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Showing results for tags 'Medication'.
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Content Article
How to investigate and manage a medication incident
Claire Cox posted an article in Medication
Of the nearly 237 million medication errors occurring in England each year, 28% have the potential to cause harm. This article published in The Pharmaceutical Journal outlines the immediate steps to be taken following identification of a medicines safety incident. -
Content ArticlePeople should not be given medicines without their knowledge if they have the mental capacity to make decisions about their treatment and care. This guide from the National Institute for Healthcare Excellence (NICE) and Social Care Institute for Excellence (SCIE) is aimed at care home managers or anyone providing medicines support in care homes.
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Content ArticleThis study from Westbrooke et al. published in BMJ Quality and Safety evaluates the effectiveness of a ‘Do not interrupt’ bundled intervention to reduce non-medication-related interruptions to nurses during medication administration.
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Pills: Reviewing medication in care homes
Claire Cox posted an article in Patient medication stories
This film, by the Health Foundation, tells the story of how the well-being of older care home residents is enhanced by making sure they are only prescribed the medicine they really need, and the positive impact this has had on the people who work on the project too.- Posted
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Content ArticleSeveral factors contribute to medication errors in clinical practice settings, including the design of medication labels. The objective of this study from Estock et al., published in the Journal of Patient Safety, was to quantify the impact of label design on medication safety in a realistic, high-stress clinical situation.
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NICE's Drug allergy overview (January 2019)
Claire Cox posted an article in Adverse interactions
This National Institute for Health and Care Excellence (NICE) Pathway describes in an interactive flowchart the process of what to do next if someone has a possible drug allergy/reaction. -
Content ArticleThe Black Country Partnership NHS Foundation Trust's medication error policy and pathway describes the procedure that must be followed when a medication error occurs.
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Content ArticleThis document by the Care Quality Commission (CQC) sets out what needs to be reported to the CQC if working within social care.
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PRSB podcast: Making medications safer
Patient Safety Learning posted an article in Medication including labelling
The Professional Record Standards Body (PRSB) speaks to Ann Slee, Associate CCIO, Medicines at NHS England, in this podcast on making medications safer.- Posted
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Medication errors: where do they happen? (February 2019)
Patient Safety Learning posted an article in Medication
Reducing medicines-related harm requires a clear understanding of where and when errors occurs. This infographic published in The Pharmaceutical Journal shows visually the latest estimates in England per year and offers potential solutions. -
Content ArticleHealthcare Safety Investigation Branch (HSIB) report on the inadvertent administration of an oral liquid medicine into a vein. This report indicated the importance of using human factors in the investigation process. The investigation reviewed the effectiveness of the current processes for the storage of medicines, equipment design, and the prescribing, preparation, checking and administration of medication. It also considered the contextual, environmental and human factors that influenced the inadvertent administration of an oral solution into a vein. The effectiveness of current processes for implementation of local safety standards for invasive procedures was also considered. A human factors expert was involved in the investigation and a dedicated report was written based on the evidence reviewed, a reconstruction of the event and a simulation of what should have happened.
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Transfers of Care Around Medicines (TCAM)
Claire Cox posted an article in Medication including labelling
When some patients leave hospital they can need extra support taking their prescribed medicines. This may be because their medicines have changed or they need a bit of help taking their medicines safely and effectively. The transfer of care process is associated with an increased risk of adverse effects. 30-70% of patients experience unintentional changes to their treatment or an error is made because of a miscommunication.- Posted
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Medication safety: go beyond the basics
Claire Cox posted an article in Medication including labelling
For any nurse working in a direct care setting, preparing medications and administering them to patients is part of the daily routine. Mistakes can happen at any point in the process. Administration errors are one of the most serious and most common mistakes made by nurses. The result may lengthen a hospital stay, increase costs, or have life and death implications for the patient. So, what can you do to safely administer medications? This blog gives some tips on good practice.- Posted
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Content ArticleThis info-graphic by the Faculty of Pain Medicine is a safety checklist for Interventional Pain Procedures under local anaesthesia or sedation. This has been adapted from the World Health Organization surgical checklist.
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Content ArticleSafe and effective pharmacological management of acute and procedural pain in neonates, infants and early childhood requires understanding of age-related changes in both the pharmacokinetic and pharmacodynamic profile of analgesics. Evidence based clinical practice guidelines incorporate both pharmacological and non-pharmacological techniques that can have complementary roles in acute pain management. The knowledge, skills, and attitudes of paediatric pain physicians must be appropriate to the developmental stage and clinical state of the patient and also encompass the role of parents and/or carers.
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e-PAIN: e-Learning on pain management
Claire Cox posted an article in Training & education
e-PAIN is the place to start for anyone working in the NHS who wishes to better understand and manage pain. e-PAIN is a multidisciplinary programme based on the International Association for the Study of Pain's recommended multidisciplinary curriculum for healthcare professionals learning about pain management. Registration to the programme is free to all NHS staff members, those with OpenAthens accounts and students.- Posted
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Content ArticleGood practice in prescribing opioid medicines for pain should reflect fundamental principles in prescribing generally. The decision to prescribe is underpinned by applying best professional practice; understanding the condition, the patient and their context and understanding the clinical use of the drug. Initiating, tapering or stopping opioid medicines should be managed in agreement with the patient and all members of their healthcare team.
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Content ArticleIt is important for the whole of the multidisciplinary team to have guidelines and standards, and that is the reason for the collaborative Core Standards for Pain Management Services in the UK (CSPMS UK). Representatives of the Faculty of Pain Medicine, the British Pain Society, the Royal College of Nurses, the Royal Pharmaceutical Society, the College of Occupational Therapists, the Chartered Society of Physiotherapy, the Royal College of General Practitioners, the British Psychological Society and patient representatives have jointly been the authors of this document.
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ISoP: Using medicines safely during the COVID-19 pandemic
Patient Safety Learning posted an article in Guidance
The International Society of Pharmacovigilance share their first infographic for patients and carers on using medicines safely during the COVID-19 pandemic. They developed the tool because of the difficulties experienced with obtaining and using medicines safely during the COVID-19 pandemic.- Posted
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Content ArticleThis was the first Chartered Institute of Ergonomics and Human Factors (CIEHF) Pharmaceutical Sector group organised event, where the systems and human factors challenges of labelling and packaging were discussed by a wide-ranging audience across the healthcare and pharmaceutical sectors.
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Content ArticleNorth Tees and Hartlepool NHS Foundation Trust has achieved more than double its medicines savings target, delivering the best value for the North Tees and Hartlepool region and the wider NHS. The Trust’s Pharmacy and Medicines Optimisation team together in collaboration with the multidisciplinary medical and nursing teams, finance department and commissioners developed several work streams for medicines efficiencies and quality improvement initiatives. Getting best value for medicines is one of the core business priorities for the Pharmacy & Medicines Optimisation team, through significant collaboration with the multidisciplinary teams of senior medical, nursing, finance, and wider commissioning teams. The project has significantly benefited the organisation and the wider system, through exceeding the expectation of efficiency target, it has contributed directly to improving the quality of patient care and experience as well as ensuring the financial sustainability of the organisation.
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Oligoanalgesia (February 2015)
Patient Safety Learning posted an article in Pain management
Oligoanalgesia is defined as failure to provide analgesia in patients with acute pain. More than 60% of patients seen in the emergency department (ED) have pain as their primary symptom; however, multiple studies have shown that olioganalegesia continues to be a major problem in the ED. A blog published on the US King's County Emergency Department website explores why this is and how we can improve.- Posted
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Content ArticlePharmacy Times® interviewed Allison Hanson, PharmD, BCPS, 2019-2020 Institute for Safe Medication Practices (ISMP) International Medication Safety Management Fellow, to discuss medication safety during the coronavirus disease 2019 (COVID-19) pandemic, including key medication safety takeaways from the pandemic and current advancement efforts in the promotion of knowledge around medication safety.