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Article
Evaluation of Medication Errors in Hospitalized Patients

Author: Hamoudi A. Mosah, Ph.D.; Ahmed S. Sahib, M.Sc., Ph.D.; Haedar A. AL-Biati , B.Sc.,MSc
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 2 Pages: 75-79
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: Many medication errors occur in the hospital, and these can endanger patients. The purpose of this study was to evaluate the incidence of medication errors in hospitalized patients, and to categorize the most frequent types of errors, and to asses the possible measures that may prevent the occurrence of such errors.Methods: A prospective, exploratory, and evaluative study, using direct observation method to detect medication errors in adult hospitalized patients in medical and surgical units in Baquba Teaching Hospital- Diyala-Iraq.. The files of 299 patients had been reviewed from July 2009 to September 2009, including medication orders and treatment sheets to detect existing errors. The detected errors were recorded and classified using special form designed according to standard classification of medication errors.Results: During the study period, a total of 299 patient's files were reviewed and identified. The incidence of medication errors was 8.7%. The most common types of errors; where incorrect medication which includes 38.46% for not indicated drugs and 19.23% for drug-drug interaction. The incorrect dose represents the second common type of medication errors which include 15.38% for over dose and 3.85% for under dose. The classification of medication errors in this study were 61.54% prescribing errors, followed by 19.23% for each of dispensing errors and administration errors. Conclusions: Medication errors occur for a variety of reasons, including inaccurate communications and deficits in knowledge and performance by and among all health care professionals. In this study we addressed and identified that prescribing errors are the most common type of medication errors followed by dispensing and admintration types, so, all health care professionals have a responsibility in identifying contributing factors to medication errors and to use obtained information to reduce further error occurrence. Keywords: medication errors, patient safety, system errors.


Article
Nurses Practices Regarding Health and Safety Toward Psychiatric Patients in Hawler Psychiatric Hospital

Authors: Kareem Fatah Aziza --- Mosleh Saber Kareem --- Nazar Ali Sherin AlDoskia
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2018 Volume: 26 Issue: 6 Pages: 56-65
Publisher: Babylon University جامعة بابل

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Abstract

Backgroundandobjective:Mentalhealthandpatientsafetyisnecessaryinhospitals andhealthcaresettings.Nursesshouldknowperceptionofpatientsafetyintheirfieldso patient safety includes everyone in all aspects of health care. Nurses understood patient safety as taking care of patient with psychiatric problems and maintain health through goodtreatmentandrespectingself-determinationandavoidingcoercion.Theaimsofthis studyweretoassessthepatientsafetyinHawlerpsychiatryhospital/Erbilcityandfindout the association between demographic characteristics of the nurses and their roles regarding patientsafety.Methods:Thiscross-sectionalstudywasconductedon33nursesinHawlerpsychiatry hospital/Erbil city. A questionnaire was designed for the purpose of the study. Data were collectedthroughinterviewwithnurses.FrequencyandChi-squaretestwasusedfordata analysis.Results:45.5%ofparticipantswereintheagegroup38-50yearsold.Majority(69.7%)of them were male, 78.8 % from urban areas, 42.4 % of them were PreparatorySchoolofnursing graduated, had income was somehow sufficient (78.8 %), married(90.9%).Theoverallnursepracticeregardingpatientsafetywas81.8wasmoderate,theoverallpatientsafety related to environment of psychiatric hospital as estimated 84.8 % waspoor.Regarding overall nursing practice related to patient safety and socio-demographicdataofnurses,therewerestatisticallysignificantdifferencesbetweenlevelofeducationofnurses(p-value=0.007) and level of economic status of nurses (p-value= 0.005) withpatientsafety.Conclusion: The overall practice regarding patient safety was moderate, andtheoverallnursepracticeregardingpatientsafetywaspoorinHawlerpsychiatrichospital,socontinuouseducationthenursesregardingpatients’safetyandprovideallequipment’sthatneededforprovide proper environment are necessary .

الخلفية والهداف:الصحة النفسية وصحة المريض تعتبر ضرورية في المستشفى وفي الواقع الصحي والممرضيين يجب عليهم الادراك لهذا في عملهم لهذا الموضوع ويجب ان تكون الصحة النفسية من متطلبات الرعاية التمريضية في كافة المجالات والممرضيين يدركون ان المشاكل النفسية هي من الامور المهمة في رعاية المريض للحفاظ على صحته من خلال العلاج الجيد واحترام تقرير مصير المريض وتجنب الاكراه وتهدف الدراسة الى تقييم سلامة المريض في مستشفى هولير الطبية للامراض النفسية في اربيل وايجاد العلاقة بين بعض المتغيرات الديغرافية للممرضيين وبين عملهم فيما يخص سلامة المريض.طريقة العمل:اجريت دراسة مقطعية لثلاث وثلاثون ممرض من العاملين في مستشفى هولير الطبية في مدينة اربيل وصممت اسئلة استبيانية لهذا الغرض وجمعت المعلومات من خلال المحاورة مع الممرضين واستخدم التكرار ومربع كاي لتحليل المعلومات.النتائج: 45.5% من المشتركين كانت نسبة اعمارهم من 38-50 سنة وكانوا يسكنون في المدن و 42.4% منهم كانوا من خريجي الاعداديات وكان دخلهم الاقتصادي كافي 78.8% وكانوا اغلبهم متزوجين 90.% وكانت نسبة الخدمات الاجمالية المقدمة بالنسبة لسلامة المريض هي 81.8% ونسبة سلامة المريض فيما يخص بيئة العمل كانت ضعيفة 84.4% اما العلاقة بين المتغيرات الديموغرافية وسلامة المريض فكانت هنالك علاقة ايجابية بين مستوى التعليم والحالة الاقتصادية تحت مستوى معنوي 0.007 و .0.005 الخلاصة:النسبة الاجمالية لسلامة المريض وممارسة الممرضين كانت متوسطة بينما كانت صحة بيئة العمل ضعيفة في مستشفى هولير الطبية في اربيل لذلك فان التعليم المستمر للمرضيين حول سلامة المريض وبيئته ضرورية ويجب توفير كافة الاحتياجات للحصول على سلامة بيئة العمل.


Article
Editorial :DELIVERING QUALITY CARE AND PATIENT SAFETY – A NEW PARADIGM

Author: Azhar Alani ازهر العاني
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2017 Volume: 15 Issue: 3 Pages: 214-219
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Quality in healthcare is imperative and not optional. To deliver continuous process improvement, the focus must be on the patient from start to finish, as often the patient’s experience of receiving care is the product of the process as in doctor consultation setting. Value healthcare can be formulated as an equation: quality divided by cost. Sometimes to do less is to achieve more, as beyond the point of optimal healthcare, adverse effects will outweigh perceived benefits. Patient safety is proportional to process quality; hence the overarching importance of focusing on quality. However, costs must always be harnessed to ensure we achieve optimality of healthcare delivery. Keywords:Change management, errors, events reporting, frontline staff, harm events, healthcare delivery, information flow, leadership, near misses, patient safety, quality care, risk management, process improvement, system data. Citation: Alani A. Delivering Quality Care and Patient Safety – A New Paradigm. Iraqi JMS. 2017; Vol. 15(3): 214-219. doi: 10.22578/IJMS.15.3.1

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