الفهرس 
Necessity and importance of Safety in health care facilities
Medication errorsOnly 14 pages are availabe for public view
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Abstract
Patient safety is an area of a significant public concern and a critical component of quality. It is one of three domains of quality concerns. The National Patient Safety Foundation has defined patient safety as the avoidance, prevention and amelioration of adverse outcomes or injuries stemming from the processes of health care. Patient safety problems of many kinds occur during the course of providing health care. They include transfusion errors and adverse drug events, wrong-site surgery and surgical injuries, preventable suicides, restraint-related injuries or death, hospital-acquired or other treatment-related infections, falls, burns, pressure ulcers, and mistaken identity. Medication-relateds error has drawn the attention and has been studied extensively as it is one of the most common types of errors. ADEs continue to be the single largest source of recurrent incidents placing patients at risk for harm. Medication prescribing deficiencies are the most common cause of actual and potential adverse drug events. Health care organizations should monitor actual and potential medication errors that occur within their organization, and investigate the root cause of errors with the goal of identifying ways to improve the medication use system to prevent future errors, and potential patient harm. There are many methods of detection including reporting, chart review, observation, electronic monitoring, and the trigger tool methodology. The trigger tool method quantifies harm instead of errors. Focusing on harm allows analysis of unintended results despite operational compliance and encourages learning from events to continually improve the process which will target the system rather than the individuals.
This study aims to:
1. describe interventions initiated by the pharmacy information system to control medication prescription errors in the ICU.
2. measure the effectiveness of interventions implemented by the pharmacy information system in the reduction of medication prescription errors in the ICU.
3. identify ADEs due to medication prescription errors among patients admitted to ICU using the trigger tool.
4. assess reliability, validity, and predictive value of the trigger tool for measuring ADEs in the ICU.
5. develop a real time ADEs alert system.
The study was conducted at Al-Salama hospital in Alexandria, a private 86-bed hospital with 18 critical care beds. It has a fully automated information system with CPOE and Medication Administration Record (MAR).
The study consisted of descriptive and interventional parts using 2 designs:
A. descriptive time series study
B. pre-test, post-test intervention study