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Showing results for tags 'Prescribing'.
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Content ArticlePrescribing errors in general practice are an expensive, preventable cause of safety incidents, illness, hospitalisations and even deaths. Serious errors affect one in 550 prescription items, while hazardous prescribing in general practice contributes to around 1 in 25 hospital admissions. Outcomes of a trial published in the Lancet showed a reduction in error rates of up to 50% following adoption of PINCER. PINCER is a methodology for reducing medication errors and, thereby, improving medication safety. Using clinical audit tools alongside quality improvement methodology to review groups of patients taking high risk medicines/combinations of medicines, PINCER ensures that any risks are mitigated.
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Content ArticleUniversity Hospitals of Leicester NHS Trust (UHL), IBSL (UK) Limited and Santa Lucia Pharma Apps SrL (SLPA), with support from EMAHSN and Loughborough University, have deployed a unit dose closed loop medicines management solution in four wards at UHL and undertaken an 18-month evaluation of the project (OptiMed-ID) in preparation for a Trust-wide rollout.
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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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Content ArticlePharmacy Voice’s Patient Safety Group has worked closely with the UK Medicines Information (UKMi) to further develop their risk assessment tool, which is used regularly in secondary care settings, to make the tool more accessible and valuable for community pharmacy teams. The Community Pharmacy Medication Safety Risk Assessment tool is designed as an aid in the systematic identification of potential patient safety issues associated with medicines before their introduction to clinical practice.
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Content Article
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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