scholarly journals NURSES’ COMPLIANCE IN APPLYING INDEPENDENT DOUBLE CHECK IN DRUG ADMINISTRATION

2021 ◽  
Vol 8 (2) ◽  
pp. 120
Author(s):  
Selvi Kadang ◽  
Putri Natalia Sitanggang ◽  
Rachel Pratylia Sanjun ◽  
Yenni Ferawati Sitanggang ◽  
Erivita Sakti
Keyword(s):  
Medication Errors ◽  
Drug Administration ◽  
Quantitative Method ◽  
Private Hospital ◽  
Univariate Analysis ◽  
Medication Administration ◽  
Analysis Method ◽  
Factors Associated ◽  
Safety Studies ◽  
The Relationship

Independent Double Check (IDC) is a strategy that plays a key role in medication safety. Studies have shown that its use can detect up to 95% of medication errors reducing incidents related to drug administration. Despite this benefit, not all nurses have implemented it. This study aims to describe nurses’ compliance in applying IDC at a private hospital in West Indonesia. The study used the descriptive quantitative method and purposive sampling was utilized in choosing 52 respondents. Data were collected from the respondents working in two inpatient wards where the highest number of medication errors occurred. A checklist was used to observe the nurses administer medications to patients in three occasions. The analysis of data employed univariate analysis method. The results showed that 35 (67.3%) of the respondents implemented IDC before medication administration, while 17 (32.7%) did not implement it. However, those who implemented IDC did not contribute to the reduction of medication errors in these wards. The authors recommend that further studies be conducted to investigate the factors associated with nurses’ compliance and non-compliance in applying IDC, and the relationship between nurses’ compliance to IDC and incidents of medication errors.

scholarly journals Analysis of Reported E-prescribing Medication Administration Errors at King Saud Medical City, Riyadh: A Cross-Sectional, Retrospective Study

2020 ◽  
pp. 34-45
Author(s):  
Dalal Salem Al- Dossari ◽  
Mohammed Ibrahim Alnami ◽  
Naseem Akhtar Qureshi
Keyword(s):  
Saudi Arabia ◽  
Retrospective Study ◽  
Medication Errors ◽  
Drug Administration ◽  
Medication Administration ◽  
Care Hospital ◽  
Cross Sectional ◽  
Common Error ◽  
Clinical Pharmacists ◽  
Medication Administration Errors

Background: Drug prescription error is a medication error that most frequently happens in healthcare organizations and adversely affects the healthcare consumers. Most medication errors (MEs) but not all are captured and corrected before reaching the patient by designed system controls. Medication administration errors (MAEs) mostly are made by nurses but frequently reported by clinical pharmacists in hospitals in Saudi Arabia. Objective: This study aimed to analyze exclusively the voluntarily reported drug administration errors in a tertiary care hospital in Riyadh city. Methods: This cross-sectional, retrospective study evaluated consecutively collected medication administration report forms over a period of one year from January 1, 2015 to December 31, 2015. Results: The number of MAEs occurring during stage of drug administration constituted 7.1% (n=971) of total medication errors (n=13677). The maximum number of MEs (n=6838, 50%) and MAEs (n=455, 46.9%) occurred during the 4th quarter of the year 2015. The most common MAE happened to be category C (n=888, 91.5%) which means error occurred, reached the patient but without causing any harm. Concerning MAE types, the most common error included wrong frequency (40%) followed by wrong drug (17%), wrong time of administration (16%) and wrong rate of infusion (10%). Nurses made the most of the errors (92.2%) while the clinical pharmacists reported the most MAEs (75.5%). High alert medications (HAM) errors constituted 32.3% (n=314) of MAEs (n=971) and most common HAM errors included the wrong route of administration of Lanus Insulin (15%) followed by Insulin Aspart (15%), Enoxaparin (13%) and Insulin Protamine-Nvomix (12%). Look-alike and sound-alike (LASA) errors constituted 55.2% of MAEs (971/536) and most common LASA drugs identified were Gentamycin (13%), Insulin Mixtard (11%), NPH Insulin (8%) Intralipid vial (8%) and Insulin regular (6%). Conclusion: This retrospective study provides some important tentative pharmacovigilance insights into MAEs, which are partially comparable with current international trends in drug administration errors. Further studies on MAEs are warranted not only in the Kingdom of Saudi Arabia but also other Gulf countries.

Medication Errors Among Adults and Children With Cancer in the Outpatient Setting

2009 ◽  
Vol 27 (6) ◽  
pp. 891-896 ◽  
Author(s):  
Kathleen E. Walsh ◽  
Katherine S. Dodd ◽  
Kala Seetharaman ◽  
Douglas W. Roblin ◽  
Lisa J. Herrinton ◽  
...  
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Medication Administration ◽  
Outpatient Setting ◽  
Error Rates ◽  
Factors Associated ◽  
Home Medication ◽  
Adults And Children ◽  
Pediatric Outpatients ◽  
Adjusted Dose

Purpose Outpatients with cancer receive complicated medication regimens in the clinic and home. Medication errors in this setting are not well described. We aimed to determine rates and types of medication errors and systems factors associated with error in outpatients with cancer. Methods We retrospectively reviewed records from visits to three adult and one pediatric oncology clinic in the Southeast, Southwest, Northeast, and Northwest for medication errors using established methods. Two physicians independently judged whether an error occurred (κ = 0.65), identified its severity (κ = 0.76), and listed possible interventions. Results Of 1,262 adult patient visits involving 10,995 medications, 7.1% (n = 90; 95% CI, 5.7% to 8.6%) were associated with a medication error. Of 117 pediatric visits involving 913 medications, 18.8% (n = 22; 95% CI, 12.5% to 26.9%) were associated with a medication error. Among all visits, 64 of the 112 errors had the potential to cause harm, and 15 errors resulted in injury. There was a range in the rates of chemotherapy errors (0.3 to 5.8 per 100 visits) and home medication errors (0 to 14.5 per 100 visits in children) at different sites. Errors most commonly occurred in administration (56%). Administration errors were often due to confusion over two sets of orders, one written at diagnosis and another adjusted dose on the day of administration. Physician reviewers selected improved communication most often to prevent error. Conclusion Medication error rates are high among adult and pediatric outpatients with cancer. Our findings suggest some practical targets for intervention, including improved communication about medication administration in the clinic and home.

Some Topics in the Modal FRS Method

2008 ◽  
Author(s):  
B. L. Ly ◽  
L. Sun
Keyword(s):  
Effective Mass ◽  
Static Analysis ◽  
Total Mass ◽  
Quantitative Method ◽  
Response Spectrum ◽  
Static Method ◽  
Local Mode ◽  
Analysis Method ◽  
Base Shear ◽  
The Relationship

The following five common topics in the modal Floor Response Spectrum (FRS) method are examined: 1) The relationship between the effective mass and the total mass; 2) Estimation of the base shear; 3) Identification of a local mode; 4) The uniform acceleration to be applied in the equivalent static analysis method; 5) Correction for the residual rigid modes. This paper shows the usage of effective mass in determining the base shear. A quantitative method based on the ranking of the importance of a mode and the importance of a mass in a mode is given, in addition to graphic animations, to exclude a local mode. It also provides a more realistic static method with a less overly conservative acceleration.

A Retrospective and Commentary on FDA’s Bar Code Rule

2018 ◽  
Vol 9 (3) ◽  
pp. 496-518
Author(s):  
Aaron Kearsley ◽  
Nellie Lew ◽  
Clark Nardinelli
Keyword(s):  
Medication Errors ◽  
Drug Administration ◽  
Food And Drug Administration ◽  
Medication Administration ◽  
Baseline Scenario ◽  
Costs And Benefits ◽  
Bar Code ◽  
Bar Codes ◽  
Net Benefits ◽  
Bar Code Medication Administration

Food and Drug Administration (FDA) published a final regulation in 2004 that requires pharmaceutical manufacturers to place linear bar codes on certain human drug and biological products. The intent was that bar codes would be part of a system where healthcare professionals would use bar code scanning equipment and software to electronically verify against a patient’s medication regimen that the correct medication is being given to the patient before it is administered, which could ultimately reduce medication errors. In the 2004 prospective regulatory impact analysis, FDA anticipated that the rule would stimulate widespread adoption of bar code medication administration technology among hospitals and other facilities, thereby generating public health benefits in the form of averted medication errors. FDA estimated that annualized net benefits would be $5.3 billion. In this retrospective analysis, we reassess the costs and benefits of the bar code rule and our original model and assumptions. Employing the most recent data available on actual adoption rates of bar code medication administration technology since 2004 and other key determinants of the costs and benefits, we examine the impacts of the bar code rule since its implementation and identify approaches to improve the accuracy of future analyses. In this retrospective study, we use alternative models of health information technology diffusion to create counterfactual scenarios against which we compare the benefits and costs of the bar code rule. The magnitudes of the costs and benefits of the 2004 rule are sensitive to assumptions about the counterfactual technology adoption rate, with the upper-bound range of calculated annualized net benefits between $2.7 billion and $6.6 billion depending on the baseline scenario considered.Disclaimer: The findings, interpretations, and conclusions expressed in this article are those of the authors in their private capacities, and they do not represent the views of the Food and Drug Administration.

scholarly journals PENGETAHUAN, SIKAP, DAN DUKUNGAN SUAMI DALAM PEMBERIAN ASI EKSKLUSIF DI SATU RUMAH SAKIT SWASTA INDONESIA BAGIAN BARAT [KNOWLEDGE, ATTITUDE, AND SUPPORT OF HUSBANDS IN GIVING EXCLUSIVE BREASTFEEDING IN A PRIVATE HOSPITAL, WEST INDONESIA]

2021 ◽  
Vol 8 (2) ◽  
pp. 156
Author(s):  
Evi Valona ◽  
Lorenza Fransisca ◽  
Deborah Siregar ◽  
Fransiska Oppusunggu
Keyword(s):  
Exclusive Breastfeeding ◽  
Private Hospital ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Formula Milk ◽  
Additional Food ◽  
Cross Sectional ◽  
Chi Squared ◽  
The Relationship

<p><em>Exclusive breastfeeding is defined as feeding infants only breast milk, be it directly from the breast up to the first six months, without any additional food and drinks; such as formula milk, honey, water, juice, and baby porridge. One of the important factors in giving exclusive breastfeeding to the baby is the husbands’ role. The husbands need to be educated since it affects the attitude and support given to a woman who breastfeeds exclusively. This study aims to identify the relationship between husbands’ characteristics, knowledge, attitude, and support toward exclusive breastfeeding in a private hospital, West Indonesia. This study employs a quantitative method with correlation analysis using a cross-sectional study using a chi-squared test to analyze the relationship between knowledge, attitude, and husband’s support toward giving exclusive breastfeeding. The sample was taken from 51 husbands who had the second and third breastfed baby. Univariate analysis is used to analyze the data. Result: there is a significant relationship between the husbands’ knowledge towards exclusive breastfeeding and there is an insignificant relationship between the husbands’ attitude and support towards exclusive breastfeeding. Further socialization program and education are suggested to the husbands to acquire more knowledge in understanding the importance of exclusive breastfeeding as the husbands’ attitude and support toward it is still low.</em></p><p> </p><p><strong>BAHASA INDONESIA </strong>Air Susu Ibu Eksklusif merupakan pemberian air susu ibu kepada bayi sampai usiada enam bulan pertama tanpa menambahkan makanan apapun, seperti susu formula, madu, air putih, sari buah, dan bubur bayi. Faktor penting dalam meningkatkan keberhasilan pemberian ASI eksklusif yaitu peran seorang suami. Suami perlu meningkatkan pengetahuan, karena berpengaruh terhadap sikap dan dukungan yang diberikan kepada ibu menyusui secara eksklusif. Tujuan dari penelitian ini adalah untuk mengidentifikasi karakteristik suami, pengetahuan, sikap dan dukungan suami terhadap ibu yang menyusui secara ASI eksklusif di satu rumah sakit swasta Indonesia bagian barat. Jenis penelitian ini adalah kuantitatif. Desain penelitian yang digunakan adalah cross sectional. Sampel dalam penelitian ini adalah suami yang mempunyai bayi kedua atau ketiga yang masih menyusu sebanyak 51 responden. Analisis penelitian menggunakan uji analisis chi-square untuk mengidentifikasi adanya hubungan antara pengetahuan, sikap dan dukungan suami dalam pemberian ASI eksklusif. Hasil yang didapatkan dari penelitian adalah terdapat hubungan yang signifikan antara pengetahuan suami dengan pemberian ASI eksklusif dan tidak terdapat hubungan yang signifikan antara sikap dan dukungan suami dengan pemberian ASI eksklusif. Diharapkan adanya program sosialisasi dan pendidikan Kesehatan kepada suami untuk meningkatkan pentingnya ASI eksklusif karena masih rendahnya sikap dan dukungan yang dimiliki suami dalam keberhasilan ibu menyusui secara ASI eksklusif</p>

scholarly journals Critical Care Nurses Competency Level on the Administration of Microinfusion Medication at Critical Care Unit Kenyatta National Hospital

2020 ◽  
Vol 8 (04) ◽  
pp. 312-329
Author(s):  
Isaac Nyabuto Onwongá ◽  
Hannah Inyama ◽  
Eve Risper Rajula
Keyword(s):  
Critical Care ◽  
Medication Errors ◽  
Drug Administration ◽  
Statistical Significance ◽  
Medication Administration ◽  
Critical Care Nurses ◽  
Local Data ◽  
Cross Sectional ◽  
Medication Administration Errors ◽  
Competency Level

Background of the study: Most drugs given as Microinfusion require infusion pumps to administer. They are very potent with very narrow therapeutic index and any small changes on the process results in enormous effects to patients. The nursing profession has a duty to advocate for patients rights as well as do no harm. One of the core goals of nurses is medication administration; this puts nurses in the last line of defence against medication administration errors (MAEs). This study aimed to look into the roles played by nurse that hamper the efforts to reduce the Microinfusion MAEs on which minimal studies have been done. Objective: This study determined the competency level influencing the administration of Microinfusion medication by critical care nurses at Kenyatta National Hospital’s (KNH) Intensive Care Unit (ICU). Significance of study: Local data in the area of Microinfusion MAEs is not available, specifically KNH’s ICU. This study therefore sought to breech this gap and hopes to influence policy on management of critical patients, patient safety, environment, and curriculum development so as to reduce Microinfusion MAEs. Methodology: This study used a descriptive cross-sectional study design, simple random sampling was used to pick 64 participants. Quantitative data was analyzed by both descriptive and inferential statistics, which included regression analysis. Descriptive statistics were presented by use of the mean, percentages and standard deviation. Chi-square was used to determine statistical significance of the differences in proportions and logistic regression was used to identify factors that lead to Medication administration errors. Necessary ethical approval was sought. Results: The prevalence of MAEs was at 64.1% in the last six months, 65.6% 0f the respondents reported lack of supportive supervision, 37.5% of the respondents reported not to know mechanisms in place for reporting Microinfusion medication errors. This prevalence was of statistical significance when cross tabulated with critical care nurses competency level (p<0.05) on aspects such as; having prescription checks [95%CI= 0.000-17.9; p=0.008], working experience, type of medication error, checking weight of patients [p=0.019], reporting of the errors [95%CI = 0.1-0.8; p=0.019], documenting drug errors and monitoring patients after drug administration. Conclusion and recommendation: The prevalence of Microinfusion administration errors in KNH-ICU is high. There is need to ensure that nurses are always equipped with adequate knowledge and experience in drug administration through trainings and mentorship programs as this will reduce  medication errors and increase  safety of patient  in health facilities.

scholarly journals The impact of Interruptions on Medication Errors in Hospitals: A Direct Observational Study of Nurses

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Observational Study ◽  
Medication Errors ◽  
Drug Administration ◽  
Sampling Technique ◽  
Medication Administration ◽  
P Value ◽  
Drug Preparation ◽  
Close Monitoring ◽  
Phone Calls ◽  
The Impact

Aim: Aim this study is to observe the existence of interruptions during drug preparation as well as administration including the cause of interruptions, time taken from the primary purpose (drug administration), secondary activities performed and the extent of clinical. Background: Many researches on the frequency of occurrence of medication administration faults or errors have been conducted but only a few have examined the occurrence of drug administration associated variations from safe practice. During the medication administration cycle conducted by staff nurses in hospital surroundings, interruptions are common and have been shown to be correlated with an development in the occurrence and medication administration errors. Methodology: A observational study conducted. Convenient sampling technique used in this study. Inside a large government teaching hospital in Lahore, a suitability sample of six medical unit, surgical unit. Result: A significant association has been found between medication administration and medication preparation errors and interruption like talking with other health care personnel, patients or attendant queries, phone calls (p-value=<0.001). Nearly 96% of the study nurses who were interrupted during medication committed medication errors. During medication administration incidents, close monitoring of nurses culminated in 100 percent recorded medication administration activities. One third of the interruptions were by other nurses trying to share patient and process details, including asking queries, providing orders, recording details and finding support. Clinical and operational problems found in incidents relevant to drug administration. 72 percent of the reported drug incidents have been shown to involve administrative deficiencies. Conclusion: It is confirmed that interruptions sometimes arise and are related to operational deficiencies and clinical errors. There is an immediate need for instructional programs that reflect on the significance of interruptions, their connection with procedure malfunction and clinical negligence.

ÖRGÜTLERDE ÖRGÜTSEL BOLLUĞUN GİRİŞİMSEL ORYANTASYON ÜZERİNDEKİ ETKİSİ

2016 ◽  
Vol 4 (3) ◽  
Author(s):  
Nurdan Gürkan ◽  
Ahmet Ferda Çakmak
Keyword(s):  
Corporate Governance ◽  
Data Analysis ◽  
Panel Data ◽  
Strategic Management ◽  
Significant Relationship ◽  
Entrepreneurial Orientation ◽  
Panel Data Analysis ◽  
Organizational Slack ◽  
Analysis Method ◽  
The Relationship

The concept of entrepreneurial orientation, which emerges with the development of strategic management, refers to entrepreneurship orientations of businesses. The businesses need resources in other words organizational slack in order to develop their entrepreneurial trends. The organizational slack consists of three slack type. These slack types are available slack, recoverable slack and potential slack. The purpose of this study is to examine whether organizational slack in the businesses has an effect on entrepreneurial orientation. The relationship between organizational slack and entrepreneurial orientation was investigated through 20 companies that were traded in Borsa Istanbul Corporate Governance Index for 2010-2014 period using panel data analysis method. The results of the study indicate the existence of a statistically significant relationship between and the available slack and the recoverable slack with the entrepreneurial orientation in the businesses. According to findings; there was no statistically significant relationship between potential slack and entrepreneurial orientation.

The Sterility of Reusable Surgical Instruments with Pouches Packaging on One of the Private Hospital in Bandung

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Kurniawansyah I. S. ◽  
Mita S. R. ◽  
Najla E. ◽  
Nindayani E.
Keyword(s):  
Storage Time ◽  
Private Hospital ◽  
Surgical Instruments ◽  
Healthcare Associated Infection ◽  
Sterility Testing ◽  
Reusable Instruments ◽  
Healthcare Associated ◽  
The Relationship ◽  
Common Infection ◽  
Long Storage

Healthcare associated infection is one of the common infection that happens in Indonesia. One form control to prevent healthcare associated infection is the sterilization process of the materials and medical instruments that used for taking care of patients. At the private hospital whereas a place of research, there’s never been done the study of sterility test for reusable instrument with pouches, based on previous studies showed that 8 sets from 40 sets of reusable instrument with linen were not sterile moreover there were positively influence from the amount of time to the sterility of reusable instrument. The purpose of these studies was to determining the relationship between a long storage time and the sterility of reusable instruments with pouches. The method that used in this study was the sterility testing of reusable instrument with pouches which were stored in a central operations room storage with a long storage time of 1 and 2 months. From 30 reusable instruments with pouches which were stored for nine months there were 5 instruments were not sterile. The results of statistic analysis showed that the amount of storage time not significantly associated to the sterility of reusable instrument with pouches in the operating room central storage space.

FACTORS CONTRIBUTING TO MEDICATION ERRORS IN A TERTIARY CARE PRIVATE HOSPITAL, KARACHI

2017 ◽  
Vol 7 (3) ◽  
pp. 28
Author(s):  
SAJJAD SEHRISH ◽  
GOWANI AMBREEN ◽  
KAZMI ANYLA ◽  
MANSOOR SHIREEN ◽  
◽  
...  
Keyword(s):  
Medication Errors ◽  
Private Hospital ◽  
Tertiary Care
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