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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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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 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 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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A medical social worker in the health care facilities
DVOŘÁKOVÁ, Marta
This bachelor thesis deals with the topic of medical social work in health care facilities and its position in an interdisciplinary team that is necessary in providing quality and comprehensive patient care. The first part generally characterizes the specifics of the profession and content of competences and activities of medical social worker. It also describes interdisciplinary teamwork. The practical part focuses on data analysis detected through semistructured interview in-depth semistructured interview and realized with five medical social workers in the health care facility Hospital České Budějovice, a.s. Research results show that the hospital provides quality and comprehensive patient care. The quality of provided care could be higher by introducing supervision, increasing the number of medical social workers and removing of technical barriers in communication and information transfer.
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Cost Management in a Chosen Health Care Facility
Chrascinová, Jolana ; Střítecký, Rudolf (advisor) ; Lešetický, Ondřej (referee)
Goal: On the base of analysis of cost make suggestion for effective data assimilation for added value in health care facility. Introduction: Every manager needs tools to manage company which help him to lead company to prosperity. There are direct tools as comands, meetings, etc. and indirect tools, for example economic management. Economic management includes whole line of elements which in their cohesion are integral part of every business, for example controlling, cost management, dealing with short term-assets, management accouting, investment decisions, financial analysis, material incentives. Recently every company focuses its management attention to cost management. We often meet such efforts to reduce costs, which in fact cal lead to damage in short-time or long-time period. In my thesis I will analyse main traps which managers confront while working in chosen health care facility. I will also describe more flexibile access to management costs which provides company with stable and tenable position in global market conditions. Achieving maximal outcomes from company resources and all at once minimalize costs is still one of main strategic target of company.
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