly journals Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era

2015 ◽  
pp. 393 ◽  
Author(s):  
Quan Zhou ◽  
Hua-fen Wang ◽  
Jing-fen Jin ◽  
Xiu-qin Feng ◽  
Xin Huang ◽  
...  
Keyword(s):  
Trend Analysis ◽  
Nursing Staff ◽  
Medical Center ◽  
Academic Medical Center ◽  
Medication Administration ◽  
Quality Improvements ◽  
Medication Administration Errors ◽  
Academic Medical ◽  
Center Hospital ◽  
Joint Commission International

scholarly journals A Study on Knowledge Towards Brain Death among Residents in Indonesia

2020 ◽  
Vol 56 (2) ◽  
pp. 140
Author(s):  
Asra Al Fauzi ◽  
Christrijogo Sumartono Waloejo ◽  
Abdulloh Machin ◽  
Muhammad Ja'far Shodiq
Keyword(s):  
Brain Death ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cross Sectional Study ◽  
Research Subjects ◽  
Cross Sectional ◽  
Academic Medical ◽  
Center Hospital ◽  
Level 3 ◽  
Level 2

This research was conducted to evaluate the knowledge and diagnosis of brain death among resident in Indonesia. This study used an observational analytic study with a cross-sectional study design using a questionnaire. The research subjects consisted of 132 level 2 (after 2 years of residency) and level 3 (after 4 years of residency) residents, the total sampling for which was taken from the departments of Neurosurgery, Anesthesiology, and Neurology at Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia. Data were taken from November 2018 to January 2019. A total of 132 residents of Neurosurgery, Neurology, and Anesthesiology participated in this study. From the series of studies, residents’ knowledge of the concept of brain death was in the sufficient category (41.7%), residents’ knowledge of the technical diagnosis of brain death was in the good category (40.2%), residents’ knowledge of brain death examination was in the less category (43.2%), and finally, it was found that the resident's knowledge of brain death was in a good category (35.6%). There were also significant differences in knowledge of brain death between Neurosurgery, Neurology, and Anesthesiologist Resident (P <0.001) and knowledge of brain death between level 2 and level 3 residents (P=0.032). In general, the Indonesian resident doctors’ knowledge of brain death is adequate, but knowledge of the clinical examination of brain death is still lacking. Further research must be carried out to promote knowledge of brain death in residents as well as professional doctors/specialists, so that the number of organ transplants, especially in Indonesia, will increase.

Clinical Experience with Ketorolac in Children

1994 ◽  
Vol 28 (9) ◽  
pp. 1009-1013 ◽  
Author(s):  
Marcia L. Buck ◽  
Maria Rudis
Keyword(s):  
Average Length ◽  
Medical Center ◽  
Academic Medical Center ◽  
Large Population ◽  
Subjective Response ◽  
Academic Medical ◽  
Treatment Dose ◽  
Center Hospital ◽  
Length Of Therapy ◽  
Gastrointestinal Ulceration

OBJECTIVE: To describe the use of parenteral ketorolac in a large population of children, focusing on dosing patterns, efficacy, and safety. DESIGN: Observational, prospective study conducted over a four-month period. SETTING: A 122-bed children's medical center located within an academic medical center hospital. PARTICIPANTS: Children receiving ketorolac during their hospitalization. MAIN OUTCOME PARAMETERS: Indications for treatment, dose, dosing interval, use of a loading dose, length of therapy, efficacy (subjective response and use of concomitant therapy), and adverse effects (bleeding, gastrointestinal ulceration or vomiting, and renal dysfunction). RESULTS: Of 112 children evaluated, 110 received ketorolac for analgesia, and 2 were given ketorolac as an antipyretic. The children ranged in age from 6 months to 19 years. Doses of 0.5 mg/kg q6h were used for most children (range 0.17–1.0). The average length of therapy was 3.4 days (range 1–12). The most frequent reason for discontinuing ketorolac therapy was a change to oral therapy. Therapy was discontinued because of a lack of efficacy in only 2 children. Adverse reactions were unusual, with only 2 patients having bleeding potentially associated with ketorolac use. CONCLUSIONS: Ketorolac appears to be a safe and effective therapy for children when given in appropriate doses for a limited duration.

Cultural Awareness Among Nursing Staff at an Academic Medical Center

2016 ◽  
Vol 46 (3) ◽  
pp. 146-153 ◽  
Author(s):  
Jennifer McElroy ◽  
Cheryl A. Smith-Miller ◽  
Catherine K. Madigan ◽  
Yin Li
Keyword(s):  
Nursing Staff ◽  
Cultural Awareness ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

Implementation of Pharmacy Executive Quality and Safety Walkrounds at a Tertiary Academic Medical Center

2021 ◽  
pp. 001857872110101
Author(s):  
Yazed Saleh Alsowaida ◽  
Mary P. Kovacevic ◽  
Caryn Belisle ◽  
Michael C. Cotugno ◽  
Tom Cooley ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Quality And Safety ◽  
Improve Quality ◽  
Quality Improvements ◽  
Frontline Staff ◽  
Pharmacy Department ◽  
Academic Medical ◽  
Service Areas ◽  
The Impact

Background: Executive Quality and Safety WalkRounds (EWRs) is a tool that engages department leadership in discussion with the front-line employees to solicit feedback to improve quality and safety. The purpose of this study was to evaluate the impact of the implementation of pharmacy department specific EWRs on quality and safety at a tertiary academic medical center. Method: This was a single-center, retrospective analysis conducted at Brigham and Women’s Hospital between November 2016 and November 2019. This study aimed to analyze the implementation of EWRs conducted every other month throughout various service areas and satellites of the pharmacy department. Data evaluated included the number of EWRs conducted, the specific areas visited, the total number of action items recommended by the staff, along with the total number of action items that were completed or remained in process. Results: During the study period, 17 visits were completed in 12 different BWH pharmacy sub-departments. A total of 98 operational, technological, and environmental action items were recommended by staff to improve quality and safety. Of the 98 action items documented, 95 (96.9%) were completed by time of our analysis. Conclusion: Pharmacy department EWRs are an important and systematic process of communication between the pharmacy leadership and frontline staff. Pharmacy department EWRs have resulted in safety and quality improvements at different levels in the pharmacy department. The EWRs program at the pharmacy department was effective in identifying and completing safety initiatives to improve the safety culture of the department.

Evaluation of Medication Administration Timing—Are We Meeting Our Goals?

2020 ◽  
pp. 089719002090545
Author(s):  
Craig Furnish ◽  
Samantha Wagner ◽  
Angela Dangler ◽  
Kerry Schwarz ◽  
Toby Trujillo ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Medication Administration ◽  
Respiratory Therapists ◽  
Policies And Procedures ◽  
Academic Medical ◽  
Hospital Policies ◽  
Inpatient Nursing ◽  
Administration Timing ◽  
Time Critical

Background: Per the Centers for Medicare and Medicaid Services (CMS) Code of Federal Regulations (CFR) 482.23(c) regarding medication administration, hospital policies and procedures must identify time-critical scheduled medications which must be administered within 30 minutes either before or after the scheduled dosing time, for a total administration window of 1 hour. Objective: The general objective of this analysis was to determine whether there was a difference in meeting medication administration goals when comparing time-critical to non-time-critical scheduled medication administration in both intensive care units (ICUs) and general medical floors at a large, academic medical center. Methods: Data were collected in 6 inpatient nursing units (3 general medical units and 3 ICUs) during the month of June 2017. Electronic medical record charge data for medications were used to evaluate timeliness of medication administration. Results: In total, 69,794 medication administrations were evaluated. Of 389 administrations of time-critical scheduled medications, 268 (69%) were administered on time. Of 69,405 administrations of non-time-critical scheduled medications, 58,099 (84%) were administered on time ( P < 0.001). ICUs had a higher percentage of on-time administrations than general medical units (89% vs 77%, P < 0.001), and nurses had a higher percentage of on-time administrations than respiratory therapists (84% vs 63%, P < 0.001). Conclusions: Non-time-critical scheduled medications were more commonly administered on time compared with time-critical scheduled medications. Staff education and optimizations to the electronic health record (EHR) are interventions that may improve administration of time-critical scheduled medications.

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