The International journal of risk & safety in medicine
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Observational Study
Medication administration errors among paediatric nurses in Lagos public hospitals: an opinion survey.
There is paucity of data on paediatric medicine administration error (MAE) in developing countries. This study aimed to investigate the experience of MAEs among paediatric nurses working in public hospitals in Lagos, Nigeria. ⋯ Medication administration errors were frequently committed by the participants and resulted in some inconsequential effects, morbidity and deaths. Appropriate measures should be implemented to prevent future occurrences of MAEs.
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There is an increasing use of herbal products and herbal medicines globally with the belief that herbal medicines are always 'safe' and carry no risk because they are from natural sources. However, there are concerns regarding medicinal plants and their ability to produce adverse effects. The growing herbal medicine usage has increased the need to monitor the safety of herbal medicines. Thus, the recommended approach by the World Health Organization (WHO) is to include herbal medicines in existing national pharmacovigilance systems. ⋯ These results showed inadequate adverse effects monitoring (Pharmacovigilance) amongst the practitioners and underscore the necessity to educate and enlighten herbal medicine practitioners on the need for pharmacovigilance activity of herbal products.
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Anticipation and planning are essential steps of risk management but the mechanisms of planning behavior are incompletely understood, especially the factors including collective work. The aim of this research is to understand how anesthetists plan safe solution to perform anesthesia. ⋯ Ultra safe performance in highly variable systems cannot be achieved only through standardization but also through the possibility and ability of the subjects to adapt their practices to their own skills and to that of their colleagues. The conditions for the development of this "adaptative safety" are discussed.
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The transfer of care from one provider to another is fraught with potential failures. Unfortunately the consequences of a poorly conducted patient handoff can be quite high. In the last five years there have been many descriptions of this problem as well as suggested solutions. Commonly authors have focused on utilization of a formatted tool for the off-going provider to help improve patient handoffs. While this is certainly a requirement for a high quality transfer of care, it is not the only needed component. ⋯ Early results from pilot testing reveal after designing and testing the dual responsibility model that patient handoffs are increasingly successful and more reliable.