Medication Safety Unit Programs in King Saud Medical City, 2012 – 2013: Safe Medication Management and Use with a Focus on Patient Safety

2015 ◽  
Vol 8 (5) ◽  
pp. 384-407
Author(s):  
Ibrahim Al-Zaagi ◽  
Dalal Al-Dossari ◽  
Sara Salem ◽  
Naseem Qureshi
Keyword(s):  
Patient Safety ◽  
Medication Safety ◽  
Medication Management ◽  
Safe Medication ◽  
Medical City

Medication reconciliation in ambulatory oncology new patient clinics

2020 ◽  
pp. 107815522096424
Author(s):  
Roxanne Dobish ◽  
Carol Baumgarten ◽  
Frances Folkman ◽  
Carole R Chambers
Keyword(s):  
Patient Safety ◽  
Medication Reconciliation ◽  
Medication Management ◽  
Clinic Visit ◽  
Healthcare Staff ◽  
Safe Medication ◽  
Multiple Factors ◽  
Patient Surveys ◽  
Alternative Approach ◽  
Ambulatory Oncology

Medication Reconciliation (MedRec) is an essential part of safe medication management and plays a key role in ensuring patient safety. A variety of methods and a number of different healthcare disciplines can be involved in the MedRec process and the timing and location of conducting MedRec can vary. In an effort to streamline the process in ambulatory oncology new patient clinics, a pilot of an alternative approach was undertaken whereby pharmacists with advanced prescribing privileges completed MedRec with patients prior to their clinic visit. Evaluation of the pilot was completed through the collection of various metrics, a pharmacist focus group, healthcare staff and patient surveys. Overall the evaluation indicated that there are multiple factors to consider regarding the timing and method of MedRec completion. The various phases of the pilot demonstrated that flexibility to the process is key and ongoing efforts are required at reducing duplication.

scholarly journals Pictograms for Safer Medication Management by Health Care Workers

2016 ◽  
Vol 69 (4) ◽  
Author(s):  
Régis Vaillancourt ◽  
Annie Pouliot ◽  
Kim Streitenberger ◽  
Sylvia Hyland ◽  
Pierre Thabet
Keyword(s):  
Health Care ◽  
Medication Safety ◽  
Medication Management ◽  
Medication Administration ◽  
Delphi Process ◽  
Semiotic Analysis ◽  
Safety Issues ◽  
Personnel Infirmier ◽  
Nurses And Physicians ◽  
Pharmacy Technicians

<p><strong>ABSTRACT</strong></p><p><strong>Background:</strong> Inherent risks are associated with the preparation and administration of medications. As such, a key aspect of medication safety is to ensure safe medication management practices.</p><p><strong>Objective:</strong> To identify key medication safety issues and high-alert drug classes that might benefit from implementation of pictograms, for use by health care providers, to enhance medication administration safety. This study was the first step in the development of such pictograms.</p><p><strong>Methods:</strong> Self-identified medication management experts participated in a modified Delphi process to achieve consensus on situations where safety pictograms are required for labelling to optimize safe medication management. The study was divided into 3 phases: issue generation, issue reduction, and issue selection. Issues achieving at least 80% consensus and deemed most essential were selected for future studies. Retained issues were subjected to semiotic analysis, and preliminary pictograms were developed.</p><p><strong>Results:</strong> Of the 87 health care professionals (pharmacists, pharmacy technicians, nurses, and physicians) invited to participate in the Delphi process, 30 participated in all 3 phases. A total of 55 situations that could potentially benefit from safety pictograms were generated initially. Through the Delphi process, these were narrowed down to 10 situations where medication safety might be increased with the use of safety pictograms. For most of the retained issues, between 3 and 6 pictograms were designed, based on the results of the semiotic analysis.</p><p><strong>Conclusions:</strong> The pharmacists, pharmacy technicians, nurses, and physicians participating in this study reached consensus and identified 10 medication administration safety issues that might benefit from the development and implementation of safety pictograms. Pictograms were developed for a total of 9 issues. In follow-up studies, these pictograms will be validated for comprehension and evaluated for effectiveness.</p><p><strong>RÉSUMÉ</strong></p><p><strong>Contexte :</strong> Il y a des risques inhérents associés à la préparation et à l’administration de médicaments. Pour cette raison, l’un des principaux aspects de la sécurité des médicaments est d’assurer des pratiques de gestion des médicaments sécuritaires.</p><p><strong>Objectif :</strong> Déterminer les principales questions de sécurité des médicaments et les classes de médicaments de niveau d’alerte élevé pour lesquelles l’ajout de pictogrammes, destinés aux fournisseurs de soins de santé, permettrait de rendre l’administration de médicaments plus sécuritaire. La présente étude représentait la première étape dans l’élaboration de ces pictogrammes.</p><p><strong>Méthodes :</strong> Des professionnels qui se définissaient comme experts en gestion de médicaments ont participé à un processus Delphi modifié dans le but d’arriver à un consensus à propos des situations où des pictogrammes de sécurité doivent être ajoutés à l’étiquette afin d’optimiser la gestion sécuritaire des médicaments. L’étude a été divisée en trois phases : génération de questions de sécurité, élimination de questions de sécurité et sélection de questions de sécurité. Les questions qui atteignaient un consensus d’au moins 80 % et qui étaient considérées comme les plus essentielles ont été retenues pour des études ultérieures. Les questions de sécurité retenues ont été soumises à une analyse sémiotique, puis des ébauches de pictogrammes ont été créées.</p><p><strong>Résultats :</strong> Parmi les 87 professionnels de la santé (notamment des pharmaciens, des techniciens en pharmacie, du personnel infirmier et des médecins) invités à participer au processus Delphi, 30 ont pris part aux trois étapes. Au total, 55 situations pour lesquelles il pourrait être avantageux d’utiliser des pictogrammes de sécurité ont été générées au départ. Grâce au processus Delphi, ce nombre a été réduit à 10 situations pour lesquelles la sécurité des médicaments pourrait être accrue à l’aide de pictogrammes de sécurité. Pour la plupart des questions retenues, entre trois et six pictogrammes ont été conçus à l’aide des résultats de l’analyse sémiotique.</p><p><strong>Conclusion :</strong> Les pharmaciens, les techniciens en pharmacie, le personnel infirmier et les médecins qui ont participé à l’étude ont atteint un consensus sur dix questions au sujet de l’administration sécuritaire des médicaments pour lesquelles l’élaboration et la mise en place de pictogrammes de sécurité pourraient être avantageuses. Ensuite, des pictogrammes ont été conçus pour neuf questions au total. Dans les études ultérieures, il faudra évaluer l’efficacité des pictogrammes et s’assurer qu’ils sont interprétés correctement.</p>

scholarly journals Usability Flaws in Medication Alerting Systems: Impact on Usage and Work System

2015 ◽  
Vol 24 (01) ◽  
pp. 55-67 ◽  
Author(s):  
E. Ammenwerth ◽  
E. Roehrer ◽  
S. Pelayo ◽  
F. Vasseur ◽  
M.-C. Beuscart-Zéphir ◽  
...  
Keyword(s):  
Patient Safety ◽  
New Technology ◽  
Medication Management ◽  
Secondary Analysis ◽  
Previous Attempt ◽  
Negative Consequences ◽  
Negative Outcomes ◽  
Work Systems ◽  
Work System ◽  
Alerting Systems

Summary Objectives: Previous research has shown that medication alerting systems face usability issues. There has been no previous attempt to systematically explore the consequences of usability flaws in such systems on users (i.e. usage problems) and work systems (i.e. negative outcomes). This paper aims at exploring and synthesizing the consequences of usability flaws in terms of usage problems and negative outcomes on the work system. Methods: A secondary analysis of 26 papers included in a prior systematic review of the usability flaws in medication alerting was performed. Usage problems and negative outcomes were extracted and sorted. Links between usability flaws, usage problems, and negative outcomes were also analyzed. Results: Poor usability generates a large variety of consequences. It impacts the user from a cognitive, behavioral, emotional, and attitudinal perspective. Ultimately, usability flaws have negative consequences on the workflow, the effectiveness of the technology, the medication management process, and, more importantly, patient safety. Only few complete pathways leading from usability flaws to negative outcomes were identified.Conclusion: Usability flaws in medication alerting systems impede users, and ultimately their work system, and negatively impact patient safety. Therefore, the usability dimension may act as a hidden explanatory variable that could explain, at least partly, the (absence of) intended outcomes of new technology.

Pharmacist-Initiated Management of a Suspected Case of Risperidone-Induced Neuroleptic Malignant Syndrome in an Aged-Care Resident. The Role of Residential Medication Management Reviews in Medication Safety

2018 ◽  
Vol 33 (3) ◽  
pp. 382-385 ◽  
Author(s):  
Michael Morcos ◽  
Jonathan Corns ◽  
Jodie Belinda Hillen
Keyword(s):  
Medication Safety ◽  
Psychological Symptoms ◽  
Medication Management ◽  
Aged Care ◽  
Suspected Case ◽  
Medication Reviews ◽  
Behavioral And Psychological Symptoms ◽  
Valuable Role

A 70-year-old female aged-care resident was referred by her general practitioner for a residential medication management review after nurses reported difficulties with swallowing, episodes of hyperthermia, elevated blood pressure, and tachycardia. These symptoms were accompanied by increasing confusion and drowsiness. Risperidone had recently been prescribed to treat behavioral and psychological symptoms of dementia. This case study describes the pharmacist-initiated management of the symptoms through a national medication review program. It demonstrates the valuable role collaborative medication reviews play in managing adverse drug reactions in aged-care.

scholarly journals Mixed-methods study protocol: do national reporting and learning system medication incidents in palliative care reflect patient and carer concerns about medication management and safety?

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e048696
Author(s):  
Sarah Yardley ◽  
Sally-Anne Francis ◽  
Antony Chuter ◽  
Stuart Hellard ◽  
Julia Abernethy ◽  
...  
Keyword(s):  
Palliative Care ◽  
Patient Safety ◽  
Professional Learning ◽  
Public Involvement ◽  
Medication Management ◽  
Patient And Public Involvement ◽  
Learning System ◽  
Mixed Methods Study ◽  
Professional Perspectives ◽  
Medication Incidents

IntroductionApproximately 20% of serious safety incidents involving palliative patients relate to medication. These are disproportionately reported when patients are in their usual residence when compared with hospital or hospice. While patient safety incident reporting systems can support professional learning, it is unclear whether these reports encompass patient and carer concerns with palliative medications or interpersonal safety.AimTo explore and compare perceptions of (un)safe palliative medication management from patient, carer and professional perspectives in community, hospital and hospice settings.Methods and analysisWe will use an innovative mixed-methods study design combining systematic review searching techniques with cross-sectional quantitative descriptive analysis and interpretative qualitative metasynthesis to integrate three elements: (1) Scoping review: multiple database searches for empirical studies and first-hand experiences in English (no other restrictions) to establish how patients and informal carers conceptualise safety in palliative medication management. (2)Medication incidents from the England and Wales National Reporting and Learning System: identifying and characterising reports to understand professional perspectives on suboptimal palliative medication management. (3) Comparison of 1 and 2: contextualising with stakeholder perspectives.Patient and public involvementOur team includes a funded patient and public involvement (PPI) collaborator, with experience of promoting patient-centred approaches in patient safety research. Funded discussion and dissemination events with PPI and healthcare (clinical and policy) professionals are planned.Ethics and disseminationProspective ethical approval granted: Cardiff University School of Medicine Research Ethics Committee (Ref 19/28). Our study will synthesise multivoiced constructions of patient safety in palliative care to identify implications for professional learning and actions that are relevant across health and social care. It will also identify changing or escalating patterns in palliative medication incidents due to the COVID-19 pandemic. Peer-reviewed publications, academic presentations, plain English summaries, press releases and social media will be used to disseminate to the public, researchers, clinicians and policy-makers.

Hidden factors in community pharmacy related to medication safety risks: Pushing patient safety to breaking point

2021 ◽  
Author(s):  
Ammar Abdulrahman Jairoun ◽  
Sabaa Saleh Al-Hemyari ◽  
Maimona Jairoun ◽  
Faris El-Dahiyat ◽  
Mina Rabea Al Ani ◽  
...  
Keyword(s):  
Patient Safety ◽  
Community Pharmacy ◽  
Medication Safety ◽  
Breaking Point ◽  
Safety Risks

scholarly journals Electronic Health Records and Patient Safety

2015 ◽  
Vol 06 (01) ◽  
pp. 136-147 ◽  
Author(s):  
D. Gans ◽  
J. White ◽  
R. Nath ◽  
J. Pohl ◽  
C. Tanner
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Electronic Health Records ◽  
Medication Management ◽  
Health Records ◽  
Safety Practices ◽  
Care Practices ◽  
Electronic Health ◽  
Primary Care Practices ◽  
Promote Patient Safety

Summary Background: The role of electronic health records (EHR) in enhancing patient safety, while substantiated in many studies, is still debated. Objective: This paper examines early EHR adopters in primary care to understand the extent to which EHR implementation is associated with the workflows, policies and practices that promote patient safety, as compared to practices with paper records. Early adoption is defined as those who were using EHR prior to implementation of the Meaningful Use program. Methods: We utilized the Physician Practice Patient Safety Assessment (PPPSA) to compare primary care practices with fully implemented EHR to those utilizing paper records. The PPPSA measures the extent of adoption of patient safety practices in the domains: medication management, handoffs and transition, personnel qualifications and competencies, practice management and culture, and patient communication. Results: Data from 209 primary care practices responding between 2006–2010 were included in the analysis: 117 practices used paper medical records and 92 used an EHR. Results showed that, within all domains, EHR settings showed significantly higher rates of having workflows, policies and practices that promote patient safety than paper record settings. While these results were expected in the area of medication management, EHR use was also associated with adoption of patient safety practices in areas in which the researchers had no a priori expectations of association. Conclusions: Sociotechnical models of EHR use point to complex interactions between technology and other aspects of the environment related to human resources, workflow, policy, culture, among others. This study identifies that among primary care practices in the national PPPSA database, having an EHR was strongly empirically associated with the workflow, policy, communication and cultural practices recommended for safe patient care in ambulatory settings. Citation: Tanner C, Gans D, White J, Nath R, Pohl J. Electronic health records and patient safety – co-occurrence of early EHR implementation with patient safety practices in primary care settings. Appl Clin Inf 2015; 6: 136–147http://dx.doi.org/10.4338/ACI-2014-11-RA-0099

Engineering care transitions: Clinician perceptions of barriers to safe medication management during transitions of patient care

2021 ◽  
Vol 91 ◽  
pp. 103299
Author(s):  
S.M. Hannum ◽  
E. Abebe ◽  
Y. Xiao ◽  
R. Brown ◽  
I.M. Peña ◽  
...  
Keyword(s):  
Patient Care ◽  
Medication Management ◽  
Care Transitions ◽  
Safe Medication

A Service-Oriented Privacy-Aware System for Medication Safety and Prescription Compliance in Smart Home Environments

2011 ◽  
pp. 198-225
Author(s):  
José M. Reyes Álamo ◽  
Ryan Babbitt ◽  
Hen-I Yang ◽  
Tanmoy Sarkar ◽  
Johnny Wong ◽  
...  
Keyword(s):  
Health Information ◽  
Medication Safety ◽  
Patient Management ◽  
Cognitive Impairments ◽  
Medication Management ◽  
Health Conditions ◽  
Service Oriented ◽  
Rapid Pace ◽  
Smart Home Environments

Medication management is becoming more complex, and the likelihood of unsafe prescriptions has increased because of the rapid pace of new medications introduced to the market, the trend of modern healthcare towards specialization, and the variety of medication interactions that complicate the prescribing process and patient management of medications. The severity of this problem is magnified when patients require multiple medications or have cognitive impairments. To counter this problem and improve the quality of patient healthcare, we designed and implemented a service-oriented system for medication management that collects and integrates information from patient smart homes, doctor offices and pharmacies to 1) detect adverse reactions among prescribed medications, existing health conditions, and foods, and 2) monitor and promote compliance with prescription instructions. The system is privacy-aware and designed to support information privacy regulations, such as the Health Information Portability and Accountability Act (HIPAA).

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