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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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Analysis of drug administration by nurses in health facility VIII
Vaclaviková, Iveta ; Malý, Josef (advisor) ; Šorf, Aleš (referee)
Author: Iveta Vaclaviková 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: Medication errors contribute significantly to the occurrence of adverse events that can impact patient health. The aim of this thesis was to analyze the administration of drugs to patients hospitalized by nurses in one of four studied health facilities in the South Bohemia region in the surgical, internal medicine and aftercare wards. Methods: This diploma thesis is part of an observational-interventional study, in years 2020- 2023. Observations took place in internal medicine, surgery and aftercare wards. Collection of data was held from 23th May to 26th May 2022 by a multidisciplinary team made up of a pharmacist and a nurse by direct observation method. These following data were collected: information about pacient (e.g., gender, age, and any medications taken), information about the nurse by whom the medications were administered (e.g., age, years of experience, highest educational attainment), and information recorded during the actual administration of the medications (e.g. nurse compliance with hygiene requirements; patient identification; checking originality of the drug; whether the...
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Analysis of drug administration by nurses in health facility VII
Polášová, Barbora ; Malý, Josef (advisor) ; Kolmanová, Eliška (referee)
Analysis of drug administration by nurses in health facility VII Author: Barbora Polášová Tutor: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Medication errors can cause a great risk in administration of drugs to health of patients. The aim of this thesis was to analyze the administration of drugs by nurses to patients hospitalized in three different wards in a medical facility in the South Bohemian region. Mathods: This thesis is a part of an observational-interventional study, ongoing in 2020-2023. Collection of data was held in one of South Bohemian hospitals in the surgery, internal medicine and aftercare wards between 17th May and 19th May. Data were collected by a direct observation method by a trained multidisciplinary team consisting of pharmacists and nurses. The observed parameters were: information about patient (e.g. gender, age and used medications), information about nurse (e.g. gender, age, length of practice) and drug administration's data (e.g. hygiene, patient identification, correct medication, right dose and strength, right patient, correct time, way of drug's manipulation, used drink for wash down, time interval from food). All collected data were anonymized,...
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Analysis of drug administration by nurses in health facility XIV
Newaldová, Sandra ; Doseděl, Martin (advisor) ; Rejmanová, Anna (referee)
Analysis of drug administration by nurses in health facility XIV. Author: Sandra Newaldová Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Medication errors are one of the causes of adverse events in healthcare facilities, leading to patient endangerment or harm. A study looking at this issue reports that the most common errors occur when a nurse administers medicines in a healthcare facility. Aim: The aim of the thesis is to monitor medication errors of nurses during the preparation and administration of medication to patients and to analyse the prevalence of medication errors, determine their type, their relationship to other influencing factors, and their severity with respect to the patient's condition. Methods: Prospective observational study with direct observation method, conducted in a specialized medical rehabilitation facility. The study included two pre- and post- intervention phases in which nurses' medication and procedural errors were monitored, analysed and evaluated. Observations were conducted in each phase over three days each time during morning, midday and evening administration. The results were analysed in programs Microsoft Excel and Wolfram Mathematica. Results: The...
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Analysis of drug administration by nurses in health facility IX
Blažková, Kateřina ; Doseděl, Martin (advisor) ; Košťálová, Barbora (referee)
Analysis of drug administration by nurses in a health facility X Author: Kateřina Blažková Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy, in Hradec Králové, Charles University Introduction and aims: Currently, patients are treated primarily through pharmacotherapy. As a consequence of this fact, an ever-increasing incidence of medication errors can be expected. Medication errors and the resulting adverse events can have adverse consequences for the patient and, consequently, for the entire healthcare system. The aim of this study was to analyse the whole process of drug administration by nurses in inpatient wards in a South Bohemian hospital. Methods: This thesis is part of an ongoing research project involving the Faculty of Pharmacy of Charles University. The first data collection took place in 2021, followed by interventions towards nurses, doctors and hospital management. The data collection for this work was similarly conducted using the direct observation method for three consecutive days from 2 to 5 May 2022. Using a trained multidisciplinary team consisting of a pharmacist and a nurse, the internal medicine, surgery and aftercare departments were observed. Morning, midday and evening medication administration was observed in each ward....
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Analysis of drug administration by nurses in health facility XI
Altmannová, Tereza ; Doseděl, Martin (advisor) ; Dvořáčková, Simona (referee)
Analysis of drug administration by nurses in health facility XI Author: Tereza Altmannová Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim: Medication errors are intrinsically linked to the practice of the medical profession. They can occur at several levels - prescription, drug preparation, dispensation, administration, and subsequent use of the drug by the patient. Nurses play an important role in the process of the drug administration in a hospital setting. Because of the occurrenceof medication errors and the consequent inability to achieve desired health outcomes, efforts are nowadays made to detect and minimize them. The aim of this study was to detect and analyze medication errors occurring during drug administration by nurses in a healthcare facility in South Bohemia. Methodology: The study is a part of a multi-year project involving the Faculty of Pharmacy of Charles University. The methodology is based on an observational study. The data collection took place in April 2022. Three hospital wards were assigned for the observation, where morning, midday and evening drug administration was monitored for three consecutive days. Data were recorded on a pre- generated form based on the...
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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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Implementation of Basic Security Measures in Medical Facility
Soukupová, Marie ; Svoboda Vlastimil, Ing. MBA (referee) ; Sedlák, Petr (advisor)
The diploma thesis presents a proposal for the implementation of basic security measures in a medical facility. In addition to describing the specific managerial and technical measures that the hospital must implement, the thesis also includes an information strategy and a proposal for building security awareness of the hospital staff. The thesis also describes the creation of a set of security guidelines, including a compliance manual with the Cybersecurity Decree.
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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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Medical center in Prostějov
Kubíček, Jan ; Hobzová, Klára (referee) ; Benešová, Romana (advisor)
The aim of this master´s thesis is to elaborate the project documentation of a new-built medical facilty for building permit, in the cadaster area of Prostějov. The building has six medical offices with facilities, pharmacy with the production of drugs and X-ray equipment. The building is simply-shaped, with two aboveground floors. The vertical loadbearing structures are designed from sand-lime blocks. The building is insulated by a ETICS with ventilated facade with green facade. The horizontal loadbearing structures and the staircase are designed from reinforced cast-in-place prefabricated parts. The concept of flat roof is an extensive green roof. The building is heated by gas condensing boiler. The building uses photovoltaics to produce electricity for save non-renewable resources. The building is ventilated using mechanical ventilation. In the third part, an assessment of water management was performed. The project was processed in ArchiCAD and Lumion.
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