Generisk ordinering av medikamenter i sykehus

Kampman, Margitta T.; Brox, Nina Merete Bjæring; Bugge, Einar; Bjørnstad, Camilla

doi:10.4045/tidsskr.13.1564

Cited by 2 publications

(1 citation statement)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At UNN, the nurses follow a standardised procedure when preparing medications for patients: (1) read the handwritten medication chart, (2) select the generic alternative available, (3) document the selected medication package in the medication chart with brand name and signature and (4) administer the medication to the patient. 20 In cases where the brand name equals the generic name, nurses will also document the manufacturer's name in the chart to exactly identify which medication has been prepared and given to the patient. We included 10 nurses from three hospital departments (Paediatric, Gastrointestinal Surgery and Infectious Diseases) in addition to 10 pharmacy technicians from the hospital pharmacy.…”

Section: Methodsmentioning

confidence: 99%

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting

García

Elenjord²,

Bjørnstad³

et al. 2017

BMJ Qual Saf

View full text Add to dashboard Cite

BackgroundMedication errors are frequent and may cause harm to patients and increase healthcare expenses.AimTo explore whether a new labelling influences time and errors when preparing medications in accordance with medication charts in an experimental setting.MethodWe carried out an uncontrolled before and after study with 3 months inbetween experiments. Phase I used original labelling and phase II used new generic labelling. We set up an experimental medicine room, simulating a real-life setting. Twenty-five nurses and ten pharmacy technicians participated in the study. We asked them to prepare medications in accordance with medication charts, place packages on a desk and document the package prepared. We timed the operation. Participants were asked to prepare medications in accordance with as many charts as possible within 30 min.ResultsNurses prepared significantly more medication charts with the generic labelling compared with the original 3.3 versus 2.6 (p=0.009). Mean time per medication chart was significantly lower with the generic labelling 6.9 min/chart versus 8.5 min/chart (p<0.001). Pharmacy technicians were significantly faster than the nurses in both phase I (6.8 min/chart vs 9.5 min/chart; p<0.001) and phase II (6.1 min/chart vs 7.2 min/chart; p=0.013). The number of errors was low and not significantly different between the two labellings, with errors affecting 9.1% of charts in phase I versus 6.5% in phase II (p=0.5).ConclusionsA new labelling of medication packages with prominent placement of the active substance(s) and strength(s) in the front of the medication package may reduce time for nurses when preparing medications, without increasing medication errors.

show abstract

Section: Methodsmentioning

confidence: 99%

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting

García

Elenjord²,

Bjørnstad³

et al. 2017

BMJ Qual Saf

View full text Add to dashboard Cite

show abstract

Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records

et al. 2017

View full text Add to dashboard Cite

Background Low quality of medication information in discharge summaries from hospitals may jeopardize optimal therapy and put the patient at risk for medication errors and adverse drug events. Objective To audit the quality of medication information in discharge summaries and explore factors associated with the quality. Setting Helgelandssykehuset Mo i Rana, a rural hospital in central Norway. Method For each month in 2013, we randomly selected 60 discharge summaries from the Department of Medicine and Surgery (totally 720) and evaluated the medication information using eight Norwegian quality criteria. Main outcome measure Mean score per discharge summary ranging from 0 (lowest quality) to 16 (highest quality). Results Mean score per discharge summary was 7.4 (SD 2.8; range 0-14), significantly higher when evaluating medications used regularly compared to mediations used as needed (7.80 vs. 6.52; p < 0.001). Lowest score was achieved for quality criteria concerning generic names, indications for medication use, reasons why changes had been made and information about the source for information. Factors associated with increased quality scores are increasing numbers of medications and male patients. Increasing age seemed to be associated with a reduced score, while type of department was not associated with the quality. Conclusion In discharge summaries from 2013, we identified a low quality of medication information in accordance with the Norwegian quality criteria. Actions for improvement are necessary and follow-up studies to monitor quality are needed.

show abstract

Generisk ordinering av medikamenter i sykehus

Cited by 2 publications

References 1 publication

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting

Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records

Contact Info

Product

Resources

About