1
40
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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April 2022 List
Text
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Citation List Month
April 2022 List
URL Address
<a href="http://doi.org/10.1097/pts.0000000000000719" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/pts.0000000000000719</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Medication Order Errors at Hospital Admission Among Children With Medical Complexity
Publisher
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Journal of Patient Safety
Date
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2022
Subject
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Medication Errors; Medication Reconciliation; Child; Hospitalization; Hospitals Pediatric; Humans; Patient Admission; Prospective Studies
Creator
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Blaine K; Wright J; Pinkham A; O'Neill M; Wilkerson S; Rogers J; McBride S; Crofton C; Grodsky S; Hall D; Mauskar S; Akula V; Khan A; Mercer A; Berry JG
Description
An account of the resource
OBJECTIVES: We sought to characterize the nature and prevalence of medication order errors (MOEs) occurring at hospital admission for children with medical complexity (CMC), as well as identify the demographic and clinical risk factors for CMC experiencing MOEs. METHODS: Prospective cohort study of 1233 hospitalizations for CMC from November 1, 2015, to October 31, 2016, at 2 children's hospitals. Medication order errors at admission were identified prospectively by nurse practitioners and a pharmacist through direct patient care. The primary outcome was presence of at least one MOE at hospital admission. Statistical methods used included χ2 test, Fisher exact tests, and generalized linear mixed models. RESULTS: Overall, 6.1% (n = 75) of hospitalizations had ≥1 MOE occurring at admission, representing 112 total identified MOEs. The most common MOEs were incorrect dose (41.1%) and omitted medication (34.8%). Baclofen and clobazam were the medications most commonly associated with MOEs. In bivariable analyses, MOEs at admission varied significantly by age, assistance with medical technology, and numbers of complex chronic conditions and medications (P < 0.05). In multivariable analysis, patients receiving baclofen had the highest adjusted odds of MOEs at admission (odds ratio, 2.2 [95% confidence interval, 1.2-3.8]). CONCLUSIONS: Results from this study suggest that MOEs are common for CMC at hospital admission. Children receiving baclofen are at significant risk of experiencing MOEs, even when orders for baclofen are correct. Several limitations of this study suggest possible undercounting of MOEs during the study period. Further investigation of medication reconciliation processes for CMC receiving multiple chronic, home medications is needed to develop effective strategies for reducing MOEs in this vulnerable population.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/pts.0000000000000719" target="_blank" rel="noreferrer noopener">10.1097/pts.0000000000000719</a>
2022
Akula V
April 2022 List
Berry JG
Blaine K
Child
Crofton C
Grodsky S
Hall D
Hospitalization
Hospitals Pediatric
Humans
Journal of Patient Safety
Khan A
Mauskar S
McBride S
Medication Errors
Medication Reconciliation
Mercer A
O'Neill M
Patient Admission
Pinkham A
Prospective Studies
Rogers J
Wilkerson S
Wright J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1177/1049909111433810" target="_blank" rel="noreferrer">http://doi.org/10.1177/1049909111433810</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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A pilot study of palliative medicine fellows' hospice home visits.
Publisher
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The American Journal Of Hospice & Palliative Care
Date
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2012
Subject
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Female; Humans; Male; Prospective Studies; Aged; Middle Aged; Pilot Projects; Patient Education as Topic; 80 and over; DNAR; Palliative Care/mt [Methods]; Palliative Care/ma [Manpower]; home care services; hospice care; Physicians; Medication Reconciliation
Creator
An entity primarily responsible for making the resource
Shoemaker LK; Aktas A; Walsh D; Hullihen B; Khan MIA; Russell KM; Davis Mellar P; Lagman R; LeGrand SB
Description
An account of the resource
This was a prospective descriptive study of hospice physician home visits (HVs) conducted by Hospice and Palliative Medicine Fellows. Our objectives were 1) to improve our knowledge of hospice care at home by describing physician HVs 2) to identify the indications for physician HVs and the problems addressed during the HV. Data was collected on 58 consecutive patients using a standardized form completed before and after the home visit. More than half of the persons were women. Most were Caucasian. Median age was 75 years; 57% had cancer; 77% were do-not-resuscitate. 76% HV occurred in the home. The median visit duration was 60 minutes; median travel distance and time 25 miles and 42 minutes, respectively. A hospice nurse case manager was present in 95%. The most common issues addressed during HVs were: health education, symptom management, and psychosocial support. Medication review was prominent. Physicians identified previously unreported issues. Symptom control was usually pain, although 27 symptoms were identified. Medications were important; all home visits included drug review and two thirds drug change. Physicians had unique responsibilities and identified important issues in the HV. Physicians provided both education and symptom management. Physician HVs are an important intervention. HVs were important in continuity of care, however, time-consuming, and incurred considerable travel, and professional time and costs.
Identifier
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<a href="http://doi.org/10.1177/1049909111433810" target="_blank" rel="noreferrer">10.1177/1049909111433810</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2012
80 And Over
Aged
Aktas A
Backlog
Davis Mellar P
DNAR
Female
home care services
Hospice Care
Hullihen B
Humans
Journal Article
Khan MIA
Lagman R
LeGrand SB
Male
Medication Reconciliation
Middle Aged
Palliative Care/ma [manpower]
Palliative Care/mt [methods]
Patient Education as Topic
Physicians
Pilot Projects
Prospective Studies
Russell KM
Shoemaker LK
The American Journal of Hospice & Palliative Care
Walsh D