Objectives:
To assess knowledge, attitudes and practices towards the reporting of medication errors among health practitioners at King Abdulaziz Medical city in Riyadh, Kingdom of Saudi Arabia.
Methods:
A cross-sectional study using a self-administered questionnaire was conducted in a convenient sample of 62 physicians and 303 nurses, between June and September 2017 at King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia.
Results:
The sample consisted of 365 subjects, with a response rate of 73%. Approximately 97% had sufficient knowledge and a favorable attitude (90%) towards medication error reporting. With regard to reporting practices, some participants (21.6%) preferred to educate those who made a medication error, rather than reporting it. Approximately 44.8% had not reported medication errors during their work experience.
Conclusion:
Study participants demonstrated a sufficient knowledge base with regard to medication error reporting. Despite sufficient knowledge and favorable attitudes towards medication error reporting, there is still an under-reporting of medication errors when it comes to practice. We recommend the establishment of frequent medication safety courses as a prerequisite for all health care providers. We also advocate the application of error detecting alarms such as digital programs to minimize medication errors.
Labor induction is one of the most common obstetric interventions carried out in obstetric institutions. More than one fifth of labors needs induction. To date, many methods are available for labor induction with the pharmaceutical and mechanical methods being the commonest. The most common pharmaceutical agents used are prostaglandins, oxytocin, synthetic progesterone antagonists, and nitric oxide. Mechanical induction is carried out through using balloon catheters, hygroscopic dilators, artificial membrane rupture, or membrane stripping. Though pharmaceutical methods had largely replaced mechanical induction of labor, no consensus guidelines recommend their use. Studies from literature are still conflicting. However, it is generally agreed that the use of a combined approach with both pharmaceutical and mechanical methods of induction yields the best outcome. This article will review the different methods for labor induction, their effectiveness, and adverse events.
Dupuytren’s disease of the foot is not an uncommon disease that affects the plantar aponeurosis. It is a different clinical entity from Dupuytren’s contracture of hands. It presents clinically with slowly growing painless hard nodules on the medial aspects on the feet. Though the pathophysiological mechanisms remain elusive, hyperproliferation of fibroblasts and excessive synthesis of collagen fibers type III are proposed to be the main pathogenetic processes resulting in nodule development and growing. The most widely accepted theory for disease development is the combination of genetic predisposition and environmental risk factors such as smoking chronic alcohol consumption, diabetes mellitus, and other forms of superficial or dee fibromatosis. This article will discuss the dupuytren’s disease of the foot as regards the epidemiology, the pathophysiology, the clinical presentation, diagnosis, and lines of treatment. It will provide a special focus on the mechanisms of affection of plantar aponeurosis.
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