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Subject = Medication safety;
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Displaying Results 1 - 13 of 13 on page 1 of 1
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A prospective observational pilot study of adverse drug reactions contributing to hospitalisation in a cohort of middle-aged adults aged 45- 64 years.
(2020)
Grimes, Tamasine; Terence, Smeaton; McElwaine, Paul; Cullen, John; Santos-Martinez, Mar...
A prospective observational pilot study of adverse drug reactions contributing to hospitalisation in a cohort of middle-aged adults aged 45- 64 years.
(2020)
Grimes, Tamasine; Terence, Smeaton; McElwaine, Paul; Cullen, John; Santos-Martinez, Maria Jose; Deasy, Evelyn; Widdowson, Matthew
Abstract:
Purpose: Determine the prevalence, severity and preventability of adverse drug reactions (ADRs), ADRs causing or contributing to hospitalisation (cADRs) and preventable ADRs (pADRs) in middle-aged patients aged 45-64 years presenting acutely to hospital. Methods: Prospective observational pilot study. The sampling frame was middle-aged patients in the Acute Medical Unit of an Irish university teaching hospital. 100 patients using ?3 medicines were screened for ADRs present at hospitalisation. Potential ADRs were assessed for causality, preventability, severity and relationship to hospitalisation using validated tools and clinician assessment. The associations between ADRs and potentially inappropriate prescribing (PIP) and polypharmacy (?5 medicines) were investigated using the Pearson?s chi-squared test. Multi-variate logistic regression analyses examined association between ADRs and sex, age, polypharmacy, co-morbidity and PIP. Results: Twenty-one of 100 patients experienced 23...
http://hdl.handle.net/2262/91265
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Attitude of physicians towards automatic alerting in computerized physician order entry systems
(2018)
Jung, M.; Hoerbst, A.; Hackl, W. O.; Kirrane, F.; Borbolla, D.; Jaspers, M. W.; Oertle,...
Attitude of physicians towards automatic alerting in computerized physician order entry systems
(2018)
Jung, M.; Hoerbst, A.; Hackl, W. O.; Kirrane, F.; Borbolla, D.; Jaspers, M. W.; Oertle, M.; Koutkias, V.; Ferret, L.; Massari, P.; Lawton, K.; Riedmann, D.; Darmoni, S.; Maglaveras, N.; Lovis, C.; Ammenwerth, E.
Abstract:
Objectives: To analyze the attitude of physicians towards alerting in CPOE systems in different hospitals in different countries, addressing various organizational and technical settings and the view of physicians not currently using a CPOE. Methods:A cross-sectional quantitative and qualitative questionnaire survey. We invited 2,600 physicians in eleven hospitals from nine countries to participate. Eight of the hospitals had different CPOE systems in use, and three of the participating hospitals were not using a CPOE system. Results: 1,018 physicians participated. The general attitude of the physicians towards CPOE alerting is positive and is found to be mostly independent of the country, the specific organizational settings in the hospitals and their personal experience with CPOE systems. Both quantitative and qualitative results show that the majority of the physicians, both CPOE-users and non-users, appreciate the benefits of alerting in CPOE systems on medication safety. Howeve...
http://hdl.handle.net/10379/12131
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Barriers and facilitators of medicines reconciliation at transitions of care in Ireland - a qualitative study
(2020)
Grimes, Tamasine
Barriers and facilitators of medicines reconciliation at transitions of care in Ireland - a qualitative study
(2020)
Grimes, Tamasine
Abstract:
Background: Medication error at transitions of care is common. The implementation of medicines reconciliation processes to improve this issue has been recommended by many regulatory and safety organisations. The aim of this study was to gain insight from healthcare professionals on the barriers and facilitators to the medicines reconciliation implementation process. Methods: Semi-structured interviews were conducted in Ireland with a wide range of healthcare professionals (HCPs) involved with medicines reconciliation at transitions of care. Thematic analysis was undertaken using an adaptation of a combined theoretical framework of Grol, Cabana and Sluisveld to classify the barriers and facilitators to implementation of medicines reconciliation. Results: Thirty-five participants were interviewed, including eleven community pharmacists (CPs), eight hospital pharmacists (HPs), nine hospital consultants (HCs), five general practitioners (GPs), and two non-consultant hospital doctors (NC...
http://hdl.handle.net/2262/94048
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Collaborative pharmaceutical care in an Irish hospital: uncontrolled before-after study
(2014)
GRIMES, TAMASINE
Collaborative pharmaceutical care in an Irish hospital: uncontrolled before-after study
(2014)
GRIMES, TAMASINE
Abstract:
Background We investigated the benefits of the Collaborative Pharmaceutical Care in Tallaght Hospital (PACT) service versus standard ward-based clinical pharmacy in adult inpatients receiving acute medical care, particularly on prevalence of medication error and quality of prescribing. Methods Uncontrolled before-after study, undertaken in consecutive adult medical inpatients admitted and discharged alive, using at least three medications. Standard care involved clinical pharmacists being ward-based, contributing to medication history taking and prescription review, but not involved at discharge. The innovative PACT intervention involved clinical pharmacists being team-based, leading admission and discharge medication reconciliation and undertaking prescription review. Primary outcome measures were prevalence per patient of medication error and potentially severe error. Secondary measures included quality of prescribing using the Medication Appropriateness Index (MAI) in patients...
http://hdl.handle.net/2262/68046
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Design template for a medication safety programme in an acute teaching hospital
(2012)
RYDER, SHEILA
Design template for a medication safety programme in an acute teaching hospital
(2012)
RYDER, SHEILA
Abstract:
Background: Very limited data have been published about the design of medication safety programmes in hospitals. Objective: To describe a template for the structure and operation of a medication safety programme in an acute tertiary setting. Methods/results: A model of an ideal medication safety programme was developed by combining the lessons learnt by the lead author in the role of medication safety officer in an acute teaching hospital for 7 years with the published accounts of best practice from the literature. Conclusions: Given the limited guidance currently available regarding the structure and operation of such programmes, this template goes some way towards addressing a gap in the current patient safety literature. It should be of practical value to healthcare organisations considering either introducing a medication safety programme for the first time or expanding an existing system.
http://hdl.handle.net/2262/66780
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Development of a standardized chart review method to identify drug-related hospital admissions in older people
(2018)
Thevelin, Stefanie; Spinewine, Anne; Beuscart, Jean-Baptiste; Boland, Benoit; Marien, S...
Development of a standardized chart review method to identify drug-related hospital admissions in older people
(2018)
Thevelin, Stefanie; Spinewine, Anne; Beuscart, Jean-Baptiste; Boland, Benoit; Marien, Sophie; Vaillant, Fanny; Wilting, Ingeborg; Vondeling, Ariel; Floriani, Carmen; Schneider, Claudio; Donzé, Jacques; Rodondi, Nicolas; Cullinan, Shane; O'Mahony, Denis; Dalleur, Olivia
Abstract:
Aim: We aimed to develop a standardized chart review method to identify drug-related hospital admissions (DRA) in older people caused by non-preventable adverse drug reactions and preventable medication errors including overuse, underuse and misuse of medications: the DRA adjudication guide. Methods: The DRA adjudication guide was developed based on design and test iterations with international and multidisciplinary input in 4 subsequent steps: literature review, evaluation of content validity using a Delphi consensus technique, a pilot test and a reliability study. Results: The DRA adjudication guide provides definitions, examples and step-by-step instructions to measure DRA. A 3-step standardized chart review method was elaborated including 1) data abstraction, 2) explicit screening with a newly developed trigger tool for DRA in older people and 3) consensus adjudication for causality by a pharmacist and a physician using the World Health Organization-Uppsala Monitoring Centre and...
http://hdl.handle.net/10468/6866
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Household Medication Safety Practices during the Covid-19 Pandemic: A Descriptive Qualitative Study Protocol
(2020)
Grimes, Tamasine; Cahill, Joan; Cromie, Samuel
Household Medication Safety Practices during the Covid-19 Pandemic: A Descriptive Qualitative Study Protocol
(2020)
Grimes, Tamasine; Cahill, Joan; Cromie, Samuel
Abstract:
Introduction: Those who are staying at home and reducing contact with other people during the COVID-19 pandemic are likely to be at greater risk of medication-related problems than the general population. This study aims to explore household medication practices by and for this population, identify practices that benefit or jeopardise medication safety and develop best practice guidance about household medication safety practices during a pandemic, grounded in individual experiences. Methods and analysis: This is a descriptive qualitative study using semistructured interviews, by telephone or video call. People who have been advised to ?cocoon?/?shield? and/or are aged 70 years or over and using at least one long-term medication, or their caregivers, will be eligible for inclusion. We will recruit 100 patient/carer participants: 50 from the UK and 50 from Ireland. Recruitment will be supported by our patient and public involvement (PPI) partners, personal networks and social media. ...
http://hdl.handle.net/2262/94194
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Measuring and benchmarking safety culture: application of the safety attitudes questionnaire to an acute medical admissions unit.
(2009)
RYDER, SHEILA
Measuring and benchmarking safety culture: application of the safety attitudes questionnaire to an acute medical admissions unit.
(2009)
RYDER, SHEILA
Abstract:
Objectives: To assess the safety culture in an acute medical admissions unit (AMAU) of a teaching hospital in order to benchmark results against international data and guide a unit-based, integrated, risk management strategy. Methods: The Safety Attitudes Questionnaire (SAQ), a validated instrument for the measurement of safety culture, was applied to an AMAU. All AMAU healthcare staff (n = 92) were surveyed: doctors, nurses, healthcare assistants (HCAs) and allied healthcare professionals (AHPs). Safety attitude scores for the overall unit and individual caregiver types were assessed across six domains of safety culture. Results: When compared against an international benchmark, the AMAU scored significantly higher for four of the six safety domains: p<0.01 for `teamwork climate?, `safety climate? and `stress recognition?, and p<0.05 for `job satisfaction?. The difference between nurse manager scores and the overall mean for the study group was statistically significant fo...
http://hdl.handle.net/2262/64564
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Medication and supplement use in older people with and without intellectual disability: An observational, cross-sectional study
(2017)
O'Dwyer, Maire; Henman, Martin; Mc Carron, Mary; Kenny, Rose
Medication and supplement use in older people with and without intellectual disability: An observational, cross-sectional study
(2017)
O'Dwyer, Maire; Henman, Martin; Mc Carron, Mary; Kenny, Rose
http://hdl.handle.net/2262/81775
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Medication Safety in High-Risk Situations
(2019)
Medication Safety in High-Risk Situations
(2019)
Abstract:
Each country participating in the third WHO Global Patient Safety Challenge: Medication Without Harm is urged to take early priority action to improve medication safety in high-risk situations and reduce harm by (5): Identifying its objectives by convening a group of technical experts, physicians, nurses, pharmacists, patients, regulators, and health system leaders to select and prioritize a small number of high-risk (high-alert) medications and high-risk situations for action that are applicable to their situation and achievable with the resources available; Developing a plan to achieve those objectives, including the processes, systems, patient involvement and education and training of health care professionals needed to deliver them; Developing a range of sustainable strategies of proven efficacy to address each of the priority areas in medication safety identified by the country, as medication errors are often caused by a combination of medication, provider and patient, and sys...
http://hdl.handle.net/2262/95278
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Medication Safety in Polypharmacy
(2019)
Medication Safety in Polypharmacy
(2019)
Abstract:
Ensuring medication safety in polypharmacy is one of the key challenges for medication safety today. Due to the traditional focus of both medical research and health care delivery models on single-disease interventions, there has been a notable lack of evidence-based solutions. Conventionally polypharmacy has been perceived as an overuse of medicines, whereas it may be more useful to perceive in terms of appropriateness,as there are many cases where the concurrent use of multiple medicines may be deemed necessary and beneficial. Globally the prevalence of polypharmacy is set to rise as the population ages and more people suffer from multiple long-term conditions. Countries should therefore prioritize raising awareness of the problems associated with inappropriate polypharmacy and the need to address this issue. All stakeholders have a vital role to play in driving change for the management of polypharmacy. Polypharmacy management involves multifaceted decision-making and necessitate...
http://hdl.handle.net/2262/95279
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Safety culture in a major accredited Irish university teaching hospital: a mixed methods study using the safety attitudes questionnaire.
(2020)
Gleeson, Laura; Tobin, Leanne; O'Brien, Gary L.; Crowley, Erin K.; Delaney, Aoife;...
Safety culture in a major accredited Irish university teaching hospital: a mixed methods study using the safety attitudes questionnaire.
(2020)
Gleeson, Laura; Tobin, Leanne; O'Brien, Gary L.; Crowley, Erin K.; Delaney, Aoife; O'Mahony, Denis; Byrne, Stephen
Abstract:
Background: The measurement of safety culture, the way in which members of an organisation think about and prioritise safety, in a hospital can provide valuable insight and inform quality improvement strategies. Aims: The aim of this study is to describe the safety culture of a university teaching hospital in the Republic of Ireland. Methods: This is a mixed methods survey study using the Safety Attitudes Questionnaire (SAQ). The SAQ was distributed to all staff in the study hospital. Staff attitudes towards six domains of patient safety culture were assessed over 32 Likert-scaled items. Thematic analysis was performed on qualitative data. Results: A total of 768 staff members completed and returned a copy of the SAQ. The hospital scored above the international benchmark in five out of six domains, indicating a positive safety culture, but scored below the international benchmark in the domain 'Working Conditions'. This positive safety culture was not mirrored in the quali...
http://hdl.handle.net/10468/10261
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Unintended discontinuation of medication following hospitalisation: a retrospective cohort study
(2019)
Grimes, Tamasine
Unintended discontinuation of medication following hospitalisation: a retrospective cohort study
(2019)
Grimes, Tamasine
Abstract:
Objectives: Whether unintended discontinuation of common, evidence-based, long-term medication occurs after hospitalisation; what factors are associated with unintended discontinuation; and whether the presence of documentation of medication at hospital discharge is associated with continuity of medication in general practice. Design: Retrospective cohort study between 2012 and 2015. Setting: Electronic records and hospital supplied discharge notifications in 44 Irish general practices. Participants: 20?488 patients aged 65 years or more prescribed long-term medication for chronic conditions. Primary and secondary outcomes: Discontinuity of four evidence-based medication drug classes: antithrombotic, lipid-lowering, thyroid replacement drugs and respiratory inhalers in hospitalised versus non-hospitalised patients; patient and health system factors associated with discontinuity; impact of the presence of medication in the hospital discharge summary on continuity of medication in a p...
http://hdl.handle.net/2262/89630
Displaying Results 1 - 13 of 13 on page 1 of 1
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Institution
NUI Galway (1)
Trinity College Dublin (10)
University College Cork (2)
Item Type
Journal article (11)
Report (2)
Peer Review Status
Peer-reviewed (12)
Unknown (1)
Year
2020 (4)
2019 (3)
2018 (2)
2017 (1)
2014 (1)
2012 (1)
2009 (1)
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