PubMed HealthSearch

SEARCH · PubMed Health

Results for “Medication Systems, Hospital”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

A hospital medication monitoring system.

Hospitals need to process large quantities of scattered information to properly screen medication orders. The data includes complex relationships involving drugs, diseases, and other drugs that determine whether a particular drug is contraindicated for a patient. Hospitals would therefore benefit from a flexible system for storing complex medical data relationships. We have used GPLAN, a CODASYL-like data management system, to construct a functioning model of a hospital pharmacy medication monitoring system. the patients' histories, drug-drug contraindications, disease-drug contraindications, and recommended dosages are stored in the data base in a network structure defined by the Data Description Language. Each drug order is checked for dose, allergies, current diseases, and current medications.

Computers

Gas identity hazards and major contamination of the medical gas system of a new hospital.

During commissioning of the medical gas system of a new hospital, fourteen connection defects were found; six of these were potentially lethal cross-connections. A major contaminant was also detected throughout the medical gas system. The methods of testing a new medical gas system described in this report highlight the need for up-grading of existing standards.

Australia

Pharmaceutical services in nongovernmental hospitals on the West Coast.

A survey of nongovernment, nonprofit and for-profit hospitals in Washington, Oregon and California was conducted to determine the incidence of selected hospital pharmacy services (1) directly related to drug distribution and (2) not directly related to drug distribution. Questionnaires were mailed to all qualifying hospitals in the three states; the return rate was 75.4%. Unit dose drug distribution was used in combination with other delivery systems by 58.3% of the respondents; 26.5% used unit dose exclusively. Over half of the respondents provided i.v. admixture programs, outpatient and inpatient discharge prescriptions, and inpatient medication profiles. Additionally, 77.9% provided pharmacy consultation to physicians. Nonprofit hospitals had significantly higher pharmacy staffing levels (both pharmacists and supportive personnel) than for-profit hospitals in the categories, "open seven days per week," "open nine to 16 hours per day," "open 17 to 24 hours per day, "101 to 200 beds" and "201 or more beds." Hospitals that provided the following services had significantly higher pharmacy staffing levels than those that did not provide the serices: unit dose drug distribution, i.v. admixture services, inpatient discharge prescriptions, inpatient medication profiles, drug therapy monitoring, and cardiopulmonary resuscitation team participation (difference of supportive staff only).

Hospitals, Proprietary

Consultant approach to improving drug-related services to chronic hemodialysis patients.

A consultant role for the pharmacist in solving a drug-related problem of another hospital department is described. The head of a 16-patient-per-day hemodialysis unit requested assistance from the pharmacy to improve the medication records for hemodialysis patients. Investigation uncovered several additional problems such as contradictory medication orders, poor patient compliance and evidence of drug abuse. The pharmacy devised and assisted in the implementation of new mechanisms for initiating, recording and charting medications. A patient education program and a system for assuring availability of medications for self-administration were also instituted. After nursing personnel were trained by the pharmacy, responsibility for maintaining the revised services was transferred to the hemodialysis staff. Documentation of medication orders, drug knowledge of the hemodialysis staff and patient compliance improved as a result of the revisions instituted by the pharmacy.

Consultants

Comprehensive self-medication program for epileptic patients.

The establishment and operation of a comprehensive self-medication program for hospitalized epileptic patients are described. The patients in the program are required to meet established behavioral criteria during each of four stages of self-medication before progressing to the next stage. The patient has increasing responsibility in each successive phase of the program. The areas of patient involvement for the pharmacist are: (1) obtaining a medication history, (2) teaching patients about seizure medications, (3) conducting patient consultations during the self-medication program and (4) counseling the patient at discharge.

Counseling