Search the hub
Showing results for tags 'Medication'.
Found 1,118 results
-
Content Article
5 Moments for Medication Safety poster
Becky T posted an article in Medication including labelling
This poster, published by the World Health Organization (WHO) in 2017, summarises in a visual way the '5 Moments for Medication Safety', which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s. It is part of the 'Medication without harm' global patient safety challenge. -
Content Article
5 Moments for Medication Safety leaflet
Becky T posted an article in Medication including labelling
This leaflet, published by the World Health Organization (WHO) in 2017, summarises the '5 Moments for Medication Safety', which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s. It is part of the 'Medication without harm' global patient safety challenge. -
Content Article
'5 Moments for Medication Safety' information sheet
Becky T posted an article in Medication including labelling
This information sheet, published by the World Health Organization (WHO) in 2017, summarises the '5 Moments for Medication Safety', which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s. It is part of the 'Medication without harm' global patient safety challenge. -
Content Article
.png.c34e216dfae806e2542471b06a2020a2.png)
This report is from the Patient Reference Group established to provide advice, challenge and scrutiny to work to develop the government response to the Independent Medicines and Medical Devices Safety (IMMDS) Review, sometimes referred to as the Cumberlege Review. -
Content Article
.png.ef093f5d343aa58db5658cb98c863789.png)
Parkinson’s is the fastest growing neurological condition in the world. It affects young or old, and in the UK, around 145,000 people are living with the condition. With population growth and ageing, this figure is estimated to increase by 20%, within the next ten years. Currently there is no cure for Parkinson’s, but medication plays a vital role in managing symptoms and preventing deterioration. In this blog, Laura Cockram, Head of Policy and Campaigning at Parkinson's UK talks about: The serious health implications of delayed medication Evidence of a widespread safety issue The challenges and barriers Potential solutions How Parkinson’s UK are campaigning for change.- Posted
- 1 comment
-
- (and 1 more)
-
Content Article
.jpg.d909f80302b6405ce284f7aeb2229fe0.jpg)
This report from the Department of Health and Social Care sets out the Government's response to the recommendations of the Independent Medicines and Medical Devices Safety (IMMDS) Review, sometimes referred to as the Cumberlege Review. -
Content Article
5 moments for medication safety pamphlet
Becky T posted an article in Medication including labelling
This pamphlet, published by the World Health Organization (WHO), is part of the 'Medication without harm' global patient safety challenge, launched in 2017. It aims to engage patients in their care by looking at the 5 Moments for Medication Safety, which are the key moments where action by the patient or caregiver can greatly reduce the risk of harm associated with the use of their medication/s. -
Content ArticleThis is the transcript of a backbench debate in the House of Commons regarding the implementation of the recommendations of First Do No Harm report, published by the Independent Medicines and Medical Devices Safety Review on the 8 July 2020, chaired by Baroness Cumberlege (also known as the Cumberlege Review).
-
Content ArticleMedicines optimisation is a multidisciplinary and patient-focused approach to achieving the best patient outcomes from the use of medicines. It involves the use of medicines to control disease while ensuring that adverse effects are kept to a minimum. This article explores strategies that enable nurses to take an increasingly active role in medicines optimisation. In its conclusion the authors suggest that to ensure medicines optimisation, nurses should be involved in monitoring patients’ signs and symptoms using a structured checklist such as the ADRe (Adverse Drug Reaction Profile) to identify and address any medicines-related harms.
-
Content Article
.png.27a7b28a5a35eea9fe4c261730ee4363.png)
In this blog, Consultant Neurologist Jane Alty, talks about a patient with Parkinson's who was cared for in their trust for a period of time, during which there were frequent occasions on which his Parkinson's medications were delayed or not given. This sadly contributed to a deterioration in his swallowing and overall condition, and lengthened his time in hospital. Inspired by a letter from his wife, Jane and colleagues started the 'Improving care of patients with Parkinson’s quality improvement project' at Leeds Teaching Hospitals NHS Trust. Here she talks about the journey, the successes and challenges, and the value of involving staff from across the organisation and carers to make services better. -
Content ArticleThis webinar is part of Global Patient Safety Webinar Series 2021 and focuses on the third WHO Global Patient Safety Challenge: Medication Without Harm. The webinar presents on overview of the Challenge, technical tools and resources to support its implementation and different approaches to implement the challenge at national, subnational, facility and community levels. A recording of the webinar is available below.
-
Content ArticleThis is an analysis of medication errors from January 2018 to December 2019 reported at a university teaching hospital in Riyadh, Saudi Arabia, aimed at identifying whether medication errors are significantly different between day shifts, night shifts, during weekdays and weekends. It found that there was a statistically significant difference between medication errors and day of the week, with a higher number of medication errors happening at the weekend. It also found that during weekends, medication errors were more likely to occur at the night shift compared to the day shift. The authors suggest that timing of medication errors incidence is an important factor to be considered for improving the medication use process and improving patient safety.
-
Content ArticleMedicine has traditionally been one of the most cognitively demanding occupations. This paper from Bob Baron, President and Chief Consultant of The Aviation Consulting Group, discusses the limitations of human performance in the hospital environment. Human factors models are presented and used as an anchor for a randomly selected case study involving a potentially lethal medication error. The case study’s root cause analysis showed five distinct factors that were causal to the error. The human factors models, in conjunction with an overview of basic human cognition, provide the reader with the tools to understand all five findings of the case study. This paper will provide a foundation for improving medical safety by creating an awareness of the factors that influence errors in medical procedures.
-
Content ArticleThe Patient Safety Authority are inviting PharmD students and faculty to submit their manuscripts by 30 June. A panel of guest editors—pharmacy experts from across the United States—will select their favourites.
-
Content ArticleAntimicrobial resistance (AMR) is a global problem that impacts all countries and all people, regardless of their wealth or status. The scale of the AMR threat, and the need to contain and control it, is widely acknowledged by country governments, international agencies, researchers and private companies alike. This document sets out the UK’s 2019–2024 national action plan to tackle AMR within and beyond our own borders. Developed in consultation with a broad range of stakeholders across different sectors, it builds on the achievements of our last strategy (2013–2018), and is aligned with global plans and frameworks for action. The plan has ultimately been designed to ensure progress towards our 20-year vision on AMR, in which resistance is effectively contained and controlled. It focuses on three key ways of tackling AMR: reducing need for, and unintentional exposure to, antimicrobials; optimising use of antimicrobials investing in innovation, supply and access.
-
Content ArticleAlthough most current medication error prevention systems are rule-based, these systems may result in alert fatigue because of poor accuracy. Previously, we had developed a machine learning (ML) model based on Taiwan’s local databases (TLD) to address this issue. However, the international transferability of this model is unclear. This study examines the international transferability of a machine learning model for detecting medication errors and whether the federated learning approach could further improve the accuracy of the model. It found that the ML model has good international transferability among US hospital data. Using the federated learning approach with local hospital data could further improve the accuracy of the model.
-
Content ArticleFor the vast majority of people with Parkinson’s, medication is the only means of controlling their symptoms. If medication is not given in accordance to their routine, this may result in people being: unable to swallow (increasing the risk of aspiration) unable to speak and/or move (increasing their dependence on staff) At worst, Parkinsonism-hyperpyrexia syndrome (also called neuroleptic-like malignant syndrome) may develop which can be fatal. This statement from Parkinson's UK, aims to answer the question: For inpatients with Parkinson’s who need medication to manage their symptoms, what are the key issues that need to be addressed throughout their hospital admission and how can these be best managed? If it is possible that you will see an inpatient who has Parkinson’s, this statement is for you.
-
Content Article
Inappropriate prescribing during a pandemic: dementia and antipsychotics
Anonymous posted an article in Dementia
Back in February, the team at Patient Safety Learning highlighted how the number of antipsychotic medication prescriptions for people living with dementia had increased in care settings. What’s worrying, is these prescriptions can be administered inappropriately and cause tremendous harm. This is one family's pandemic story. -
Content ArticleThis study in Anaesthesia reviewed accidental spinal administration of tranexamic acid. The review identified 20 cases of accidental administration resulting in life-threatening neurological or cardiac complications and 10 patient deaths. These cases were analysed using a Human Factors Analysis System Classification model to identify contributing factors. Ampoule error was the cause in 20 incidents, and all were classified as skills-based errors. Organisational policy, storage of medication and preparation for anaesthesia were all identified as contributing factors. The authors concluded that all of these events could have been avoided if four published recommendations for the prevention of spinal medication administration were implemented.
-
Content ArticleThis study in the British Journal of General Practice looked at the association between continuity of GP care and potentially inappropriate prescribing in patients with dementia, as well as the incidence of adverse health outcomes. The study authors found that for patients with dementia, consulting with the same doctor consistently, resulted in: 35% less risk of delirium 58% less risk of incontinence 10% less risk in emergency admission to hospital less inappropriate prescribing. The results demonstrate that increasing continuity of care for patients with dementia could improve their treatment and outcomes.
-
Content Article
Double checking: a second look (16 November 2015)
Patient Safety Learning posted an article in Process improvement
Double checking is a standard practice intended to improve patient safety. It is used in different areas of health care, such as medication administration, radiotherapy and blood transfusion. Some studies have found double checking to be a useful practice, which has been endorsed by agencies and individuals. The confidence in double checking exists in spite of the lack of evidence substantiating its effectiveness. In this study, Hewitt et al. asks: ‘How do front line practitioners conceptualise double checking? What are the weaknesses of double checking? What alternate views of double checking could render it a more robust process?’ The authors conclude that double checking deserves more questioning, as there are limitations to the process. Practitioners could view double checking through alternate lenses, and thus help strengthen this ubiquitous practice that is rarely challenged. -
Content ArticleThis systematic analysis in The Lancet used data covering 471 million individual records from systematic literature reviews, hospital systems, surveillance systems and other sources. The authors, an international research collective called the Antimicrobial Resistance Collaborators, used this data to estimate deaths and disability-adjusted life-years (DALYs) that have come about as a result of bacterial antimicrobial resistance (AMR). They estimated that, in 2019, 1.27 million deaths were directly attributable to AMR, with the three primary infections involved being lower respiratory and thorax infections, bloodstream infections and intra-abdominal infections. Their analysis shows that AMR death rates were highest in some lower- and middle-income countries, making AMR not only a major health problem globally, but a particularly serious problem for some of the poorest countries in the world.
-
Content ArticleThis article, published in the British Journal of Anaesthesia, explores how medication-related adverse events in anaesthesia care are frequent and require a deeper understanding if medication harm is to be prevented. The study looked at a Spanish incident report database over a ten-year period to conclude that harm could have been mitigated.
-
Content ArticleThe objective of the national Medicines Safety Improvement Programme is to help patients get the maximum benefit from their medicines and reduce waste with an overarching aim to reduce medication related harm in health and social care, focusing on high risk drugs, situations and vulnerable patients. Each area of work in this programme intends to make medicines safety part of routine practice, ensure medicines use is as safe as possible and understand the patients’ experience. The national Medicines Safety Improvement Programme (MedSIP) is led by NHS England and Improvement’s patient safety team. The programme is delivered by the West of England Patient Safety Collaborative. Learn more about the West of England's MedSIP.
-
Content ArticleMedication errors are preventable events that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional or patient. This paper, published in the Cochrane Database of Systematic Reviews, considers the effectiveness of interventions to reduce medication errors in adults in hospital settings. The review covered 65 studies involving 110,875 participants.
.png.c34e216dfae806e2542471b06a2020a2.png)
.png.ef093f5d343aa58db5658cb98c863789.png)
.jpg.d909f80302b6405ce284f7aeb2229fe0.jpg)
.png.27a7b28a5a35eea9fe4c261730ee4363.png)
