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Analysis of drug administration by nurses in health facility XII
Gröszlová, Anna ; Doseděl, Martin (advisor) ; Malý, Josef (referee)
ANALYSIS OF DRUG ADMINISTRATION BY NURSES IN HEALTH FACILITY XII Author: Anna Gröszlová Supervisor of the thesis: PharmDr. Martin Doseděl, Ph.D. Charles University, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy Introduction: Medication administration in healthcare facilities significantly affects patient's safety. Observing and analyzing this process provide information about medication administration errors and the factors influencing them. As a result of observational findings, we can create interventions to improve the administration process. Aim: The aim of this work was to describe and analyze medication administration errors in a healthcare facility. Methods: The direct observation method was used for observation. Data collection took place in three departments (surgery, neurology, follow-up care) in 2021 and 2022. In both years, collection took place in each department on 3 consecutive days. Morning, midday and evening medication administration was monitored. An electronic database was used for recording. Data evaluation was done in Microsoft Excel and data from 2021 and 2022 were analyzed together. Nurse's work practices and medication errors were evaluated. Results: In total, 1160 drug administrations to 114 patients were observed. The largest number of...
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Verification properties of AV test bench
Kraiushkin, Dmytro ; Doseděl, Martin (referee) ; Klusáček, Stanislav (advisor)
This bachelor's thesis deals with the vibration diagnostics of rotating machinery and familiarization with the hardware and software provided by AMC Vibro company. A research was conducted on the issues of diagnosing faults in rotating machinery and their potential application on the rotor model AV Test Bench. The main focus of the thesis is the diagnosis of shaft unbalance and the implementation of the operational two-plane balancing method.
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Analysis of drug utilization of antidiabetics
Dvořáková, Nelly ; Malý, Josef (advisor) ; Doseděl, Martin (referee)
Analysis of drug utilization of antidiabetics Author: Nelly Dvořáková Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: PharmDr. Simona Dvořáčková, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objective: Effects of antidiabetics prevent serious consequences on mortality, morbidity and quality of life of patients. The objective of practical part of this thesis was to analyze trends of antidiabetics utilization in the Czech Republic between 2005−2021. Methods: The utilization of antidiabetics was analysed in the period from 1st January 2005 to 31st December 2021. The data were obtained from the State Institute for Drug Control database, where are collected reports from distributors regarding the supplies to healthcare institutions including pharmacies, vendors of selected pharmaceuticals and veterinarians. The denominator was number of inhabitants in Czech Republic in particular years in study period. The drug utilization of antidiabetics in Defined Daily Doses (DDD) was converted to Defined Daily Dose/1000 inhabitants/day (DID). The values of DDD of medicaments in fixed combinations were also converted to DID but not converted to their single components. The descriptive statistics was used to analyze the data. Results:...
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Analysis of drug administration by nurses in health facility VI
Brandová, Adéla ; Doseděl, Martin (advisor) ; Kostřiba, Jan (referee)
Analysis of drug administration by nurses in health facility VI. Author: Adéla Brandová Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction: The goal of rational pharmacotherapy should consist of the use of efficient, safe, and cost-efficient medication. The achievement of the said goals may be complicated by medication errors. Medication errors originate from human mistakes and intervene in all activities related to drug management, including drug administration. Aim: The aim of this study was to identify and analyze drug administration medication errors in a healthcare facility. Methods: The data was collected from the 29th of September to the 13th of October 2021, in a hospital located in the Hradec Králové region. Three departments were chosen for observation. Those three departments were surgery, internal ward, and follow-up care ward. The morning, midday and evening drug administrations on three consecutive days were monitored in each of the departments. This data collection was performed by direct observation. All of the routes of drug administration were monitored except intravenous drugs. Particular attention was paid to the identification of the patient, hand hygiene of nurses,...
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Analysis of the possibilities of influencing antibiotic prophylaxis in orthopedics on the basis of inflammatory markers
Preiss, Přemysl ; Malý, Josef (advisor) ; Doseděl, Martin (referee)
Analysis of the possibilities of influencing antibiotic prophylaxis in orthopedics on the basis of inflammatory markers Author: Přemysl Preiss Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: PharmDr. Petr Domecký Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim: Endoprosthetic surgeries are demanding orthopedic surgeries rarely associated with complications, that can be fatal. One is periprosthetic joint infection (PJI), whose risk can be decreased by antibiotic prophylaxis (AP). The aim of this effort was to describe trends in endoprosthetic surgeries of the knee and the hip, their complications and options of diagnostics in the theoretical part. The aim of the practical part was to analyze prognostic features of chosen laboratory parameters on postoperative infections, respectively on postoperative complications. Methods: This prospective study started in March 2020 and data gathering took place until 28. 3. 2022 at the Ortopedic Clinic of the University Hospital Hradec Králové. Patients, who were included in the study, fulfilled the preliminary criteria, e.g. age ≥ 18 years, patient undergoing total hip or knee arthroplasty at the time of the study and giving the informed consent to the study. Data were gathered from...
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Analysis of individual counselling in pharmacy I
Brandejská, Tereza ; Malý, Josef (advisor) ; Doseděl, Martin (referee)
Title of diploma thesis: Analysis of individual counselling in pharmacy I Author: Tereza Brandejská Tutor: PharmDr. Josef Malý, Ph.D. Consultant: PharmDr. Jana Šolínová Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objective: Individual consultations are a relatively new and developing service provided for patients in community pharmacies within the pharmaceutical care. The aim of this paper was to analyse professional individual consultations in community pharmacy in period of 2009-2019. Methodology: Professional individual consultations were provided in the form of a discreet dialogue between a pharmacist and patient in a consulting room of a basic pharmacy with two dispensing places. Pharmacy is located in a municipality of up to 5000 inhabitants, where no other pharmacy is available. The content of every consultation was recorded into a consultation form, while its extent corresponded with the focus of the given consultation. Patient's medical history was obtained during the consultation: demographic data, personal history data, lifestyle, use of medicines and food supplements including dosage information. The data was transferred into an electronic form with the use of web application containing a structured template....
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Analysis of drug administration by nurses in health facility V
Parasotska, Yuliia ; Doseděl, Martin (advisor) ; Ťupová, Lenka (referee)
Analysis of drug administration by nurses in health facility V Author: Yuliia Parasotska Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Medication errors in the healthcare setting affect patients in terms of morbidity, mortality, medication side-effects and longer hospital stays. For this reason, the analysis and detection of medication problems make a significant contribution to improving patient care and increasing patient safety. Objective: To describe and analyse the most common medication problems encountered in a healthcare facility during administration of medication by a nurse. Methodology: A prospective multicentre observational study was conducted in July 2021 in a hospital in the South Bohemian region. Using the direct observation method, medication errors occurring during medication dispensing by a nurse were monitored in three wards of the hospital. Over six days, the research team collected data from selected hospital wards and entered them into an online database to further assess the problems encountered and prevention measures were developed using descriptive statistics. Results: During the study, 13 nurses administered a total of 1,544 medications to 82 patients in three...
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Analysis of drug administration by nurses in health facility IV
Slobodyanyk, Myroslava ; Doseděl, Martin (advisor) ; Malý, Josef (referee)
Analysis of drug administration by nurses in health facility IV Candidate: Myroslava Slobodyanyk Supervisor: PharmDr. Martin Doseděl, PhD. Background: Currently, more emphasis is placed on quality and safe health care. At the medical facility, the nurse is responsible for administration of medications. Mistakes that may occur during administration may reduce the quality of health care delivery. For this reason, is important to minimize the occurrence of these doubts. Aim: The aim of the diploma is to describe and analyze the most common medication errors occurring in medical facilities during drug administration by nurses. Methods: This is a prospective observational study using direct observation. Nurses were administered medication in three hospital departments in the Czech Republic. Data collection took place for three following days at the Department of Internal Medicine, Surgery and Aftercare in July 2021. The data are recorded in a form. After a joint discussion, all data was rewritten into online database. The data were then exported to MS Excel and analyzed by descriptive statistics. Results: The study included 75 patients and the administration of the drugs by 15 nurses was observed. A total of 1518 drug administrations were observed, including oral drug delivery (91.56%), injections...
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Analysis of drug administration by nurses in health facility XII
Tylšarová, Hana ; Doseděl, Martin (advisor) ; Šorf, Aleš (referee)
ANALYSIS OF DRUG ADMINISTRATION BY NURSES IN HEALTH FACILITY XII Author: Hana Tylšarová Supervisor of the thesis: PharmDr. Martin Doseděl, Ph.D. Charles University, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy BACKGROUND Drug related problems are occurred at various levels: drug choice, dosage, administration, interactions, adverse reactions etc. Drug administration errors include for example wrong drug administration (wrong dosage, wrong timing, wrong dosage form etc.), forgotten drug administration, non-use of drug and wrong drug use. AIMS Aim of this work was to describe drug related problems occurred during drug administration in health care facility. METHODS The data was collected at three different departments (follow-up care, surgery and neurology) in one hospital in Olomouc region. The method of direct observation was chosen. The morning, midday and evening drug administration was observed. The observation was taken time 3 days in every department. Identification of a patient, hand hygiene and check of use were observed. Manipulation of oral tablets and capsules, oral liquids and eye drops and ointments were observed. Also, severe drug related problems were observed for example wrong drug, wrong dosage, wrong timing, wrong patient, wrong dosage form etc....
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Analysis of drug-related problems in a healthcare facility VIII
Kraušnerová, Kateřina ; Doseděl, Martin (advisor) ; Horký, Pavel (referee)
Analysis of drug-related problems in healthcare facility VIII Author: Kateřina Kraušnerová Supervisor of the thesis: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Backgroung: Drug-related problem (DRP) is according to Pharmaceutical Care Network Europe (PCNE) pharmacotherapy related event or circumstance, which actually or potentionaly interfer with a terapeutic purpose. Pharmacists tend to be part of multidisciplinar teams, they help with decisions concerning therapy of the patient, monitoring, participating in the detection of DRPs and by that helping increase effect and safety of pharmacotherapy. Aim: The aim of the theoretical part of this thesis is to cteate summary of DRPs which occurs in antidepressant drug group, ATC N06A, and classify these problems using PCNE V5.01 classification. The aim of the practical part of this thesis is to detect DRPs in healthcare facility, classify these DRPs using PCNE V5.01 classification and asses their relevance and acceptance of interventions made by clinical pharmacist. Methodology: The data were collected since February 7th to March 7th 2022 at hospital in the Czech republic. In total it was collected data from 68 patients. Source of DRPs, their relevance and suggested...
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