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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 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 II
Blizňáková, Natalie ; Malý, Josef (advisor) ; Horký, Pavel (referee)
Analysis of drug administration by nurses in a health facility II Author: Natalie Blizňáková Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: Mgr. Ondřej Tesař Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim: Medication errors are one of the main causes of adverse events that can lead to damage to health or death of the patient. The aim of this work was to analyze the administration of drugs by nurses to patients hospitalized in one health facility providing inpatient care in the South Bohemian region with emphasis on medication errors and their prevention. Methodology: This diploma thesis is part of a long-term observation-intervention project, which takes place in the years 2020-2023. The surgical, internal medicine and aftercare departments were observed. Data collection for this work took place in the form of direct observation by a trained team of pharmacists and nurses, from June 28 to July 1 and from August 23 to August 26, 2021, for three consecutive days. The following data were collected: patient data (e.g., age; gender; all drugs used), data on the nurse administering the drugs (e.g., length of practice and education) and data on the actual administration of drugs (e.g., method of patient identification; nurse...
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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 administration by nurses in health facility III
Novosadová, Aneta ; Malý, Josef (advisor) ; Šorf, Aleš (referee)
1 Abstract Analysis of drug administration by nurses in a health facility III Author: Aneta Novosadová Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: Mgr. Ondřej Tesař Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: The drug administration by nurses is one of the most important part of a nursing care performed on daily basis. The goal of this master's thesis was to analyze the drug administration by nurses to the patients hospitalized in the internal, surgical or aftercare wards in one of four health facilities in the South Bohemian region with an emphasis on medication errors and their prevention. Methods: This is a part of an extensive observational and intervention study, which is conducted between years 2020-2023. The thesis demonstrates the data acquired by a direct observation of drug administration to the hospitalized patients from 19th to 25th July 2021. The data were collected by teams composed by a pharmacist and a nurse. The collected data were as follow: patients' personal data (e.g., age, gender, list of all drugs used by patient), data about the nurse who administered drugs (age, gender, length of working experience), data of the drug administration (the way of identification of the patient; the nurse's hygiene...
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Analysis of drug-related problems in a healthcare facility V.
Truongová, Thu Thao ; Doseděl, Martin (advisor) ; Malá, Kateřina (referee)
ANALYSIS OF DRUG-RELATED PROBLEMS IN A HEALTHCARE FACILITY V. Author: Thu Thao Truongová Supervisor of the diploma thesis: PharmDr. Martin Doseděl, Ph.D. Consultant: PharmDr. Veronika Měrková Charles University, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy INTRODUCTION Medication errors are one of the most frequent medicinal errors. They affect patient's safety from the long-term point of view.1 The great part of medication errors occurs on the level of drug administration.2 In healthcare facilities mostly nurses are responsible for medication administration.3 AIM To obtain and evaluate medication errors during drug administration by nurses in a healthcare facility. METHODICS A prospective observational study was conducted in the facility Hamzova léčebna for children and adults focusing on medical rehabilitation. Data collection was performed in May 2019 three consecutive days on each ward, where drugs were administrated by nurse. Direct observation was done in morning, noon and evening drug administrations. Obtained data were recorded into prepared form and were compared with physician's medication order on the patient's record. Afterwards, the forms were transcripted into online database, data were transfered to MS Excel software programme and evaluated by...
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Analysis of drug-related problems in a healthcare facility V.
Truongová, Thu Thao ; Doseděl, Martin (advisor) ; Malá, Kateřina (referee)
ANALYSIS OF DRUG-RELATED PROBLEMS IN A HEALTHCARE FACILITY V. Author: Thu Thao Truongová Supervisor of the diploma thesis: PharmDr. Martin Doseděl, Ph.D. Consultant: PharmDr. Veronika Měrková Charles University, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy INTRODUCTION Medication errors are one of the most frequent medicinal errors. They affect patient's safety from the long-term point of view.1 The great part of medication errors occurs on the level of drug administration.2 In healthcare facilities mostly nurses are responsible for medication administration.3 AIM To obtain and evaluate medication errors during drug administration by nurses in a healthcare facility. METHODICS A prospective observational study was conducted in the facility Hamzova léčebna for children and adults focusing on medical rehabilitation. Data collection was performed in May 2019 three consecutive days on each ward, where drugs were administrated by nurse. Direct observation was done in morning, noon and evening drug administrations. Obtained data were recorded into prepared form and were compared with physician's medication order on the patient's record. Afterwards, the forms were transcripted into online database, data were transfered to MS Excel software programme and evaluated by...
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Safe Drug Handling In Medical Facilities.
MUSILOVÁ, Marie
Translation Czech ? English Abstract: Safe Drug Handling in Medical Facilities The issue of safety in drug handling in medical facilities creates a significant priority in maintaining and increasing the quality of care. The presented bachelor?s work deals with such problems both in theoretical and practical level. In the theoretical part it explains the methods of safe drug handling in all levels of that process, starting from the delivery of drugs from the hospital?s pharmacy, till their liquidation. In the research part it examines the knowledge level of the above problems of nurses in surgery or internal departments of a smaller, however an accredited hospital. The research has been outlined as a quantitative research through questioning ? a questionnaire. There were two objectives set up. Objective 1: To get an overall picture of the nurses? knowledge of handling, distributing and keeping drugs and Objective 2: To get an overall picture whether the nurses are acquainted with the principles of handling opiates. Both objectives have been fulfilled. Based on the objectives 8 hypotheses (H) have been set up: H 1: The nurses are acquainted with correct safeguarding of drugs ? confirmed; 96 percent of respondents master the principles of correct safeguarding of drugs. H 2: The nurses are acquainted with correct storing of drugs ? confirmed. 76 percent of them master the principles of correct storing. H 3: The nurses are acquainted with correct designation of drugs ? confirmed. 97 percent of them master the correct designation of drugs. H 4: The nurses are acquainted with the preparation of drugs ? confirmed. 88 percent of nurses master the correct preparation of drugs. H 5: The nurses are acquainted with the correct administration of drugs ? confirmed. 83 percent of nurses master the principles of correct drug administration. H 6: The nurses are acquainted with correct documentation maintenance when administrating drugs ? confirmed. 97 percent of respondents master the documentation agenda when handling drugs. H 7: The nurses are acquainted with the correct liquidation of drugs ? confirmed. 83 percent of nurses master the principles of correct liquidation of drugs. H 8: The nurses are acquainted with correct opiate handling ? confirmed. 94 percent of nurses are acquainted with the correct opiate handling. All 8 hypotheses have been confirmed. The results of the research will be granted to the Hospital in Pelhrimov, p. o., as a possible contribution to the continuous process of quality improvements. It is possible to find certain sections in the detailed text and the graphic part of the processing of answers to individual questions of the test, where the answers of nurses appeared slightly worse (although in total very good) and the proposal is to support training of employees, internal seminars and a creation of standards. The research presented the knowledge of a selected group of nurses in the Hospital in Pelhrimov, p.o., in the area of drug handling at a high level of quality. There is a possibility of further examination of possible mutual differences in the knowledge of the safe drug handling problems, between nurses in accredited and non-accredited health facilities.
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Nursing care of patients with drug allergies
ADENSAMOVÁ, Jiřina
Allergies management is one of topical medical issues. Together with the increasing drug consumption the number of drug allergies rises. The objective of this thesis is to survey the nursing care of patients with drug allergies, focusing on the nursing process at administering medications and to define specifics of nursing care of patients with a drug allergy. In the practical part of this thesis the quantitative method using the questionnaire technique was involved. Questionnaire respondents were nurses working in inpatient and outpatient health care facilities and home care agencies.
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