scholarly journals Mebeverine Prescribing in the Outpatient Setting in Riyadh Region

2021 ◽  
pp. 842-846
Author(s):  
Nehad J. Ahmed ◽  
Mohamed R. Alsubaie ◽  
Abdullah T. Almutairi
Keyword(s):  
Internal Medicine ◽  
Retrospective Study ◽  
Outpatient Setting ◽  
Outpatient Prescriptions

Aim: The present study aimed to explore mebeverine prescribing in the outpatient setting in Riyadh Region. Methodology: This was a retrospective study that included reviewing the outpatient prescriptions of mebeverine in a governmental hospital in Riyadh Region. The study excluded the prescriptions that were prescribed by other settings and the outpatient prescriptions that didn’t contain an mebeverine. Results: During the study period between January 2018 to June 2018, mebeverine was prescribed to 113 patients. most of them were females (62.83%). The age of 29.20% of the patients was between 50 and 59 years. Most of the prescriptions that contained mebeverine were written by residents (86.73%) and most of the prescriptions that contained mebeverine were prescribed by internal medicine (34.51%), gastroenterology (23.89%), and emergency (21.24%) departments. Conclusion: The present study showed that mebeverine was prescribed commonly in the outpatient setting. More studies are needed to explore the frequency of prescribing mebeverine and the frequency of prescribing other antispasmodic medications in different settings.

scholarly journals Budesonide Use in the Outpatient Department in a Public Hospital in Al-Kharj

2021 ◽  
pp. 107-111
Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy
Keyword(s):  
Retrospective Study ◽  
Nasal Spray ◽  
Respiratory System ◽  
Public Hospital ◽  
Outpatient Setting ◽  
Dosage Forms ◽  
Outpatient Department ◽  
Prescribing Pattern ◽  
Outpatient Prescriptions

Aim: This study aimed to describe the prescribing pattern of budesonide nebulizer and budesonide nasal spray in a public hospital in Alkharj. Methodology: This retrospective study was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to describe the use of budesonide in the period between 01-01- 2018 and 31-06-2018.  The study included budesonide forms that are delivered directly to the respiratory system, so budesonide nebulizer and budesonide nasal spray were included in the study and other dosage forms were excluded. Results: About 53.12% of the prescribed budesonide was in the form of nebulizer and 46.88% was in the form of nasal spray. Most of them were males (62.50%) and about 43.75% of them were less than 10 years. More than 53% of the prescriptions were written by residents and 40.62% were written by consultants. The most commonly prescribed department was pediatrics department (43.75%) followed by Ear-Nose-Throat (E.N.T) department (18.75%) and emergency (18.75%). Conclusion: The present study showed that the use of budesonide was uncommon in the outpatient setting. More studies are needed to explore the frequency of prescribing other dosage forms of budesonide and to explore the frequency of prescribing other alternative agents.

scholarly journals Trends in the Outpatient Prescribing of Clopidogrel

2020 ◽  
pp. 1-5
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Internal Medicine ◽  
Retrospective Study ◽  
Drug Interactions ◽  
Public Hospital ◽  
Descriptive Data ◽  
Prescription Patterns ◽  
Prescribing Practice ◽  
Outpatient Prescriptions

Aim: This study aims to evaluate the trends in outpatient prescribing of clopidogrel in order to guide the physicians to appropriate clopidogrel prescribing practice in Alkharj. Methodology: This is a retrospective study that was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to evaluate the prescription patterns of clopidogrel in the period between 01-01- 2018 and 31-12-2018. The data were collected and analyzed using Excel software; the descriptive data were represented by frequencies and percentages. Results: The majority of the patients who received clopidogrel were in the ages between 50 to 69. The majority of the prescribing physicians were residents followed by specialists. Cardiology (50.00%) followed by Internal Medicine (23.71%) were the departments that prescribed the majority of Clopidogrel. Conclusion: Clopidogrel was used frequently and mainly alone without combination. It is prescribed primarily by resident prescribers who are usually with less experience than specialists and consultants. It is important to prescribe it appropriately and it is the responsibility of pharmacists to check for the appropriateness of its dispensing and to check for drug-drug interactions before dispensing it.

High-Resolution Esophageal Manometry in the Inpatient Setting: A Tertiary Referral Center Experience

2021 ◽  
pp. 263451612110351
Author(s):  
Catiele Antunes ◽  
Elinor Zhou ◽  
Jad Abimansour ◽  
Daniella Assis ◽  
Olaya I. Brewer Gutierrez ◽  
...  
Keyword(s):  
Retrospective Study ◽  
High Resolution ◽  
Esophageal Manometry ◽  
Outpatient Setting ◽  
Inpatient Setting ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Additional Intervention ◽  
Lower Likelihood ◽  
Oral Diet

High-resolution esophageal manometry (HRM) is frequently used in the outpatient setting, but its role in the inpatient setting is unknown. We conducted a retrospective study of patients who underwent inpatient or outpatient HRM. Few differences were noted between groups and 28% of inpatients had an additional intervention. Tolerance of oral diet and diabetes were associated with a lower likelihood of additional intervention. Ultimately, the inpatient HRM group had unique characteristics and few subsequent interventions.

Tumour markers in internal medicine: a low-cost test or an unnecessary expense? A retrospective study based on appropriateness

2007 ◽  
Vol 2 (2) ◽  
pp. 88-94 ◽  
Author(s):  
D. Arioli ◽  
M. Pipino ◽  
E. Boldrini ◽  
E. Amateis ◽  
A. Cristani ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Retrospective Study ◽  
Low Cost ◽  
Tumour Markers

scholarly journals COST-EFFICIENCY ANALYSIS OF A MULTI-PAVILION HOSPITAL IN CLUJ COUNTY

2016 ◽  
Vol 89 (1) ◽  
pp. 110-116
Author(s):  
Mihai Mleșnițe ◽  
Ioan Stelian Bocșan
Keyword(s):  
Internal Medicine ◽  
Retrospective Study ◽  
Cost Efficiency ◽  
Time Frame ◽  
Healthcare Systems ◽  
Efficiency Analysis ◽  
Financial Indicators ◽  
Target Groups ◽  
Hospital Administrators ◽  
Clinical Hospital

Background and aim: Multi-hospital health systems have become the most popular administrative structure in healthcare, leading to both opportunities and challenges for hospital administrators. In government-funded healthcare systems, there is a balance between costs and the provision of health services.The aim of the present study is to assess the efficiency in terms of costs of a multi-pavilion hospital from Cluj County, Romania.Methods: The institution analyzed in this article is the Adults’ Clinical Hospital in Cluj-Napoca. A descriptive retrospective study collected data from January 2004 to December 2010. A set of indicators were compiled, divided into three main categories: personnel, statistics, and financial.Results: Twenty-one financial indicators were investigated. Heterogeneity between different years was observed for the continuous hospitalization indicator and the wage budget indicator. The highest variability was observed between the budget and expenses indicators, while a smaller variability was observed at the average costs per patient. The costs per patient have increased at all pavilions in the studied time frame, the higher costs being at the Internal Medicine and Surgery pavilions: 10,203 RON in 2010 (1 euro ~ 4.4 RON)Conclusion: The pavilions included in the Adults’ Clinical Hospital Cluj-Napoca have different expenses patterns, as each pavilion is focused on different specialties. Each pavilion serves different target groups, requiring different procedures. This in turn results in different expense patterns across each pavilion.

scholarly journals Analysis of Medication-Related Deaths in Denmark

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Lars Dahlgaard Hove ◽  
Johannes Bock ◽  
Jens Krogh Christoffersen
Keyword(s):  
Internal Medicine ◽  
Adverse Event ◽  
Patient Safety ◽  
Retrospective Study ◽  
Orthopaedic Surgery ◽  
Safety Measures ◽  
Danish Patient ◽  
Wrong Drug ◽  
Closed Claims ◽  
Future Patient

Objective. To investigate the circumstances associated with medication-related deaths. Design and Setting. This retrospective study investigated closed claims concerning medication-related deaths from 1996 to 2008 registered by the Danish Patient Insurance Association (DPIA). Results. A total of 80 were patients registered as having died because of an adverse event or error associated with a medication, and 37 of these cases were considered to have been preventable. The circumstances of the 37 deaths are described in detail in this report. Orthopaedic surgery, anaesthesiology, and internal medicine were the specialties involved in the majority of the deaths. Incorrect dosing was the cause of 17 deaths, and the use of the wrong drug caused 11 deaths. The administration of a drug despite a known allergy/intolerance or contraindication caused 6 deaths. Other 5 deaths were caused by anticoagulation medications. Methotrexate given daily by mistake caused 2 deaths. Conclusion. This study describes the circumstances of 37 preventable deaths caused by medication. Drug administration despite a known allergy, opioids, sedative, anticonvulsive medicine, and incorrect dosing and incorrect use of anticoagulants are the most important areas to be addressed in the development of future patient safety measures to reduce patient deaths caused by or related to medications.

scholarly journals Meeting Geriatric Competencies: Are Internal Medicine Residency Programs in New Jersey Meeting Expectations for Quality Care in Older Adults

SAGE Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 215824401982767
Author(s):  
Ramy Sedhom ◽  
Daniel Sedhom ◽  
David Barile
Keyword(s):  
Internal Medicine ◽  
Older Adults ◽  
New Jersey ◽  
Palliative Medicine ◽  
Training Programs ◽  
Quality Care ◽  
The United States ◽  
Outpatient Setting ◽  
Older Individuals ◽  
Formal Curriculum

There has long been recognition for improved education and training in aging and geriatrics. As the number of older individuals in the United States increases, with 20% being older than 65 years by 2030, it will become increasingly important for internists and medical subspecialty trainees to have proper training in the care of older adults. A survey was developed and administered to Internal Medicine Program Directors, to perform an educational needs assessment. The survey was administered during the beginning of the 2015 academic year via email. The survey assessed general program characteristics, details regarding required geriatric and palliative medicine teaching, opportunities for electives, barriers encountered at each training site, and future recommendations for improving the structure of resident education. Analysis of survey responses indicated that geriatric and palliative care education is lacking. Although all training programs provided some aspect of geriatric and palliative medicine training to internal medicine residents, only 27% of training programs had a formal curriculum in geriatric and palliative medicine. The majority had an informal curriculum. Very few programs reported using a multimodality approach; most used isolated experiences in either an inpatient or an outpatient setting. Although all residency directors believed curricular developments in geriatric and palliative medicine were important, very few have available faculty needed to facilitate curricular improvements. Almost all identified that they would use a restructured curriculum if it were readily available. Investment in developing content and a standardized curriculum in geriatric and palliative medicine would be very valuable and well received in New Jersey.

PROGNOSTIC FACTORS OF NON-HODGKIN LYMPHOMA: RETROSPECTIVE STUDY IN UNIT BLOOD SERVICE OF THE INTERNAL MEDICINE DANTEC IN DAKAR (SENEGAL)

2015 ◽  
Vol 6 ◽  
pp. 1
Author(s):  
Fatou Samba Diago Ndiaye ◽  
Seynabou Fall ◽  
Atoumane Faye ◽  
Nafissatou Diagne ◽  
Awa Cheikh Ndaw ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Prognostic Factors ◽  
Retrospective Study ◽  
Hodgkin Lymphoma ◽  
Non Hodgkin Lymphoma

scholarly journals The Outpatient Prescribing Pattern of Cefuroxime in Al-Kharj

2020 ◽  
pp. 74-78 ◽  
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Emergency Department ◽  
Public Hospital ◽  
Dosage Form ◽  
Bacterial Resistance ◽  
Outpatient Setting ◽  
Prescribing Pattern ◽  
Cephalosporin Antibiotics ◽  
Tablet Dosage ◽  
Electronic Prescriptions ◽  
Outpatient Prescriptions

Introduction: Several previous studies reported a high prescribing rate of cephalosporin antibiotics such as cefuroxime. The inappropriate outpatients prescribing of cefuroximeleads to the development of bacterial resistance. Aim: This study was conducted to demonstrate the prescribing pattern of cefuroxime in the outpatient setting in Alkharj. Methodology: This retrospective study was conducted to know the prescribing pattern of cefuroxime. The data were collected from electronic prescriptions in a public hospital in Alkharj in 2018. The data were collected and analyzed using Excel software and represented as frequencies and percentages. Results: In 2018, there were 316 prescriptions containing cefuroxime. The majority of the patient was males (56.01%). The majority of cefuroxime prescriptions include tablet dosage form (81.96%). About 62.03% of the outpatient prescriptions were prescribed by the emergency department. Conclusion: Cephalosporin group (including cefuroxime) was one of the most commonly prescribed antibiotic groups to treat several infections. A high percentage of antibiotic prescriptions were prescribed inappropriately. It is important to increase the awareness about the wise use of antibiotics and to start the implementation of antimicrobial stewardship programs.

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