Enhancing Safety via Medication Self-Management and Timely Reporting

2021 ◽  
Author(s):  
Yun Jiang ◽  
Yang Gong
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Side Effects ◽  
Medication Errors ◽  
Chronic Condition ◽  
Self Management ◽  
Prevention Strategies ◽  
Major Threat ◽  
Outpatient Settings ◽  
Rapid Shift

Medication errors have been a major threat to patient safety. Current research on medication errors is largely dependent on in-hospital reports. With the rapid shift of health care to chronic condition management, there is an urgent need to investigate medication errors in the community. In this paper, we discuss that the model of medication self-management developed for outpatient settings may be used to guide the development of prevention strategies for medication errors beyond hospitals. Further, timely reporting medication errors from patients in the communities may be helpful in mitigating the severity of side effects and reducing preventable safety events.

Involving Nonclinical Departments in Patient Safety Discussions can Reduce the Risk of Serious Errors; “40 of K” is Not OK; NDC Number ID of Compounded Prescription Ingredient Leads to Error; Topamax-Toprol XL Mix-Up

2002 ◽  
Vol 37 (11) ◽  
pp. 1140-1146
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

An evaluation of the self-management support capacity of providers of chronic condition primary care

2012 ◽  
Vol 18 (2) ◽  
pp. 112 ◽  
Author(s):  
Tracy E. Cheffins ◽  
Julie A. Twomey ◽  
Jane A. Grant ◽  
Sarah L. Larkins
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Chronic Condition ◽  
Health Care Services ◽  
Readiness To Change ◽  
Structured Interview ◽  
Self Management ◽  
Management Support ◽  
Primary Health

Self-management support (SMS) is an important skill for health professionals providing chronic condition management in the primary health care sector. Training in SMS alone does not always lead to its utilisation. This study aimed to ascertain whether SMS is being used, and to identify barriers and enablers for SMS in practice. Health professionals who underwent SMS training were invited to participate in a semi-structured interview. A response rate of 55% (14 of 24) was achieved. All interviewees rated their understanding of the principles of SMS as moderate or better. In relation to how much they use these principles in their practice, several (5 of 14) said minimally or not at all. The tools they were most likely to use were SMART goals (8 of 14) and decision balance (5 of 14). Core skills that were being used included problem solving (11 of 14), reflective listening (13 of 14), open-ended questions (12 of 14), identifying readiness to change (12 of 14) and goal setting (10 of 14). The most important barriers to implementing SMS were current funding models for health care, lack of space and staff not interested in change. The most highly rated enabling strategies were more training for general practitioners and more training for practice nurses; the lowest rated was more training for receptionists. The increasing prevalence of chronic conditions due to ageing and lifestyle factors must be addressed through new ways of delivering primary health care services. Self-management support is a necessary component of such programs, so identified barriers to SMS must be overcome.

scholarly journals PATIENT SAFETY AND MEDICATION ERRORS IN THE PROVISION OF HEALTH CARE SERVICES-CHALLENGES FOR CONTEMPORARY PRACTICE

2016 ◽  
Vol 55 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Tatjana Stojković ◽  
◽  
Valentina Marinković ◽  
Dušanka Krajnović ◽  
Ljiljana Tasić ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medication Errors ◽  
Health Care Services ◽  
Care Services ◽  
Contemporary Practice

scholarly journals Sisyphus and self-management: the chronic condition self-management paradox

2007 ◽  
Vol 31 (2) ◽  
pp. 184 ◽  
Author(s):  
Peter W Harvey ◽  
Barbara M Docherty
Keyword(s):  
Health Care ◽  
Health System ◽  
Chronic Condition ◽  
Chronically Ill ◽  
Medical Intervention ◽  
Self Management ◽  
Ageing Population ◽  
Economic Determinants ◽  
Ideological Perspective ◽  
Management Approaches

Chronic condition self-management is promoted internationally as not only a possible solution to the health problems of our increasingly chronically ill and ageing population, but as part of a new wave of consumer-led and volunteer-managed health care initiatives. Consumers are now indicating that they want to be more involved in the management of their lives and their health care options, while, especially in rural and smaller communities in Australia, a shortage of clinicians means that health care is rapidly changing. This emphasis on self-management raises crucial questions about where consumer action and control in health care should end and where clinical and medical intervention might begin. Hence, as in the case of Sisyphus and his rock, the self-management process is a difficult and demanding one that poses major challenges and loads for health system reformers and represents a struggle in which new difficulties are constantly emerging. This paper examines some implications of new self-management approaches to chronic illness from an ideological perspective and highlights key elements that underpin the effort to promote health-related lifestyle change. While peer-led self-management programs may assist certain individuals to live engaged and meaningful lives, the essential social and economic determinants of health and wellbeing mean that these programs are not the answer to our urgent need for major reform in the health care arena. Rather, selfmanagement, from an ideological perspective, represents a minor adjustment to the fabric of our health system.

Keselamatan Pemberian Medikasi

2010 ◽  
Vol 13 (2) ◽  
pp. 105-111
Author(s):  
Agustin Indracahyani
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medication Errors ◽  
Health Care Services ◽  
Medication Management ◽  
Medication Administration ◽  
Process Approach ◽  
Nursing Process ◽  
Care Services ◽  
The World

AbstrakKesalahan medikasi merupakan masalah yang sangat serius di pelayanan kesehatan di seluruh dunia. Masalah tersebut mengakibatkan cedera dan kematian bagi pasien, serta meningkatkan biaya yang harus dikeluarkan oleh rumah sakit. Kesalahan medikasi dapat terjadi di setiap tahapan proses manajemen dan penggunaan medikasi dan berakibat pada keselamatan pasien. Kesalahan medikasi dapat terjadi akibat kondisi laten, kondisi yang menyebabkan kesalahan, dan kegagalan aktif. Perawat sebagai pihak yang paling banyak terlibat dalam proses pemberian medikasi memiliki peran penting dalam mencegah, mengenali, dan mengatasi terjadinya kesalahan untuk meningkatkan keselamatan pemberian medikasi. Upaya meningkatkan keselamatan pemberian medikasi dilakukan melalui pendekatan proses keperawatan sejak pengkajian hingga evaluasi dan dokumentasi. AbstractMedication errors are a very serious problem in health care services around the world. These problems lead to morbidity and mortality for patients, as well as increase the costs to be incurred by the hospital. Medication errors may occur at any stages of medication management and use process and result in patient safety. These may occur due to latent conditions, error producing conditions, and active failures. Nurses who are primarily involved in the process of medication administration have important role in preventing, recognizing, and addressing errors in order to enhance safety medication administration. Efforts to enhance safety medication administration may be done through nursing process approach from assessment to evaluation and documentation.

scholarly journals Medication Errors-Incidence, Causes and Possible Prevention Strategies in Indian Health Care Setting

2013 ◽  
Vol 16 (7) ◽  
pp. A478
Author(s):  
H. Patel ◽  
G. Parthasarathi ◽  
C. Shashank ◽  
B. Adithyanath ◽  
D. Shwetha ◽  
...  
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Care Setting ◽  
Health Care Setting ◽  
Prevention Strategies ◽  
Indian Health

scholarly journals Addressing the transition to a chronic condition: exploring independent adoption of self-management by patients with ANCA-associated vasculitis

2021 ◽  
Author(s):  
Ian Litchfield ◽  
Sheila Greenfield ◽  
Lorraine Harper ◽  
Keyword(s):  
Side Effects ◽  
Chronic Condition ◽  
Management Strategies ◽  
Management Programme ◽  
Self Management ◽  
Structured Interviews ◽  
Management Processes ◽  
Additional Support ◽  
Post Hoc ◽  
Consistent Information

Abstract Objective Improvements in care have led to the recognition of Anti-neutrophil cytoplasm antibody associated vasculitis (AAV) as a chronic condition yet the self-management strategies considered a critical component of the care model for patients with more prevalent chronic conditions are yet to be formally integrated into the treatment of AAV patients. The work we present here aims to identify those self-management processes and tasks already being adopted by patients with AAV to help inform existing care and the development of a structured self-management programme. Methods We conducted a series of focus groups and semi-structured interviews with AAV patients collating the data and performing a post-hoc deductive analysis based on a consolidated framework of self-management processes. Results Despite the unique attributes and demands of AAV, patients adopted self-management behaviours previously identified and supported in patients with more prevalent chronic diseases. They proactively accessed information on their disease and learnt to mitigate their symptoms and side effects; they pursued a range of health promotion activities and accessed support from their social network and beyond and ultimately learnt to integrate the condition into their everyday life. Conclusions Our work has highlighted some key areas of self-management that might be usefully and immediately addressed including the provision of more consistent information relating to evolving symptoms and side-effects, additional support in accessing both appropriate care and community-based resources and the use of interventions to bolster resilience. Our findings will inform the development of tailored self-management programme but meantime provide a more contemporary context for current clinician-patient conversations.

scholarly journals What skills do primary health care professionals need to provide effective self-management support?Seeking consumer perspectives

2009 ◽  
Vol 15 (1) ◽  
pp. 37 ◽  
Author(s):  
Sharon Lawn ◽  
Malcolm Battersby ◽  
Helen Lindner ◽  
Rebecca Mathews ◽  
Steve Morris ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Chronic Conditions ◽  
Chronic Condition ◽  
Community Support ◽  
Self Management ◽  
Management Support ◽  
Primary Health ◽  
The Impact

This research aimed to identify the skills required by primary health care (PHC) professionals to provide effective chronic condition prevention and self-management support, according to the perceptions of a sample of Australian consumers and carers. Qualitative data were collected and integrated from a focus group, key informant interviews and National Stakeholder meetings and a National Workshop, supported by an extensive literature review. With the exception of health professionals specifically trained or currently working in this area, consumers and carers perceive there is a lack of understanding, competence and practice of chronic condition prevention and self-management support among PHC professionals. The PHC workforce appears not to have the full set of skills needed to meet the growing burden of chronic conditions on the health system. Recommendations include education and training that focuses on improved communication skills, knowledge of community support resources, identification of consumers’ strengths and current capacities, collaborative care with other health professionals, consumers and carers and psychosocial skills to understand the impact of chronic conditions from the person’s perspective.

Chronic Condition Self-Management: A primary health care change management problem

2005 ◽  
Vol 11 (2) ◽  
pp. 70
Author(s):  
Susan Lambert
Keyword(s):  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
General Practitioners ◽  
Chronic Condition ◽  
Care Service ◽  
Health Care Service ◽  
Primary Health Care Service ◽  
Self Management ◽  
Primary Health

Australian general practitioners are recognising the need to implement some form of chronic condition management program to better service and cope with the ever-increasing number of patients presenting with chronic conditions. Chronic Condition Self-Management (CCSM) is one such program. In this paper it is argued that the basis of CCSM is a multi-disciplinary, care-team approach, and that implementation of such an approach represents a paradigm shift in primary health care service delivery. This equates to a significant innovation in primary health care service that, in economic terms, aims to increase primary health care outputs. Although general practitioners are at the centre of the change they cannot implement the change without the participation and collaboration of the other stakeholders. These stakeholders include other health service providers, the Divisions of General Practice, the Department of Health and Ageing, and the patient. This paper presents a general practice business model to illustrate the relationships between stakeholders in the primary health care sector and to identify the impact of CCSM on these relationships. The organisational and business issues that need to be addressed to promote the uptake of CCSM are also identified.

Approaches for reducing medical errors and increasing patient safety

2014 ◽  
Vol 26 (1) ◽  
pp. 63-74 ◽  
Author(s):  
Mosad Zineldin ◽  
Jonas Zineldin ◽  
Valentina Vasicheva
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medical Errors ◽  
Health Care Institution ◽  
System Response ◽  
Prevention Strategies ◽  
Probability Of Error ◽  
Holistic View ◽  
Content Type ◽  
Care Institution

Purpose – The purpose of this paper is to identify the shortcoming of a health-care institution to reduce the medical errors (MEs) which lead to the increase of physicians and patients relationship. Design/methodology/approach – Total relationship management (TRM) emphasizes the totality and the holistic nature of a relationship. It includes five generic quality dimensions (5 Qs) and measurements. 5 Qs will be used in the paper to identify the shortcoming of a health-care institution, identify and reduce the MEs which lead to the increase of the patient safety and doctors and patients satisfaction. Findings – The paper shows that there is a need for a health-care system response to error that moves the system toward being as fail-Zero tolerant and failsafe as possible rather than one that blames the clinician who may have erred. Research limitations/implications – The proposed 5 Qs model consists of some generic integrated dimensions. Practical implications – Teamwork practice, holistic view and integration of different competences and recourses will allow the support of information systems, the collection of evidence about care, and efforts for continuous quality improvement. Social implications – This research attempts to contribute to the previous academic studies and knowledge in quality of medical and health care by reducing the MEs and increasing patient safety. Originality/value – The 5 Qs can be used as diagnostic instrument to identify and understanding of how MEs and AEs occur and suggest prevention strategies to reduce patient severity and dissatisfaction. The main goal of such prevention strategies is to reduce the probability of error occurrence and increase the probability that the error would be remedied before an inadvertent injury occurred.

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