EVALUATION OF DRUG USE AND PATIENT CARE PRACTICES IN A REFERRAL HEALTH FACILITY IN YENAGOA, BAYELSA STATE, NIGERIA

2012 ◽  
Vol 6 (1) ◽  
pp. 10-16 ◽  
Author(s):  
E. Chima Ifeanyi ◽  
S. Obidiya Olatunji ◽  
V. Mc Abraham Chibuike
Keyword(s):  
Drug Use ◽  
Patient Care ◽  
Health Facility ◽  
Care Practices

scholarly journals Study on drug use pattern in primary healthcare centers of Kathmandu valley

2020 ◽  
Vol 8 ◽  
pp. 205031212092643
Author(s):  
Amrita Aryal ◽  
Asmita Dahal ◽  
Rajeev Shrestha
Keyword(s):  
Drug Use ◽  
Patient Care ◽  
World Health Organization ◽  
Health Facility ◽  
Primary Healthcare ◽  
World Health ◽  
Kathmandu Valley ◽  
Appropriate Use ◽  
Health Organization ◽  
Primary Healthcare Centers

Background: The basic health service is a fundamental right of every citizen. Appropriate use of medicine is an essential component for the quality of health. Drug use evaluation is a systematic and criteria-based drug evaluation, which ensures the appropriate use of the drug. The purpose of this study was to analyze the drug use situation in primary healthcare centers of Kathmandu valley. Methodology: A cross-sectional descriptive study was performed in all primary healthcare centers of Kathmandu valley. Six hundred prescriptions were analyzed retrospectively, choosing a simple random sampling method for prescribing indicators. One hundred twenty patients were interviewed for patient-care indicators, and health facility representatives were interviewed for health facility indicators. Drug use indicators developed by World Health Organization/International Network for Rational Use of Drugs were used with slight modification. Result: The average number of drugs per encounter was 2.6. The percentage of drugs prescribed by generic names and from the essential medicine list was 60% and 80.9%, respectively. The prescriptions encounters with antibiotics and injections were 58% and 4.2%, respectively. The average consultation and dispensing time were 3.6 min and 54.4 s, respectively. The percentage of drugs actually dispensed was 76.6%. Only half of the patients knew the correct dose of the dispensed drug and no adequate labeling at all. The majority of dispensers were intern nursing students (42%), and all prescribers were medical officers. Ten out of 12 primary healthcare centers had a copy of EML. The availability of key drugs in primary healthcare centers was incomplete (64.7%). Conclusion: The observed values for all World Health Organization indicators deviated from the optimal range. Patient care provided by health facilities was insufficient and thus an effective intervention program for the promotion of rational drug use practice is recommended.

scholarly journals Healthcare cost associations of patients who use illicit drugs in Florida: a retrospective analysis

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Jessica L. Ryan ◽  
Veronica R. Rosa
Keyword(s):  
Drug Use ◽  
Patient Care ◽  
Healthcare Cost ◽  
Healthcare Costs ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Multiple Drug ◽  
Study Population ◽  
Multiple Drugs ◽  
Hospital Research

Abstract Background Illicit drug use increases visits to the hospital. Research is limited on the costs of these healthcare visits by illicit drug. Methods Florida’s Agency for Health Care Administration’s emergency department and inpatient datasets from 2016 to 2018 were analyzed. Adults who used an illicit drug were included in the study population resulting in 709,658 observations. Cost-to-charge ratios were used to estimate healthcare costs. Linear regression analyzed associations of illicit drugs with total healthcare cost. Results Total healthcare costs are estimated at $6.4 billion over the 3 year period. Medicare paid for the most patient care ($2.16 billion) with Medicaid and commercial insurance each estimated at $1.36 billion. Cocaine (9.25%) and multiple drug use (6.12%) increased the costs of an ED visit compared to a patient with cannabis SUD. Opioids (23.40%) and inhalants use (16.30%) increased the costs of inpatient compared to cannabis SUD. Conclusion Healthcare costs are high of patients with illicit drug SUD and poisoning, over half of which are paid for with tax payer dollars and to an unknown degree hospital write-offs. Injuries and illness of patients using cocaine and multiple drugs are associated with more expensive ED patient care and opioids and inhalants are associated with more expensive inpatient care.

Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

2020 ◽  
Author(s):  
Joshua Pearcy ◽  
Ekta Agarwal ◽  
Elizabeth Isenring ◽  
Ananya Somani ◽  
Charlene Wright ◽  
...  
Keyword(s):  
Patient Care ◽  
Nutrition Care ◽  
Care Practices

Patient care guidelines: A telephone survey of intensive care practices in New South Wales

2010 ◽  
Vol 23 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Serena Knowles ◽  
Kaye Rolls ◽  
Doug Elliott ◽  
Jennifer Hardy ◽  
Sandy Middleton
Keyword(s):  
Intensive Care ◽  
Patient Care ◽  
Telephone Survey ◽  
New South ◽  
New South Wales ◽  
South Wales ◽  
Care Guidelines ◽  
Care Practices

scholarly journals Patient-Care Practices Associated with an Increased Prevalence of Hepatitis C Virus Infection among Chronic Hemodialysis Patients

2011 ◽  
Vol 32 (5) ◽  
pp. 415-424 ◽  
Author(s):  
Gayle Shimokura ◽  
Feng Chai ◽  
David J. Weber ◽  
Gregory P. Samsa ◽  
Guo-liang Xia ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Patient Care ◽  
The United States ◽  
Hemodialysis Patients ◽  
Chronic Hemodialysis ◽  
Hcv Infection ◽  
Hcv Rna ◽  
Infection Prevalence ◽  
Care Practices

Objective.To identify patient-care practices related to an increased prevalence of hepatitis C virus (HCV) infection among chronic hemodialysis patients.Design.Survey.Setting.Chronic hemodialysis facilities in the United States.Participants.Equal-probability 2-stage cluster sampling was used to select 87 facilities from all Medicare-approved providers treating 30–150 patients; 53 facilities and 2,933 of 3,680 eligible patients agreed to participate.Methods.Patients were tested for HCV antibody and HCV RNA. Data on patient-care practices were collected using direct observation.Results.The overall prevalence of HCV infection was 9.9% (95% confidence interval [CI], 8.2%–11.6%); only 2 of 294 HCV-positive patients were detected solely by HCV RNA testing. After adjusting for non-dialysis-related HCV risk factors, patient-care practices independently associated with a higher prevalence of HCV infection included reusing priming receptacles without disinfection (odds ratio [OR], 2.3 [95% CI, 1.4–3.9]), handling blood specimens adjacent to medications and clean supplies (OR, 2.2 [95% CI, 1.3–3.6]), and using mobile carts to deliver injectable medications (OR, 1.7 [95% CI, 1.0–2.8]). Independently related facility covariates were at least 10% patient HCV infection prevalence (OR, 3.0 [95% CI, 1.8–5.2]), patient-to-staff ratio of at least 7: 1 (OR, 2.4 [95% CI, 1.4–4.1]), and treatment duration of at least 2 years (OR, 2.4 [95% CI, 1.3–4.4]).Conclusions.This study provides the first epidemiologic evidence of associations between specific patient-care practices and higher HCV infection prevalence among hemodialysis patients. Staff should review practices to ensure that hemodialysis-specific infection control practices are being implemented, especially handling clean and contaminated items in separate areas, reusing items only if disinfected, and prohibiting mobile medication and clean supply carts within treatment areas.

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