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Systemic Routes of Opioid Administration
Published in Pamela E. Macintyre, Stephan A. Schug, Acute Pain Management, 2021
Pamela E. Macintyre, Stephan A. Schug
The use of standardized orders that include the opioid prescription, as well the monitoring required and instructions for any interventions the nurses or doctors might need to make (for example, in response to nausea and vomiting, or OIVI), are encouraged for more complex acute pain management techniques such as PCA (Frederickson & Lambrecht, 2018). Similar order sets can be used for PRN administration of conventional opioids. An example of a “standard order” form for PRN IR oral opioid analgesia (similar to those used for PCA and epidural and regional analgesia) is in Appendix 7.1. This form incorporates the opioid prescription, orders for the recognition and management of adverse effects, other general orders (for example, caution regarding coadministration of sedatives), and monitoring requirements and documentation. It is recognized that many hospitals will be using electronic prescribing. Ideally, the opioid order would be part of an “order set” and include similar information.
The administration of medicines to children
Published in Evelyne Jacqz-Aigrain, Imti Choonara, Paediatric Clinical Pharmacology, 2021
Evelyne Jacqz-Aigrain, Imti Choonara
Specific initiatives listed here have been supported by other studies. Electronic prescribing either as part of an electronic medical record or as a stand alone system [40–43], more clinical involvement of pharmacists [40,44], training programmes [45].
The future
Published in Christine Bond, Ann Lewis, Using Medicines Information, 2018
Christine Bond, Christine Clarke
In some hospitals electronic prescribing developed as an offshoot of the pharmacy stock-control/dispensing record system and in others it developed as a module in a hospital-wide IT system that saw prescribing of drugs as essentially similar to other order processes such as the ordering of laboratory tests or X-rays. In some institutions, so-called vertical systems have been developed that deal with the needs of one specific group of patients; for example, cancer patients or patients in intensive care. Such systems are usually stand-alone systems. In the long term, hospitals need integrated information management systems that allow users to access all relevant information for a single patient. Moreover, such a system will need to be able to link to a centrally held electronic care record that could, for example, contain details of treatment that the patient has received in other hospitals. This is the vision that is currently being pursued by Connecting for Health, the Department of Health agency that is responsible for implementation of the National Programme for IT in England. Over the next 10 years, it is scheduled to connect over 30 000 GPs in England to almost 300 hospitals and give patients access to their personal health and care information, transforming the way the NHS works.
The effect of vitamin D supplementation on glycemic status of elderly people with prediabetes: a 12-month open-label, randomized-controlled study
Published in Expert Review of Clinical Pharmacology, 2022
Evangelia Zaromytidou, Theocharis Koufakis, Georgios Dimakopoulos, Despina Drivakou, Stavroula Konstantinidou, Vasiliki Antonopoulou, Maria Grammatiki, Eleni Manthou, Ioannis Iakovou, Anna Gotzamani-Psarrakou, Kalliopi Kotsa
Each participant completed a questionnaire in order for the research team to obtain information of interest, such as age, gender, medical, and family history. Clinical information including current and past medications was obtained from self-reported data and electronic medical records, including the national electronic prescribing system. Anthropometric measurements were performed with the subject wearing light clothing and without shoes. Body weight and height were measured using a scale and a wall-mounted meter. Body Mass Index (BMI) was computed as weight (in kilograms) divided by height (in meters) squared. Waist circumference (WC) (in centimeters) was measured midway between the 12th rib and the iliac crest. Total body (BF) and visceral fat (VF) mass and percentage were measured using bioelectrical impedance analysis (BIA) (SC-330 S, Tanita Corporation, Tokyo).
A design thinking framework and design patterns for hospital pharmacy management
Published in International Journal of Healthcare Management, 2020
Wirachchaya Chanpuypetch, Duangpun Kritchanchai
Fifth, regularly, physicians have made a prescription using a paper-based prescription form. A hand-written prescription is an important cause of medication errors and ADEs that may be harmful to patients. Additionally, the drug item which is not stored in the hospital may also be selected to prescribe. To redeem this problem, an electronic prescribing using a CPOE system is mostly recommended as a secure way [36,29]. However, physicians mostly resist to prescribe electronically in spite of a CPOE system has been implemented in a hospital [30,37]. Therefore, to overcome this barrier, the strategy to promote an adoption of an electronic prescribing should be identified to encourage healthcare professional users [37]. This approach is a secure way of transferring a prescription to hospital pharmacy [30]. Likewise, an occurrence of non-value added activities could also be prevented.
Development of clinical pharmacy in Belgian hospitals through pilot projects funded by the government
Published in Acta Clinica Belgica, 2019
A. Somers, A. Spinewine, I. Spriet, S. Steurbaut, P. Tulkens, J. D. Hecq, L. Willems, H. Robays, M. Dhoore, H. Yaras, I. Vanden Bremt, M. Haelterman
The majority of the hospitals (89%) reported that the clinical pharmacist was integrated into the clinical team. They reported collaboration with the local patient safety team (92%), the quality coordinator (89%), and the internal geriatric team (43%). In 64% of the hospitals with activities during admission, the clinical pharmacist was present at least once per week in the multidisciplinary meetings on the ward. Moreover, the clinical pharmacist seemed to be involved in the development of electronic prescribing systems (92%), seamless care (77%), elaboration of guidelines, and clinical pathways (55%). In 85% of the projects, additional clinical pharmacy services were also started next to the financed projects, and 96% of the hospitals reported that other medical disciplines had requested clinical pharmacy activities to be initiated.