An intervention to improve inpatient medication management: a before and after study

Xu, Cuirong; Li, Guohong; Ye, Nanyuan; Lü, Yanyan

doi:10.1111/jonm.12231

Cited by 18 publications

(19 citation statements)

References 27 publications

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Section: Medication Safetymentioning

confidence: 99%

“…Nurses should carefully follow all applicable instructions, procedures and policies relating to medication administration and act in accordance with the principles of safe medication . Staff in healthcare units should therefore be given clear guidance on medication administration, including orientation on the subject . Promoting medication safety requires also precise and exact error reporting , documentation of medication events , teamwork and consistent checking of patients' medication during transitions .…”

Section: Medication Safetymentioning

confidence: 99%

“…Staff in healthcare units should therefore be given clear guidance on medication administration, including orientation on the subject . Promoting medication safety requires also precise and exact error reporting , documentation of medication events , teamwork and consistent checking of patients' medication during transitions . A culture of good teamwork promotes error reporting , learning from errors and continuous quality improvement .…”

Section: Medication Safetymentioning

confidence: 99%

“…Nurses need to know how medications affect patients' symptoms and diseases as well as possible risks and adverse reactions associated with medications . Medication safety therefore requires nurses to have knowledge about medicines and to be motivated to engage in lifelong learning about medication . To administer medication safely, nurses must consider the patient's age and polypharmacy , drug allergies , engage in patient educating and counselling and encourage the patient to engage with their own medication .…”

Section: Medication Safetymentioning

confidence: 99%

“…Medication safety therefore requires nurses to have knowledge about medicines and to be motivated to engage in lifelong learning about medication . To administer medication safely, nurses must consider the patient's age and polypharmacy , drug allergies , engage in patient educating and counselling and encourage the patient to engage with their own medication . It is important to recognise the risk of confusion between medicines and their packaging and the functionality of the space in which medications are handled .…”

Section: Medication Safetymentioning

confidence: 99%

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The relationship between nurse manager's transformational leadership style and medication safety

Lappalainen

Härkänen

Kvist

2019

Scandinavian Caring Sciences

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Aim To describe medication safety, transformational leadership and their relationship as evaluated by Registered Nurses. Background Medication safety is one of the aspects of patient safety and an important part of nurses' daily practices. Nurse managers can ensure medication safety by adopting a transformational leadership style. However, little evidence exists regarding how transformational leadership relates to medication safety. Methods Data were collected from Registered Nurses (n = 161) in three Finnish hospitals in May 2016 using an electronic questionnaire incorporating the Transformational Leadership Scale (TLS) and Medication Safety Scale (MSS). Data were analysed using statistical analyses including descriptive analyses, principal component analysis and multivariate analyses. STROBE reporting guidelines were followed (see Appendix ). Findings Nurses evaluated medication safety and transformational leadership in their units to be excellent and good, respectively. There was a moderate but statistically significant correlation between transformational leadership and medication safety. The medication competence of nurses and the management of nursing processes were significantly related to medication safety. Conclusions Nurse managers' transformational leadership style can promote medication safety in units. The medication competence of nurses must be addressed because assurance and confidence in their own expertise in pharmacotherapeutic tasks positively affects their perceptions of medication safety.

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Section: Medication Safetymentioning

confidence: 99%

Section: Medication Safetymentioning

confidence: 99%

Section: Medication Safetymentioning

confidence: 99%

Section: Medication Safetymentioning

confidence: 99%

Section: Medication Safetymentioning

confidence: 99%

See 3 more Smart Citations

The relationship between nurse manager's transformational leadership style and medication safety

Lappalainen

Härkänen

Kvist

2019

Scandinavian Caring Sciences

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A newly developed algorithm for switching outpatient medications to medications listed in the hospital formulary: a prospective real-word evaluation in patients admitted electively to hospital

Möller,

Oetting,

Spiegel

et al. 2024

Eur J Clin Pharmacol

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Purpose In many countries, outpatient and inpatient care are separated. During hospitalization, therefore, switching the outpatient medication to medication of the hospital formulary is required. Methods We newly designed a switching algorithm in six switching steps (S0–S5) and conducted a study at Bundeswehr Hospital Hamburg (300 beds, 80% civilians). We performed (i) a medication reconciliation to obtain information on outpatient medications and (ii) a medication review to solve drug-related-problems, e.g., drug-drug interactions. We applied (iii) the algorithm to switch medications to the hospital formulary. Results (i) We identified 475 outpatient medications (median per patient: 4; Q25/Q75 2/7) in 100 patients consecutively admitted to hospital (median age: 71; Q25/Q75: 64/80 years). Of 475 medications, the switching algorithm could not be used since product names were missing in 23.9% and strength in 1.7%. In 3.2%, switching was not required since medication was not prescribed during the hospital stay. (ii) Drug-drug interactions were identified in 31 of 79 patients with more than one medication. (iii) Of 475 medications, 18.5% were on the hospital formulary and therefore did not need to be switched (S0), 0.2% were on a substitution-exclusion list not allowing switching (S1), 42.0% were switched to a generic medication of the hospital formulary (S2), 1.7% to a therapeutically equivalent medication (S3), 0.4% were patient-individually switched (S4), and for 8.2% a standardized/patient-individual switching was not possible (S5). Conclusions Despite comprehensive medication reconciliation, patient- and medication-related information for switching medications to the hospital formulary was often missing. Once all the necessary information was available, standardized switching could be easily carried out according to a newly developed switching algorithm.

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Percepción de la administración segura de medicamentos en atención primaria

Rico

Fernández

2022

Atención Primaria

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An intervention to improve inpatient medication management: a before and after study

Abstract: A systematic approach is vital to address the issues of medication errors and patient safety.

Cited by 18 publications

References 27 publications

The relationship between nurse manager's transformational leadership style and medication safety

The relationship between nurse manager's transformational leadership style and medication safety

A newly developed algorithm for switching outpatient medications to medications listed in the hospital formulary: a prospective real-word evaluation in patients admitted electively to hospital

Percepción de la administración segura de medicamentos en atención primaria

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