A Lean Approach to Evaluating Prescribing Errors in Medication Reconciliation

Studies in Health Technology and Informatics - Public Health and Informatics ◽

10.3233/shti210288 ◽

2021 ◽

Author(s):

Yudha Putra ◽

Maryati Mohd. Yusof

Keyword(s):

Patient Safety ◽

Medication Reconciliation ◽

Qualitative Case Study ◽

System Function ◽

Prescribing Errors ◽

Rigid System ◽

Staff Shortage ◽

Continuous Evaluation ◽

High Workload

We evaluated medication reconciliation processes of a qualitative case study at a 1000-bed public hospital. Lean tools were applied to identify factors contributing to prescribing errors and propose process improvement. Errors were attributed to the prescriber’s skills, high workload, staff shortage, poor user attitude and rigid system function. Continuous evaluation of medication reconciliation efficiency is imperative to identify and mitigate errors and increase patient safety.

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Quality of Working Life in the Emergency Department: Physicians’ and Nurses’ Perspective

International Journal of Business and Management ◽

10.5539/ijbm.v11n3p73 ◽

2016 ◽

Vol 11 (3) ◽

pp. 73

Author(s):

Naser Ibrahim Saif

Keyword(s):

Emergency Department ◽

Qualitative Case Study ◽

Working Life ◽

Quality Of Working Life ◽

Face To Face ◽

High Workload ◽

Depth Interviews

This descriptive phenomenological qualitative case study aimed to examine the perceptions of emergency department (ED) workers regarding quality of working life (QWL). Nine QWL dimensions were investigated. Two rounds of individual semi-structured face-to-face in-depth interviews were held with 5 physicians and 11 nurses. Data were analyzed using Colaizzi’s process. The findings indicate that most negative QWL issues centered on high workload and poor salary. EDs should deploy additional resources to improve the QWL of ED workers.

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The practice of reporting adverse events in a teaching hospital

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2016045503243 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 4

Author(s):

Andréia Guerra Siman ◽

Simone Graziele Silva Cunha ◽

Maria José Menezes Brito

Keyword(s):

Patient Safety ◽

Content Analysis ◽

Adverse Events ◽

Teaching Hospital ◽

Health Professionals ◽

Qualitative Case Study ◽

Educational Practice ◽

Nursing Team ◽

Objective Understanding

Abstract OBJECTIVE Understanding the practice of reporting adverse events by health professionals. METHOD A qualitative case study carried out in a teaching hospital with participants of the Patient Safety Center and the nursing team. The collection took place from May to December 2015, and was conducted through interviews, observation and documentary research to treat the data using Content Analysis. RESULTS 31 professionals participated in the study. Three categories were elaborated: The practice of reporting adverse events; Barriers in the effective practice of notifications; The importance of reporting adverse events. CONCLUSION Notification was permeated by gaps in knowledge, fear of punishment and informal communication, generating underreporting. It is necessary to improve the interaction between leaders and professionals, with an emphasis on communication and educational practice.

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Qualitative Case Study Research Design

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd25.1.39 ◽

2015 ◽

Vol 25 (1) ◽

pp. 39-45 ◽

Cited By ~ 5

Author(s):

Jennifer Tetnowski

Keyword(s):

Research Design ◽

Real World ◽

Qualitative Case Study ◽

Case Study Research ◽

Study Research

Qualitative case study research can be a valuable tool for answering complex, real-world questions. This method is often misunderstood or neglected due to a lack of understanding by researchers and reviewers. This tutorial defines the characteristics of qualitative case study research and its application to a broader understanding of stuttering that cannot be defined through other methodologies. This article will describe ways that data can be collected and analyzed.

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Qualitative Case Study of Grief Art Therapy for Female Cancer Patient with Physical Loss

Journal of Arts Psychotherapy ◽

10.32451/kjoaps.2020.16.1.077 ◽

2020 ◽

Vol 16 (1) ◽

pp. 77-110

Author(s):

Mina Ahn ◽

◽

Sojung Park

Keyword(s):

Cancer Patient ◽

Art Therapy ◽

Qualitative Case Study

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Comparative prevalence of prescription errors in randomly collected samples from hospital pharmacy and community pharmacy, Punjab, Pakistan

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2017.v03i03.18 ◽

2017 ◽

Vol 3 (3) ◽

pp. 350-353

Author(s):

Sabeeha Kausar ◽

Muhammad Imran

Keyword(s):

Patient Safety ◽

Community Pharmacy ◽

Hospital Pharmacy ◽

Dosage Form ◽

Physician Education ◽

Prescribing Errors ◽

Prescribing Practices ◽

Prescription Errors ◽

Dosing Frequency ◽

N 93

Objective: This study was conducted to analyze and evaluate the prevalence of prescription errors, to optimize the medication effectiveness and patient safety and to encourage the rational prescribing practices. Method: sample of 250 prescriptions was randomly collected from outdoor hospital pharmacy (n=157) and from community pharmacy (n=93) and analyzed manually to estimate the prevalence of prescription errors. Results: Results calculated by using SPPS Version 23 and MS Excel 2013 are as follow; 41.4% prescription collected from outdoor hospital pharmacy presented significant prescribing errors while 54.7% in sample collected from community pharmacy. The prescriptions were segregated and errors were estimated using following parameters; dose, dosage form, dosing frequency, drug-drug interactions, spelling, and duplication of generic, therapy duration and unnecessary drugs. Conclusion: The prevalence of prescribing errors in sample of community pharmacy was 12.37% greater than found in prescriptions of hospital pharmacy. The prevalence of prescription errors can be reduced by physician education, using automated prescribing systems and immediate review of prescription by pharmacist before dispensing of prescription items to patients.

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