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Welcome to the Pubget Medical Subject Headings (MESH) browser. Click on a topic or subtopic below to explore related papers. In the gold box is the most recent paper about the current MESH term, and below are 20 related papers.
Medication Systems, Hospital (0):
Recent article
Medication Systems, Hospital
Abstract
Prescription with more than one drug increases the risk of drug-drug interaction (D-DI), therapeutic failure, high pharmacological effect, or adverse events. The objectives of this study were to estimate the frequency of potential drug-drug interactions in prescriptions for hospitalized patients, and...
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PMID: 21717723
PDF is available here.
PDF is available here.
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Critical Care Medicine (38)12 2010
Abstract
We aimed to assess the impact of an automated dispensing system on the incidence of medication errors related to picking, preparation, and administration of drugs in a medical intensive care unit. We also evaluated the clinical significance of such errors and user satisfaction.
Preintervention and p...
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PMID: 20838333
PDF is available here.
PDF is available here.
Health Management Technology (31)12 2010
Abstract
Australian Critical Care (23)3 2010
Abstract
We risk repeating old mistakes and creating new opportunities for error and inefficiency as illustrated by problems associated with computerized provider order entry systems.
This study was designed to elucidate principles underlying a successful ICU paper-based CIS. The research was guided by two e...
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PMID: 20346695
PDF is available here.
PDF is available here.
Paediatric nursing (22)5 2010
Abstract
Errors totalled 301, the most common was overwriting of a prescription, the least common was incorrect dates. No resulting adverse events were recorded. CONCLUSION: The prevalence of errors needs to be reduced to avoid serious adverse incidents. Computerised physician order entry systems are discuss...
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PMID: 20583641
PDF is available here.
PDF is available here.
Abstract
Medication errors represent a failure in the medication use process and can increase morbidity and mortality. The National Coordinating Council for Medication Error Reporting and Prevention maintains a taxonomy that assists in standardized reporting, evaluating, and trending of medication error data...
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PMID: 20541067
PDF is available here.
PDF is available here.
Abstract
At a 450 bed teaching hospital, the number of medication orders which triggered alerts during all 2-month study periods was 1011. For all the alerts, the likelihood of a valid alert (an alert that occurred in patients with one of the predefined diagnoses) was 96+/-1%. The alert yield, defined as occ...
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PMID: 18599342
PDF is available here.
PDF is available here.
Abstract
A final standardized medication drawer (content and positioning) was developed over 30 months, with agreement from anesthesiologists (n = 12) and anesthesia assistants (n = 3) at the three hospitals. Guidelines for placing each medication in the drawer included grouping them according to order of us...
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PMID: 20143279
PDF is available here.
PDF is available here.
Abstract
Nurses were interrupted, on average, 22% of their time and were frequently interrupted while performing safety-critical tasks. Task completion times were greater for interrupted tasks than for uninterrupted tasks. CONCLUSION: Nurses are frequently interrupted during safety-critical stages of medicat...
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PMID: 20431455
PDF is available here.
PDF is available here.
Abstract
Lack of dose adjustment for renally cleared drugs in the presence of poor renal function is a common problem in the hospital setting. The absence of a clinical decision support system (CDSS) from direct clinician workflows such as computerized provider order entry (CPOE) hinders the uptake of CDSS....
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PMID: 20442149
PDF is available here.
PDF is available here.
Abstract
The study highlights the vulnerability of the label-generation process to errors, with potential causes linked to organisational, environmental, task, team and individual factors....
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PMID: 20441122
PDF is available here.
PDF is available here.
Abstract
Nominative drug dispensation significantly reduces the incidence of medication errors. Computerized automated unit dose drug distribution system could be a safest hospital drug distribution system and allows an improvement of drug distribution in clinical ward. In 2005, at the Vinatier Hospital, an...
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PMID: 20434599
PDF is available here.
PDF is available here.
Nursing Management (16)9 2010
Abstract
Medication errors can occur at any stage of the medication process including prescribing, dispensing, preparation, administration and monitoring (Vincent et al 2009). Medication administration is acknowledged as a process in which patient safety can be compromised easily (Department of Health 2003)...
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PMID: 20222227
PDF is available here.
PDF is available here.
Nursing Management (41)2 2010
Abstract
Abstract
These results indicate that strategies to reduce dispensing errors should address polypharmacy and focus on high-risk units. This should, however, be substantiated by a future trial....
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PMID: 19912167
PDF is available here.
PDF is available here.
Abstract
In total 757 inpatients and 5466 drug prescriptions were studied. The prescription error rate was 4.79 percent (95 percent CI 4.21-5.36). The most frequent error in this phase was failing to observe international prescribing standards. The highest error rate was found in transcription (14.61 percent...
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PMID: 20535904
PDF is available here.
PDF is available here.
Abstract
In reaching the goal for standardized, quality care, a not-for-profit healthcare system consisting of seven institutional entities is transforming nursing practice guidelines, patient care workflow, and patient documents into electronic, online, real-time modalities for use across departments and al...
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PMID: 20182156
PDF is available here.
PDF is available here.
Abstract
This study determines nurses' attitudes toward bar-coding medication administration system use. Some of the factors underlying the successful use of bar-coding medication administration systems that are viewed as a connotative indicator of users' attitudes were used to gather data that describe the...
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PMID: 20182162
PDF is available here.
PDF is available here.
Abstract
Nurses work in stressful environments, encountering interruptions and distractions at almost every turn. The aim of this medication safety project was to improve the physical design and organizational layout of the medication room, reduce nurse interruptions and distractions, and create a standard m...
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PMID: 19844186
PDF is available here.
PDF is available here.
Abstract
Seventy-eight physicians and nurses answered; the overall response rate was 23%. Post-operative pain therapy had high personal priority on an 11-point numeric rating scale (mean 9.08+/-1.27 standard deviation), but the success of pain management on the ward was rated as 7.32+/-1.37. Staff rating of...
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PMID: 19912126
PDF is available here.
PDF is available here.
Nursing Management (40)11 Suppl 2009
Abstract
Explore the merits of this concept for improved medication management.
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PMID: 20029290
PDF is available here.
PDF is available here.
Nursing Management (40)11 Suppl 2009
Abstract
As many as 32% of medication errors occur during administration, so there's good reason to find effective methods to minimize these error opportunities.
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PMID: 20029291
PDF is available here.
PDF is available here.
Nursing Management (40)11 Suppl 2009
Abstract
Implementing this technology can immediately and significantly reduce a facility's error rate.
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PMID: 20029289
PDF is available here.
PDF is available here.
Nursing Management (40)11 Suppl 2009
Abstract
Nurses and pharmacists jointly share an appreciation of the many challenges of implementing error-free systems.
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PMID: 20029288
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
Abstract
The simulation results suggest that automating the prescription-filing function using a prototype that picks and packs at 20 seconds per item will not assist the pharmacy in achieving the waiting time target of 30 minutes for all patients. Regardless of the state of automation, to meet the waiting t...
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PMID: 19565100
PDF is available here.
PDF is available here.
Abstract
The study results show there is a need for standardizing the prescription process and eliminating handwritten prescriptions. The use of pre-typed or edited prescriptions may reduce errors associated to high-alert medications....
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PMID: 19377749
PDF is available here.
PDF is available here.
Abstract
Mounting evidence describes inefficiencies in the hospital work environment that threaten the safety and sustainability of care. In response to these concerns, diverse experts convened to create a set of evidence-based recommendations for the transformation of the hospital work environment. The resu...
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PMID: 19509601
PDF is available here.
PDF is available here.
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2008.
Abstract
The response rate was 40.2%. Most hospitals had a centralized medication distribution system; however, there is evidence of growth in decentralized models compared with data from 2005. Automated dispensing cabinets were used by 83% of hospitals and robots by 10%. The percentage of doses dispensed in...
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PMID: 19420311
PDF is available here.
PDF is available here.
Abstract
Abstract
Do you use a scanner in your medication administration process? Failure to follow the correct procedures for verification, administration, and documentation of medications is poor practice and may expose you to fraud charges. Avoid patient harm and legal pitfalls by taking this advice.
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PMID: 19395933
PDF is available here.
PDF is available here.
Abstract
Nurses averaged more than 15 minutes on each medication pass and were at risk of an interruption or distraction with every medication pass. CONCLUSION: System challenges faced by nurses during the medication administration process lead to threats to patient safety, work-arounds, workflow inefficienc...
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PMID: 19423985
PDF is available here.
PDF is available here.
Abstract
Health Data Management (17)5 2009
Abstract
Abstract
A bar code is a machine-readable, graphic representation of data that allows the use of a combination of bars and spaces of varying widths to obviate the need for manual keyboard data entry. Bar code technology is currently used in patient identification, laboratory specimen identification, blood tr...
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PMID: 19319806
PDF is available here.
PDF is available here.
Abstract
From a staff satisfaction perspective, automation improved medicines storage, security and stock control, and addressed the problem of searching for keys to storage areas. Concerns over familiarity with computers, queuing, speed of access and an improved audit trail do not appear to have been issues...
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PMID: 20214257
PDF is available here.
PDF is available here.
Abstract
A culture that promotes team-based efforts, multidisciplinary collaboration and evidence-based practice is key to innovation. The hospital environment needs to be viewed holistically across different clinical applications, such as EMR, CPOE, eMAR and imaging. It is the combined power of these tools...
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PMID: 19435099
PDF is available here.
PDF is available here.
Abstract
Abstract
In 2008, quality and safety improvement initiatives in Wisconsin focused on developing an organization-wide culture of quality, and implementing processes to improve patient care and satisfaction. Below are descriptions of improvement projects undertaken by hospitals and other health care organizati...
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PMID: 19326638
PDF is available here.
PDF is available here.
Abstract
In Brazil, millions of prescriptions do not follow the legal requirements necessary to guarantee the correct dispensing and administration of medication. This multi-centre exploratory study aimed to analyze the appropriateness of prescriptions at four Brazilian hospitals and to identify possible err...
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PMID: 19219238
PDF is available here.
PDF is available here.
Abstract
Irish medical journal (102)7 2009
Abstract
We describe the successful design and implementation of an online medication error reporting system in a 1017-bed Irish teaching hospital. In-house development has resulted in a system tailored to the needs of the hospital, with the flexibility to adapt to the future demands of the medication safety...
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PMID: 19772005
PDF is available here.
PDF is available here.
Abstract
The total response rates were 54% and 52% for pre- and post-implementation questionnaires. It was shown that after implementation, the legibility and completeness of prescriptions were significantly improved (P <.001) and the administration system had a more intelligible layout (P <.001), with a mor...
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PMID: 19448880
PDF is available here.
PDF is available here.
Abstract
This study addresses the question of the respective impact of organizational vs. technical environment variables on the collective aspects of healthcare work situations. It analyzes the physicians-nurses communications during the medication use process, according to both the organization of their wo...
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PMID: 19745319
PDF is available here.
PDF is available here.
Abstract
This paper describes a Human Factors Engineering approach to a medication use system in the context of a hospital medication CPOE project. It presents the results obtained from the organizational analysis and describes the variations in the distribution of tasks among actors in the medication use pr...
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PMID: 19380957
PDF is available here.
PDF is available here.
Abstract
A usability study is described that compares a web-based capecitabine-prescribing and dispensing application to traditional manual methods. The behaviours of two small groups, oncologists and pharmacists, were recorded and analyzed using a case study of patient with metastatic colon cancer. The stud...
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PMID: 19380953
PDF is available here.
PDF is available here.
Abstract
Abstract
Numerous recent studies have looked at how nursing workarounds and technology failures can undermine the patient safety benefits of barcode medication administration (BCMA) systems. This article will discuss how Solaris Health System in Edison, NJ, methodically addressed these challenges to achieve...
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PMID: 19894484
PDF is available here.
PDF is available here.
Abstract
One of the most difficult National Patient Safety Goals to master is to accurately and completely reconcile medications across the continuum of care. All healthcare providers can agree that reconciliation is valuable, but developing a process that will ensure this is being done at admission, transfe...
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PMID: 19894485
PDF is available here.
PDF is available here.
Abstract
Effective clinical decision support (CDS) is essential for addressing healthcare performance improvement imperatives, but care delivery organizations (CDO) typically struggle with CDS deployment. Ensuring safe and effective medication delivery to patients is a central focus of CDO performance improv...
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PMID: 19894486
PDF is available here.
PDF is available here.
Abstract
Abstract
Our approach for planning for these implementations--along with a suggested sequence--will be discussed in this article....
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PMID: 19894482
PDF is available here.
PDF is available here.
Abstract
We will describe the BCMA system and project methodology, discuss important considerations related to pharmacy, technology, admitting, nursing adoption and service area considerations, and share lessons learned....
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PMID: 19894483
PDF is available here.
PDF is available here.
Abstract
This study identified pathways used to transfer medication information about patients being admitted to aged care facilities, and also immediate responses to that information. The study indicates that these processes, while generally satisfactory, are at times less than ideal. Health professionals i...
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PMID: 19751094
PDF is available here.
PDF is available here.
Abstract
Abstract
During the baseline period 12.5% of all drugs required splitting and 2.7% of all drugs (257/9545) required inappropriate splitting. During the intervention period the frequency of inappropriate splitting was significantly reduced (1.4% of all drugs (146/10486); p = 0.0008). In response to half of th...
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PMID: 19523205
PDF is available here.
PDF is available here.
Abstract
Even if none of the errors reached the patients in this study, a 2.5% error rate indicates the need for improving the unit dose drug-dispensing system. Furthermore, it is almost certain that this study failed to detect some medication errors, further arguing for strategies to prevent their recurrenc...
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PMID: 19142545
PDF is available here.
PDF is available here.