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At least 55 records · Page 3Linked to original sources
PubMed1975

Medication errors in a multidose and a computer-based unit dose drug distribution system.

The medication error rates of a hospital's multidose and computer-based unit dose drug distribution systems were compared; in addition, the medication error rate of the unit dose system was compared to that reported for noncomputerized unit dose systems in other hospitals. Two similar adult, medical, patient care units, each serviced by a different drug distribution system, were studied for 60 days. Information about the medications administered was obtained by the disguised observation technique during intermittent periods. The observer's notations on the medications administered were compared to the physicians' orders to determine if errors had been committed. Only medication "errors of commission" were recorded. There were significantly fewer medication errors and significantly fewer medications administered at the wrong time in the unit dose system. The medication error rate associated with the unit dose system compared favorably with that of most other unit dose systems. No particular benefit, in terms of the medication error rate, was attributed to the computer element of the unit dose system.

Computers↗
PubMed1994

New medical record system in Queen Elizabeth Hospital, Hong Kong.

During the 1980's, the medical record problems had been identified and it was not until 1991 that Queen Elizabeth Hospital was chosen to be the pilot hospital for the development of a new medical record management system for the Hospital Authority hospitals. The new medical records system was implemented in Queen Elizabeth Hospital in December, 1993. Six month after implementation, a pre-implementation and post-implementation review of the medical record services were conducted to compare the results of the new and old system. The results showed that there were significant improvements in the record retrieval and record integrity in the new system. New medical record services such as the delivery of readmission records to the ward, filing of medical records forms in pre-defined order and filing of loose sheets in the relevant hospital notes are able to facilitate the efficient, effective and complete access to patient information. The support and cooperation of the hospital staff are crucial to the success of the new system. Continuous review and improvement of the new system is essential in order to obtain the best results.

Disease↗
PubMed2005

[General aspects and number of phases of the medication system in four brazilian hospitals].

This study identified and analyzed the medication systems in 04 university hospitals located in Recife, Ribeirão Preto, Goiânia and São Paulo, Brazil, after approval by the Research Ethics Committee and authorization by the hospital directors. Data were collected through a structured interview with one of the professionals in charge of the medication system and non-participant and direct observation during one week. The results indicated the points requiring improvement, such as the use of abbreviations, lack of standardization in medication administration times, lack of updated and complete information about the patient, the pharmacy's not working 24 hours a day in hospitals and others. 66 phases were shown in Hospital A, 58 in B, 70 in C, and 80 in D concerning the medication system. Simplifying the processes by reducing the number of phases is the key to reducing medication errors.

Brazil↗
PubMed1992

[Quality assurance in hospitals. Evaluation of the old and new system for medication routines at the Sentralsjukehuset in Rogaland autumn 1990/spring 1991 and 1992].

The routines for ordination and documentation of medication were found to be inadequate in our hospital. A new ordination system was introduced in 1991 based on the following principles: 1) All ordinations/seponations must be signed by a doctor. 2) Each day, all medication must be considered and signed by a doctor. 3) Ordinations by telephone must be signed later by a doctor. 4) The original ordination must be used when drugs are prepared. 5) Nurses must sign for supplied doses. The old and new system was evaluated in a medical and a surgical ward. In the medical ward the change of system had reduced errors of documentation from 20% to 1.8%, and in the surgical ward from 33% to 8%. The new ordination system has resulted in better patient documentation and has improved the hospital's written records.

Evaluation Studies as Topic↗
PubMed1989

[The design and implementation of a hospital management information system at Peking Union Medical College hospital].

This paper analyses the environment, necessity, possibility and specificity of the development of a Hospital Information System (HIS) in the People's Republic of China. The overall design and step-by-step implementation of a Hospital Management Information System (HMIS) in Peking Union Medical Collage (PUMC) Hospital are described in great detail. An experimental HMIS consisting of 40 microcomputers and a minicomputer (VAX-730) with a mixed network has been developed and is running perfectly well in PUMC Hospital. It is a distributed data management system. Each department uses microcomputers (work stations) to handle its own work directly facing the end-users to meet the local requirements. The global data concerning the whole system will be stored in network to be shared with all the subsystems. The communication between two subsystems is through 3+ network. As a background support of the distributed data processing, the centralized data bases in VAX-730 could be used to analyse and evaluate activities of the whole hospital.

China↗
PubMed1988

Toxic shock syndrome: incidence and geographic distribution from a hospital medical records reporting system.

A large database of hospital records maintained by the Commission on Professional and Hospital Activities Professional Activity Study (CPHA-PAS) was used to estimate the temporal incidence and geographic distribution of toxic shock syndrome (TSS). The CPHA-PAS hospital-diagnosed incidence was 3.5 times the reported TSS incidence, with a gradual decrease over the time period 1981-83. Marked differences in the regional occurrence of cases may provide clues to the etiology of this complex disease.

Commission on Professional and Hospital Activities↗
PubMed2000

Medication error reporting: a survey of nursing staff.

The objective of this article is to describe findings from a medication error (ME) survey, to estimate the extent of ME underreporting by comparison of survey results with written incident reports (IRs), and to determine factors associated with IR reporting of MEs. Participants were registered nurses from the 38-bed infant unit of a pediatric hospital. Most recent ME in each of four stages of the medication process was classified as to: timing, nature, whether the error was prevented from the patient, patient injury, and completed IR. Surveys were administered to nurses during mandatory skills session and were compared with IRs for MEs for the previous 6 months. The survey response rate was 93.5 percent; 72 nurses described 177 errors, 40.3 percent observed an ME in the previous week, 62.1 percent were prevented from reaching the patient and the likelihood of prevention was reduced in the later stages of the medication process. About 30 percent of MEs resulted in IRs. Administration errors were more likely to result in IRs compared with ordering errors, especially when the error was not prevented from the patient. There were 51 IRs for MEs. A multivariate logistic regression with completed IRs as the dependent variable showed a decreased likelihood of IRs for ordering than administration errors. IRs were more likely for wrong medication or dose errors and IRs were less likely for errors prevented from reaching the patient. The study found that by augmenting IR reporting of MEs and classifying errors by stage, anonymous ME surveys can be used for monitoring and guiding improvements to hospital medication systems.

Adverse Drug Reaction Reporting Systems↗
PubMed2004

An information system for drug prescription and distribution in a public hospital.

With 773 beds and 3696 employees, the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (HCFMRP)-Universidade de São Paulo, is one of the largest medical institutions in Latin America. The complete process of prescribing and distributing medication at HCFMRP involves the following stages: prescribing (physicians); ordering (infirmary); separating and dispensing (main drugstore); verifying and administering (infirmary). This was a manual process, normally taking place in the morning. Bottlenecks were inevitable and the risk of errors was elevated. An information system (IS) was devised and implemented with a view to controlling such problems. This article addresses the construction of this system and reports on a survey in which different groups of users have evaluated the project.

Brazil↗
PubMed1995

Orthopedic surgery at a MASH deployed to the former Yugoslavia in support of the United Nations Protection Force.

From November 1992 to April 1993, the 212th Mobile Army Surgical Hospital (MASH) was deployed from Germany to Zagreb, Croatia, to provide medical support for the United Nations Protection Force serving in the former Yugoslavia. A 60-bed deployable medical systems hospital was established. The usual MASH 72-hour evacuation policy was extended to 30 days; the orthopedic equipment inventory and surgical capability were increased significantly. Eighty-three orthopedic surgical procedures were performed during a 5-month period on soldiers from 14 nations. Sixty-two (75%) of these procedures were non-emergent, including internal fixation of fractures, bone and skin grafting, and arthroscopy. There were no documented early infections; the complication rate was acceptable. Orthopedic aftercare was supplemented by physical therapy and the capability of prosthetic fitting for amputees. The majority of soldiers (60%) received definitive orthopedic surgical care in theater. The feasibility of performing non-emergent orthopedic procedures in a field environment was demonstrated. Expanded medical support for other similar missions may be required in the future.

Adolescent↗