Hospitalwide medication policies and standards

Laine, Gregory; Galt, Michael A.; Langford, June A.; Prout, Deborah L.; Puckett, William H.

doi:10.1093/ajhp/51.23.2949

Cited by 2 publications

(5 citation statements)

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“…Regarding the practical organization of the MMP , we observed a large variation in procedures between the participating RCFs, and even between units within the same RCF. This corresponds to findings in hospital (Laine et al., ; Winterstein et al., ) and nursing home settings (Garrard et al., ; Verrue et al., ). The use of SOPs is a simple strategy to harmonize working procedures.…”

Section: Discussionsupporting

confidence: 89%

“…Adopting computerized physician order entry with automated clinical decision support systems, implementing protocols and guidelines, training and education of staff, and/or pharmacist involvement have shown effectiveness in reducing medication error rates in one or more of these settings (Krahenbuhl‐Melcher et al., ; Loganathan et al., ; Maidment et al., ; Pham et al., ; Taxis & Quoc, ). Regarding the practical organization of the MMP, therapeutic drug formularies and medication error reporting systems are shown to be generally available in the hospital (Fontaine, Vinceneux, Pauchet, Traversat, & Catala, ; Laine, Galt, Langford, Prout, & Puckett, ; Winterstein et al., ) and nursing home settings (Garrard, Cooper, & Goertz, ; Verrue et al., ). In these settings, medication is mostly administered by nurses and variability is seen in procedures and policies between different facilities or even within one facility (Garrard et al., ; Laine et al., ; Verrue et al., ; Winterstein et al., ).…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the practical organization of the MMP, therapeutic drug formularies and medication error reporting systems are shown to be generally available in the hospital (Fontaine, Vinceneux, Pauchet, Traversat, & Catala, ; Laine, Galt, Langford, Prout, & Puckett, ; Winterstein et al., ) and nursing home settings (Garrard, Cooper, & Goertz, ; Verrue et al., ). In these settings, medication is mostly administered by nurses and variability is seen in procedures and policies between different facilities or even within one facility (Garrard et al., ; Laine et al., ; Verrue et al., ; Winterstein et al., ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Medication Management in Belgian Residential Care Facilities for Individuals With Intellectual Disability: An Observational Study

Joos

Mehuys

Bocxlaer

et al. 2014

Policy Practice Intel Disabi

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Organizational aspects of the medication management process (MMP) have been investigated in hospital and nursing home settings. However, the amount of literature on medication management in residential care facilities (RCF) for individuals with ID is limited to two studies from the Netherlands, focusing only on drug administration errors. To assess the organization of the MMP in Belgian RCFs for people with ID, the authors undertook a cross-sectional observational study in 34 Belgian RCFs for people with ID. Structured interviews were performed using a questionnaire: the first part (for the RCF directors) addressed administrative and policy issues. The second (for unit employees) and third parts (for medical office employees) addressed practical aspects of the MMP. The fourth part (for physicians) focused on the physician's role in the MMP, on the therapeutic drug formulary, and on communication with staff and delivering pharmacist. Standard operating procedures concerning the MMP were not available in 32% of the RCFs. About one-quarter of the RCFs did not have a medication error reporting system, and most RCFs did not systematically (i.e., at least annually) review their MMP for failures. Only two participating RCFs were equipped with an electronic prescribing system. The role of the pharmacist was mainly limited to delivery of medication. Medication was mostly administered by nonmedically qualified staff (e.g., educators). Most frequently cited problems by the interviewees were problems in the medication preparation and administration stage. Most frequently cited possible improvement actions were education/sensitization of staff and improved communication among all stakeholders. The authors note that as this study revealed operational inadequacies, problem areas can be identified and targeted quality improvement actions can be undertaken.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Medication Management in Belgian Residential Care Facilities for Individuals With Intellectual Disability: An Observational Study

Joos

Mehuys

Bocxlaer

et al. 2014

Policy Practice Intel Disabi

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“…Ringed binders are sturdy and easy to use. Furthermore, they make it possible periodically to update procedures[11]. Documents should be grouped by themes of activity in specific binders which are readily identified by a standardized colour code.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, we plan to develop a software package for document management in quality assurance. It should be easy to use and should guarantee rigorous maintenance and standardized organization of internal documentation[11, 12].…”

Section: Discussionmentioning

confidence: 99%

Implementation of a documentation management system for quality assurance in a university hospital

François

Labarère²,

Bontemps³

et al. 1997

International Journal of Health Care Quality Assurance

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Development and implementation of guidelines constitutes the basis of quality management systems for any organization. The authors have studied the internal documentation produced by professionals on 88 functional units of a university hospital. Reveals the existence of many documents concerning quality of care with an average of 102 available procedures or protocols per unit. However, this documentation is badly organized, making it difficult to consult and to put into practice. The results of this study were provided to other professionals at our hospital in order to make them aware of the necessity of rigorous document management. We have also written and sent recommendations for drawing up procedures and implementing an efficient documentary management system. This effort complements development of the hospital quality assurance plan.

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Hospitalwide medication policies and standards

Cited by 2 publications

References 0 publications

Medication Management in Belgian Residential Care Facilities for Individuals With Intellectual Disability: An Observational Study

Medication Management in Belgian Residential Care Facilities for Individuals With Intellectual Disability: An Observational Study

Implementation of a documentation management system for quality assurance in a university hospital

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