Tag Archives: Medication Errors and Adverse Drug Reactions

Quality Improvement: Strategies Needed to Reduce Preventable Patient Harm (NIHR Signal / BMJ / Future Healthcare Journal / WHO / Staffordshire University)

Posted on October 6, 2019 by Dementia and Elderly Care News

Summary A recent review found that around 6% patients in healthcare settings (internationally) experience potentially preventable harm; with approximately 1 in 8 such cases resulting in severe harm, permanent disability or death “Six types of patient harm were identified: drug … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, NHS, NHS England, NHS Improvement, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, Royal Wolverhampton NHS Trust, Systematic Reviews, UK, Universal Interest, World Health Organization (WHO) | Tagged 10 Facts About Hospital Care (WHO), Avoidable Harm, Avoidable Hospital Mortality, Avoidable Mortality, Avoidable Patient Harm, BMJ, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Centre for Pharmacoepidemiology and Drug Safety: University of Manchester, Clinical Quality Improvement, Clinical Safety Research: Imperial College London, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Division of Pharmacy and Optometry: University of Manchester, Division of Population Health: University of Manchester, Division of Primary Care: University of Nottingham, Dr Sarahjane Jones: Associate Professor in Patient Safety at Staffordshire University, Drug Errors, Future Healthcare Journal, Health Innovation Centre: Stafford Centre of Excellence for Healthcare Education (Staffordshire University), Health Services Research and Primary Care: University of Manchester, Honesty and Transparency, Hospital Patient Safety Strategies, Human Factors for Patient Safety: Staffordshire University, Imperial College London, Improving Patient Safety, Improving Safety Measurement Across Whole System, Information Sharing, Innovation and Improvement, Insight: Using Intelligence From Multiple Sources of Patient Safety Information, Lancashire Teaching Hospitals NHS Foundation Trust, Learning Culture, Learning from Deaths, LeDeR: Learning Disabilities Mortality Review, Lucie Musset: National Reporting and Learning System (NRLS), Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Optimisation, National Institute for Health Research (NIHR), NHS Culture, NHS Culture Change, NHS Improvement Patient Safety Alerts, NHS Patient Safety Culture, NHS Patient Safety Strategy, NIHR DC: NIHR Dissemination Centre, NIHR Dissemination Centre, NIHR Greater Manchester Patient Safety Translational Research Centre, NIHR School for Primary Care Research: University of Manchester, NIHR Signal, Oxford Health NHS Foundation Trust, Oxford Healthcare Improvement, Patient Harm, Patient Harms, Patient Safety, Patient Safety Alerts, Patient Safety and Risk Management (WHO), Patient Safety Culture, Patient Safety Fact File (WHO), Prevalence of Patient Harm, Prevalence of Preventable Patient Harm, Preventable Patient Harm, QI Adoption and Spread Approach, Quality and Sustainability, Quality Improvement, Reducing Waste in the NHS, Research Into Safety in Health and Social Care Network (ReSNET), Research into Safety in health and social care Network (Staffordshire University - ReSNET), School of Medicine: University of Nottingham, Service Delivery and Safety (WHO), Staffordshire University, Systematic Reviews and Meta-Analyses, Ten Facts About Hospital Care (WHO), Transparent Learning Culture, Types of Preventable Patient Harm and Overall Patient Harm, UK General Medical Council, University of Manchester, University of Nottingham, University of Oxford, Vanda Carter: Practice Education Facilitator for Research at Royal Wolverhampton Hospitals NHS Trust, WHO: World Health Organization, World Health Organization (Geneva), World Health Organization (WHO), World Patient Safety Day, World Patient Safety Day (2020) | Leave a comment

System to Measure and Prevent Medication Errors Under Development (Department of Health and Social Care / EEPRU / BBC News)

Posted on May 12, 2018 by Dementia and Elderly Care News

Summary The Department of Health and Social Care now has a system to help identify, monitor and prevent medication errors. The aim is to help ensure the NHS becomes the safest healthcare system in the world, as well as avoiding … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Avoidable Admissions, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Ill-Health, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Caroline Dinenage: Care Minister, Choosing Wisely, Choosing Wisely Campaign, Community Pharmacists, Continuous Learning Culture, Culture Change, Culture of Raising Concerns, Defences for Pharmacists: Accidental Dispensing Errors, Department of Health and Social Care (Formerly the Department of Health), Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, ePACT2, Epidemiology and Statistics, Gastric Bleed Statistics, Global Patient Safety Challenge (WHO), Hospital Admissions, Hospital Electronic Prescribing and Medicines Administration (HePMA), Inappropriate Hospital Admissions, Learning Culture, Measurement and Prevention of Medication Errors, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Reviews, Medication Safety, Medication Safety Dashboard, Medication Without Harm (WHO), Medicines Optimisation, Medicines Optimisation Dashboard, Medicines Safety Programme (WHO), NHS Culture Change, NHS England Medicines Optimisation Intelligence Group, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, NHS: Safest Healthcare System in the World (Ambition), No Harm Culture, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Without Gastro Protective Medicine, Openness and Honesty When Things Go Wrong, Openness and Transparency, Patient Safety, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist-Led Medication Reviews, Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Preventable Deaths in English Acute Hospitals, Preventable Hospital Admissions, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Preventing Avoidable Emergency Admissions, Primary Care Adverse Drug Reactions, Putting Patients First, Quality Improvement, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Reducing Waste in the NHS, Regular Medication Reviews, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Royal Pharmaceutical Society (RPS), ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, Unnecessary Hospital Admissions | Leave a comment

Medication Errors: an Open Learning Culture Recommended to Reduce Patient Harm (BBC News / Department of Health / EEPRU / Department of Health and Social Care)

Posted on February 25, 2018 by Dementia and Elderly Care News

Summary Medication errors, which include (i) wrong medications given, (ii) incorrect doses and (iii) delays in medication being administered, cause an estimated 700 deaths per year and might play a role in something between 1,700 to 22,300 further avoidable deaths. … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Acute Care and Quality, Acute Care and Workforce, Adult Psychiatric Intensive Care Services, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, BBC Health News, Blame Culture, Care Home Culture, Care Home Environments, Care Homes, Centre for Health Economics: University of York, Choosing Wisely Campaign, Choosing Wisely in the NHS, CHUMS Study, Clinical Pharmacists, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Community Pharmacists, Continuous Learning Culture, CQC Investigations and Quality Policy, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Department of Health Policy Research Programme, Division of Population Health Health Services Research and Primary Care: University of Manchester, Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, EQUIP Study, Former Health Secretary Jeremy Hunt, Global Patient Safety Challenge (WHO), HePMA, Hospital E-Prescribing and Medicines Administration, Hospital Electronic Prescribing and Medicines Administration (HePMA), Hospital Pharmacists, Learning Culture, Making Choices Together (Previously Choosing Wisely Wales), Manchester Centre for Health Economics: University of Manchester, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Safety Programme (WHO), Medicines Value Programme (NHS England), NHS Culture, NHS Culture Change, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, No Harm Culture, Old Age Psychiatry, Open and Transparent Culture, Openness, Openness and Collaboration, Openness and Honesty When Things Go Wrong, Openness and Transparency, Partnering with Patients and Families, Patient and Family Engagement, Patient and Public Engagement (PPE), Patient and Public Involvement, Patient and Public Involvement (PPI), Patient Engagement, Patient Engagement Strategies, Patient Harm, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist Buddy Scheme (County Durham and Darlington NHS Foundation Trust), Pharmacist-Led Information Technology Intervention (PINCER), Pharmacists, PINCER Intervention, Policy Research Programme (PRP), Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Potentially Preventable Complications in Hospitalis, PREPARE: Partnership for Responsive Policy Analysis and Research, PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study, Prescription Errors in Psychiatry, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Primary Care Adverse Drug Reactions, PROTECT Programme, Putting Patients First, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, SDM: Shared Decision Making, Secondary Care Adverse Drug Reactions, Serious Mistakes, Severe Harm, Shared Care and Education, Shared Decision-Making, Short Life Working Group (SLWG), Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, UK Department of Health Policy Research Programme, United States National Coordinating Council for Medication Error Reporting and Prevention, University of Manchester, University of Sheffield, University of York, University of York Centre for Health Economics (CHE), WHO Domain: Health Care Professionals, WHO Domain: Medicines, WHO Domain: Patients and the Public, WHO Domain: Systems and Practice of Medication, WHO Domains, WHO Global Patient Safety Challenge | Leave a comment

Reducing Under-Usage of Medications (British Journal of Clinical Pharmacology)

Posted on June 22, 2017 by Dementia and Elderly Care News

Summary A meta-analysis investigating the impact of pharmaceutical care interventions for medication underuse in older people has shown that such interventions, including medication reviews, can reduce medication under-use in older people. Full Text Link Reference Meid, AD. Lampert, A. [and] … Continue reading →

Posted in Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Systematic Reviews, Universal Interest | Tagged Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Ageing Population, Assessing Care of Vulnerable Elderly (ACOVE), Assessment of Underutilization (AOU) Index, British Journal of Clinical Pharmacology, Clinical Pharmacists, Community Pharmacists, Cooperation Unit Clinical Pharmacy: University of Heidelberg, Department of Clinical Pharmacology and Pharmacoepidemiology: University of Heidelberg, Germany, Good Prescribing, Medication Errors and Adverse Drug Reactions, Medication Reviews, Medication Underuse in Older People, Medication-Related Problems in the Elderly, Medications Under-Use, Optimisation of Pharmacotherapy in Older People, Pharmacist-Led Medication Reviews, Pharmacists, Polypharmacy in the Elderly STOPP and START Criteria, Potentially Inappropriate Prescribing (PIP), Reducing Under-Usage of Medications, School of Pharmacy: University of Colorado Anschutz Medical Campus, Screening Tool to Alert Doctors to Right Treatments (START), STOPP (Screening Tool of Older Person's Prescriptions), STOPP and START Criteria, Sub-Optimal Prescribing in Older Inpatients and Outpatients, Systematic Reviews and Meta-Analyses, Under-Usage of Medications, Undermedication, United States, University of Colorado, University of Heidelberg, USA | Leave a comment

Rising Deficits and the Search for Better Value in the NHS: New Approaches to Financial Sustainability? (King’s Fund / BBC News / Health Foundation / BMJ)

Posted on August 4, 2015 by Dementia and Elderly Care News

Summary Regulators have demanded that hospitals and NHS trusts in England review their financial plans, because rising deficits indicate that existing plans are increasingly unaffordable. Full Text Link Reference Health regulator tells NHS trusts to ‘look again’ at finances. London: … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, International, King's Fund, Mental Health, National, NHS, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Alder Hey Children’s Hospital, Alignment of Financial Incentives, Atlas of Health Care, Avoiding Avoidable Care, Benchmarking, Better Value, Better Value Healthcare, Better Value in the NHS, Bond University, Bond University (Robina: Australia), Canada’s CAD800m Primary Health Care Transition (PHCT) Fund, Canada’s Primary Health Care Transition Fund, Care of Frail Older People With Complex Needs, Center For Medical Consumers: Why Too Much Medicine Is Making Us Sicker And Poorer, Centre for Research in Evidence-Based Practice: Bond University, Chartered Institute of Public Finance and Accountancy, Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, CIPFA, Clinical Responsibility for Patients (Choosing Wisely and New Deal), CNWL: NHS Camden Provider Services, Cost-Effectiveness, Cost-Effectiveness in Health Care, Creative Use of NHS Estate, Crisis Response Falls Team (CRFT), Dartmouth Atlas of Health Care (US), Dartmouth Institute for Health and Clinical Practice, Deinstitutionalisation of UK Mental Health Services, Denmark’s Quality Fund, Discharge to Assess Programme, Drivers of Improvement, Dysfunctional Patient Flow, East Midlands Ambulance Service NHS Trust, Efficiency Savings, Estimated Cost Savings From Implementing NICE Guidelines, Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Frail Older People, Frail Older People With Complex Needs, Funding Challenges, Funding Deficits, General Hospitals, Geographical Variations, Girls’ Education Challenge (GEC) Fund, Health of Health Finances CIPFA Briefing, Heart of England NHS Foundation Trust, Higher Quality Care at Lower Cost: Examples from NICE Local Practice Collection, Hospital Productivity, Improving Patient Flow, Improving Prescribing Practice, Inappropriate Care, Inappropriate Prescribing, Integrated Care and Support, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Key Performance Indicators, Length of Stay (LoS), Local Variations, London Challenge, Long-Term Care (LTC), Long-Term Conditions (LTCs), Low-Value Care, Low-Value Elective Procedures, Management of Repeat Prescriptions in Walsall, Medical Overuse, Medication Errors and Adverse Drug Reactions, Misuse: Resulting in Preventable Complications or Harm, Models of Care Across Organisational Boundaries, Monitor, Multimorbidities, Multimorbidities and Long-Term Conditions, National Service Framework for Mental Health in England (NSF-MH), NHS Benchmarking, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England Funding, NHS Expenditure, NHS Financial Leadership, NHS Five Year Forward View (5YFV), NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Safe Staffing, NHS Spending, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Walsall CCG, NHSFT Sector, NICE Local Practice Collection: Examples of Higher Quality Care at Lower Cost, Nicholson Challenge, Non-Foundation Trusts (Finances), Nurse Staffing Levels, Operating Expenses, Outcomes and Monitoring, Overkill: Unnecessary Medical Care, Overprescribing, Overuse, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Overuse Underuse and Misuse, Oxford University Hospitals, Patient flow, Patient Flow for Older People (in Sheffield), Patient Flows, Patient Safety Incidents in England, Performance Indicators, Performance Targets, Plymouth Hospitals NHS Trust, Policy, Policy Context, Preventable Harm, Preventing Falls in the NHS, Preventing Overdiagnosis Conference, Productivity, Productivity in the NHS, RDEL, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Prescribing Costs, Reducing Waste in the NHS, Releasing Value From Surplus Estate, Repeat Prescriptions, Rising Expectations, Safe Staffing, Selling Sickness, Sheffield Patient Flow, Sheffield Teaching Hospitals NHS Foundation Trust, Smith Review, Stevens Challenge, Stroke REACH Early Discharge Scheme (REDS), Stroke Services at Plymouth Hospitals NHS Trust, Targeting Low-Value Care, Transformation Fund, Transformation Fund for the NHS, Troubled NHS Foundation Trusts, Unacceptable Variations, Underuse, Underuse of Effective Interventions, Unwarranted Variations, Variation in Commissioning, Variations in Care, Variations in Procurement, Variations in Spending, Whole System Patient Flows | Leave a comment

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