Medication incidents related to technology in a University-affiliated general hospital in 2006-2010

Oral Presentations - Drug safety and Toxicology: no. C010INTRODUCTION: Technology often helps to reduce medication errors. The objective of this study was to assess medication errors in relation to technology used in the prescription or administration of medications …postprin

Medication incidents related to technology in a university-affiliated general hospital in 2006-2010

Poster PresentationINTRODUCTION: Technology often helps to reduce medication errors. The objective of this study was to assess medication errors in relation to technology used in the prescription or administration of medications. METHODS: Medication incidents reported during 2006–2010 in a university-affiliated general hospital were analysed. Computer-aided prescribing and medication label generation, 2-D bar-coded patient …published_or_final_versionThe 17th Medical Research Conference, The University of Hong Kong, Hong Kong, 14 January 2012. In Hong Kong Medical Journal, 2012, v. 18 suppl. 1, p. 44, abstract no. 6

Application of Failure Mode Effect Analysis (FMEA) to analyze the safety of medication dispensing in a tertiary care hospital

Background: Failure Mode Effect Analysis (FMEA) is a prospective, team based, structured process used to identify system failures of high risk processes before they occur. Medicines dispensing is a high risk process that should be analyzed for its inherent risks.Objectives: To identify possible failures, their effects and causes of the dispensing process of the study setting using Failure Mode Effect Analysis.Methods: This prospective, cross sectional study was carried out for two months in the Pharmacy Department of a selected teaching hospital, Colombo, Sri Lanka. Thirteen pharmacists had discussions in two independent groups (Group A, n=06; Group B, n=07) to conduct a FMEA. Each group had one in-charge pharmacist, at least one senior pharmacist (>ten years of working experience), and one graduate pharmacist. Each group had five meetings of two hours each, where the dispensing process and sub processes were mapped, and possible failure-modes, their effects, and causes, were identified. A score for potential severity (S), frequency (F) and detectability (D) was assigned for each failure-mode according to specified guidelines. Risk Priority Numbers (RPNs) were calculated (RPN = SxFxD) to prioritize identified failure-modes. Feedbackwas obtained from participants about the usefulness of FMEA.Results: Group A identified 48 failure-modes while Group B identified 43. Among all 91 failure modes, 69 failure-modes were common to both groups. The 22 that were not in-common scored low RPNs. Considering the RPN, Group A prioritized one failure-mode, while Group B prioritized three failure-modes (having identical RPNs). Both groups identified overcrowded dispensing counters as a cause for 57 identified failure-modes. All participants accepted FMEA as an effective method to analyze the safety of the dispensing process.Conclusions: FMEA was successfully utilized to identify and prioritize possible failure-modes of the dispensing process through active involvement of pharmacists. This prospective approach is useful to prevent dispensing errors before they occur.Acknowledgement: This study was funded by the University Research Grant ASP/01/RE/MED/2017/37, University of Sri Jayewardenepura

The pattern of non-intercepted medication errors in a university affiliated teaching hospital

INTRODUCTION: The primary goal of reducing medication errors is to eliminate errors that reach the patient. We aimed to study the pattern of interception of medication errors along the medication use process. METHODS: We analysed reported medication incidents in a teaching hospital in 2006 to 2010. We used …published_or_final_versionThe 17th Medical Research Conference, The University of Hong Kong, Hong Kong, 14 January 2012. In Hong Kong Medical Journal, 2012, v. 18 suppl. 1, p. 44, abstract no. 6

Reducing the use of inappropriate abbreviations in prescriptions

This journal suppl. entitled: 17th Medical Research Conference; Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong ...INTRODUCTION: Inappropriate use of abbreviations in prescriptions affects patient safety. Objectives: We investigated the effect of the ‘Do Not Use’ list on the use of such inappropriate abbreviations and the adherence to the Hospital Authority’s approved ‘Standard Abbreviations in Prescribing’ list. METHODS: We analysed the use of prescribing abbreviations in prescriptions before and after the …published_or_final_versionThe 17th Medical Research Conference, The University of Hong Kong, Hong Kong, 14 January 2012. In Hong Kong Medical Journal, 2012, v. 18 suppl. 1, p. 45, abstract no. 6

Management of obesity in the National Health and Nutrition Examination Survey (NHANES), 2007-2008

PURPOSE: The prevalence of obesity has been increasing in the United States. We set out to investigate the use of pharmacologic and non-pharmacologic therapy for the treatment of obesity in recent years. METHODS: We included 2630 men and 2702 women who took part in the National Health and Nutrition Examination Survey from 2007 to 2008. We analyzed their demographic and anthropometric data and their weight and drug history. RESULTS: A total of 45.9% of men and 45.0% of women were candidates for treatment (body mass index >/=30 kg/m(2), or >/=27 kg/m(2) with risk factors). Among these participants, 85.1% considered themselves overweight, 90.1% would like to lose weight, 61.9% had dietary changes, 36.5% exercised, 3.7% took nonprescription drugs, and 2.2% took prescription drugs to control weight during the preceding year. During the preceding month, 0.5% and 0.1% of participants were taking phentermine and orlistat, respectively. There were no participants on sibutramine. CONCLUSIONS: Although obesity is highly prevalent, only a small percentage of obese Americans are on anti-obesity medication. The withdrawal of sibutramine would have minimal impact on the general population. There is a need for more lifestyle changes in the majority of obese individuals.published_or_final_versio

Pharmacological management of obesity in the National Health and Nutrition Examination Survey (NHANES) 2007-8

Poster Session II: Translational & Clinical: Clinical Pharmacologypublished_or_final_versionThe 16th Medical Research Conference, Department of Medicine, The University of Hong Kong, Hong Kong, 22 January 2011. In Hong Kong Medical Journal, 2011, v. 17 n. 1, Suppl. 1, p. 50, abstract no. 8

Implementing a bar-code assisted medication administration system: effects on the dispensing process and user perceptions

postprin

Technology-related medication errors – incidence, nature and causes in a tertiary hospital

Conference Theme: Enhancing Health - 協作同心‧醫澤社群Poster Presentation: no. SPP-P1.27published_or_final_versio

Hay fever and hypertension in the US adult population

postprin