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"Medical error"

Grégoire Faivre, Hugo Kielwasser, Mickaël Bourgeois, Marie Panouilleres, François Loisel, Laurent Obert
BACKGROUND: Burnout syndrome is one of the manifestations of distress in healthcare workers and is characterised by emotional exhaustion (EE), depersonalisation (DP), and a sense of low personal accomplishment (PA). The surgical residency is a period of intense training that imposes major challenges on future surgeons, who may therefore be at high risk for burnout syndrome. Nevertheless, no data on burnout syndrome in orthopaedic and trauma surgery (OTS) residents in France is available...
October 16, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Emily A Gadbois, Denise A Tyler, Renee Shield, John McHugh, Ulrika Winblad, Joan M Teno, Vincent Mor
OBJECTIVE: This research aimed to understand the experiences of patients transitioning from hospitals to skilled nursing facilities (SNFs) by eliciting views from patients and hospital and skilled nursing facility staff. DESIGN: We conducted semi-structured interviews with hospital and skilled nursing facility staff and skilled nursing facility patients and their family members in an attempt to understand transitions between hospital and SNF. These interviews focused on all aspects of the discharge planning and nursing facility placement processes including who is involved, how decisions are made, patients' experiences, hospital-SNF communication, and the presence of programs to improve the transition process...
October 18, 2018: Journal of General Internal Medicine
André Said, Ralf Goebel, Matthias Ganso, Petra Zagermann-Muncke, Martin Schulz
Drug shortages are a complex problem and of growing concern. To evaluate implications of drug shortages in terms of outpatient and inpatient safety, the Drug Commission of German Pharmacists surveyed its two nationwide reference pharmacy networks: 865 community and 54 hospital pharmacies. Participants were asked to complete a six-question online survey, covering relevance and challenges of drug shortages in everyday practice as well as consequences for patient safety. Answers were given in the context of the last three months prior to the survey...
September 13, 2018: Health Policy
Amal M Badawoud, Mary Martha Stewart, Margarita Orzolek, Krista L Donohoe, Patricia W Slattum
Objective The resident-directed medication administration program (RDMA) is a personalized medication approach designed to improve the medication administration process in long-term care facilities (LTCFs). This evaluation aimed to document staff experience with the RDMA program compared with staff working in facilities using a facility-directed medication administration program (FDMA). Design This descriptive program evaluation invited staff members to share their experiences with the medication administration process through an anonymous survey...
October 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
M Ghoddusi Johari, M H Dabaghmanesh, H Zare, A R Safaeian, Gh Abdollahifard
Background: Diabetes is a serious chronic disease, and its increasing prevalence is a global concern. If diabetes mellitus is left untreated, poor control of blood glucose may cause long-term complications. A big challenge encountered by clinicians is the clinical management of diabetes. Many IT-based interventions such ad CDSS have been made to improve the adherence to the standard care for chronic diseases. Objective: The aim of this study is to establish a decision support system of diabetes management based on diabetes care guidelines in order to reduce medical errors and increase adherence to guidelines...
September 2018: Journal of Biomedical Physics & Engineering
Ayesha Ayub, Rehan Ahmed Khan
OBJECTIVE: To explore the awareness of faculty and medical students about students' roles with respect to patient safety and to define the domains that should be made a part of undergraduate curriculum. METHODS: The descriptive exploratory qualitative research was conducted from December 2016 to March 2017 at Islamic International Medical College, Rawalpindi, Pakistan, and comprised faculty members and final year medical students. World Health Organisation patient safety curriculum guideline for undergraduate medical schools was taken as the reference...
September 2018: JPMA. the Journal of the Pakistan Medical Association
Lauren Krowl, Aashrai Gudlavalleti, Arpan Patel, Lauren Panebianco, Michael Kosters, Amit S Dhamoon
With increased oversight of residency work hours, there has been an increase in shift handoffs, which are prone to medical errors. To date, there are no evidence-based recommendations on essential elements of shift handoffs. We implemented a standardized shift-handoff rubric at an academic medicine residency program. Compliance, resident/faculty perceptions, and surrogate markers of patient safety were measured.Shift-handoff documents were collected January-February 2016 (control) April-June 2016 (intervention)...
October 2018: Medicine (Baltimore)
Olakotan Olufisayo, Maryati Mohd Yusof, Sharifa Ezat Wan Puteh
Despite the widespread use of clinical decision support systems with its alert function, there has been an increase in medical errors, adverse events as well as issues regarding patient safety, quality and efficiency. The appropriateness of CDSS must be properly evaluated by ensuring that CDSS provides clinicians with useful information at the point of care. Inefficient clinical workflow affects clinical processes; hence, it is necessary to identify processes in the healthcare system that affect provider's workflow...
2018: Studies in Health Technology and Informatics
Gabriella Caleres, Åsa Bondesson, Patrik Midlöv, Sara Modig
BACKGROUND: Discharge summary with medication report effectively counteracts drug-related problems among elderly patients due to insufficient information transfer in care transitions. However, this requires optimal transfer and use of the discharge summaries. This study aimed to examine information transfer with discharge summaries from hospital to primary care. METHODS: A descriptive study with data consisting of discharge summaries of 115 patients, 75 years or older, using five or more drugs, collected during one week from 28 different hospital wards in Skåne county, Sweden...
October 11, 2018: BMC Health Services Research
Zeray Baraki, Mebrahtu Abay, Lidiya Tsegay, Hadgu Gerensea, Awoke Kebede, Hafte Teklay
BACKGROUND: Medication administration error is a medication error that occurs while administering a medication to a patient. A variety of factors make pediatrics more susceptible to medication errors and its consequences. In low-income countries, like Ethiopia, there is no sufficient evidence regarding medication administration error among pediatrics. The aim of this study is, therefore, to determine the magnitude and factors associated with medication administration error among pediatric population...
October 10, 2018: BMC Pediatrics
Ana Paula Gobbo Motta, Juliana Magalhães Guerreiro, Ana Flora Fogaça Gobbo, Luciana Kusumota, Elisabeth Atila, Rebecca O Shasanmi, Fernanda Raphael Escobar Gimenes
OBJECTIVE: To describe the experience of using participatory photographic research methods to engage nurses and researchers in a collaborative study to improve medication safety conditions, particularly in patients with feeding tubes in a nursing home for the elderly (NHE). METHOD: This qualitative study was conducted in Brazil and proceeded in iterative phases of visual and textual data collection and analysis. Interviews, subsequent nurse-led photo-narrated walkabouts, and photo elicitation were used with nurses...
September 2018: Revista Brasileira de Enfermagem
Jonathan A Flug, Lisa M Ponce, Howard H Osborn, Clinton E Jokerst
The term never event in medicine was originally coined by Kenneth W. Kizer, MD, MPH, former chief executive officer of the National Quality Forum, to describe particularly shocking medical errors that should never occur, such as wrong-site surgery or death associated with introduction of a metallic object into the MRI area. With time, the National Quality Forum's list of never events, or "serious reportable events," has been expanded to include adverse events that are unambiguous, serious, and usually preventable...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
R Vera, M J Otero, F Ayala de la Peña, C González-Pérez, Á Peñuelas, J M Sepúlveda, N Quer, N Doménech-Climent, J A Virizuela, P Beorlegui, M Q Gorgas
AIM: To define recommendations that permit safe management of antineoplastic medication, minimise medication errors and improve the safety of cancer patients undergoing treatment. METHODS: By reviewing the literature and consulting the websites of various health organisations and agencies, an expert committee from the Spanish Society of Hospital Pharmacy and the Spanish Society of Medical Oncology defined a set of safe practices covering all stages of providing cancer therapy to patients...
October 8, 2018: Clinical & Translational Oncology
Drakeria Barr, Quovadis J Epps
Stroke and venous thromboembolism continues to be a major cause of morbidity and mortality worldwide. The use of anticoagulation therapy has proven effective in the prevention of stroke and management of thromboembolism; however, initiating treatment may bear clinical burden given the capacity of these agents to cause bleeding. Originally, warfarin has been primarily used, but with the approval of direct oral anticoagulants, therapeutic recommendations have shifted to direct oral anticoagulants for first line therapy for venous thromboembolism for patients without cancer...
October 8, 2018: Journal of Thrombosis and Thrombolysis
Thomas Bodley, Janice L Kwan, John Matelski, Patrick J Darragh, Peter Cram
BACKGROUND: Missed test results are a cause of medical error. Few studies have explored test result management in the inpatient setting. OBJECTIVE: To examine test result management practices of general internal medicine providers in the inpatient setting, examine satisfaction with practices, and quantify self-reported delays in result follow-up. DESIGN: Cross-sectional survey. PARTICIPANTS: General internal medicine attending physicians and trainees (residents and medical students) at three Canadian teaching hospitals...
October 8, 2018: Journal of General Internal Medicine
Carles Martin-Fumadó, Màrius Morlans, Francesc Torralba, Josep Arimany-Manso
No abstract text is available yet for this article.
October 5, 2018: Medicina Clínica
Anny D Nguyen, Alice Lam, Iouri Banakh, Skip Lam, Tyron Crofts
BACKGROUND: The medication lists in pre-admission clinic (PAC) questionnaires completed by patients prior to surgery are often inaccurate, potentially leading to medication errors during hospitalization. Studies have shown pharmacists are more accurate when obtaining a medication history and transcribing prescription orders, thereby reducing errors. OBJECTIVE: To evaluate the impact of a PeRiopErative and Prescribing (PREP) pharmacist on postoperative medication management...
October 8, 2018: Journal of Pharmacy Practice
Sandro Vento, Francesca Cainelli, Alfredo Vallone
Defensive medicine is widespread and practiced the world over, with serious consequences for patients, doctors, and healthcare costs. Even students and residents are exposed to defensive medicine practices and taught to take malpractice liability into consideration when making clinical decisions. Defensive medicine is generally thought to stem from physicians' perception that they can easily be sued by patients or their relatives who seek compensation for presumed medical errors. However, in our view the growth of defensive medicine should be seen in the context of larger changes in the conception of medicine that have taken place in the last few decades, undermining the patient-physician trust, which has traditionally been the main source of professional satisfaction for physicians...
October 6, 2018: World Journal of Clinical Cases
Carla Meyer-Massetti, Vera Hofstetter, Barbara Hedinger-Grogg, Christoph R Meier, B Joseph Guglielmo
Background The shift from inpatient to ambulatory care has resulted in an increase in home care patients. Little is known regarding medication safety associated with patient transfer from hospital to home care. Objective To evaluate medication-related problems in patients transferring from hospital to home care in Switzerland. Setting A non-for-profit home care organization in the city of Lucerne/Switzerland. Methods We conducted a prospective observational study, including patients aged ≥ 64 years and receiving ≥ 4 medications at hospital discharge...
October 5, 2018: International Journal of Clinical Pharmacy
Corey A Lester, John M Kessler, Tara Modisett, Michelle A Chui
BACKGROUND: Medication errors are estimated to cost $42 billion in annual global treatment costs. Pharmacy-based Patient Safety Organizations (PSO) are tasked with collecting and analyzing incidents, near misses, and unsafe condition reports as one way of engaging pharmacies in quality improvement efforts. Collectively, these reports are referred to as quality related events (QREs). Large-scale analysis of typed narratives from QRE reports across organizations has been a missing component of quality improvement programs...
September 26, 2018: Research in Social & Administrative Pharmacy: RSAP
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