Adverse Drug Effects in Patients with CKD | American Society of Nephrology
Medications are an indispensable cornerstone of modern health care. Clinicians prescribe drugs in the treatment of innumerable medical conditions, whereas patients and the general population self-treat various maladies with over-the-counter medications and natural and herbal products. For the most
Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps - PubMed
Medication errors and adverse events caused by them are common during and after a hospitalization. The impact of these events on patient welfare and the financial burden, both to the patient and the healthcare system, are significant. In 2005, The Joint Commission put forth medication reconciliation …
Integrating a Smartphone–Based Self–Management System into Usual Care of Advanced CKD | American Society of Nephrology
Background and objectives Patient self-management has been shown to improve health outcomes. We developed a smartphone-based system to boost self-care by patients with CKD and integrated its use into usual CKD care. We determined its acceptability and examined changes in several clinical parameters. Design, setting, participants, & measurements We recruited patients with stage 4 or 5 CKD attending outpatient renal clinics who responded to a general information newsletter about this 6-month proof-of-principle study. The smartphone application targeted four behavioral elements: monitoring BP,...
Hospital-based medication reconciliation practices: a systematic review - PubMed
Rigorously designed studies comparing different inpatient medication reconciliation practices and their effects on clinical outcomes are scarce. Available evidence supports medication reconciliation interventions that heavily use pharmacy staff and focus on patients at high risk for adverse events. …
REALCOM-IMPUTE Software for Multilevel Multiple Imputation with Mixed Response Types | Carpenter | Journal of Statistical Software
Multiple imputation is becoming increasingly established as the leading practical approach to modelling partially observed data, under the assumption that the data are missing at random. However, many medical and social datasets are multilevel, and this structure should be reflected not only in the model of interest, but also in the imputation model. In particular, the imputation model should reflect the differences between level 1 variables and level 2 variables (which are constant across level 1 units). This led us to develop the REALCOM-IMPUTE software, which we describe in this article....
Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care - PubMed
ADEs in ambulatory care are common, with many being preventable and many resulting in hospitalization. Quality improvement programs should target errors in prescribing and monitoring, especially for patients using cardiovascular, analgesic, and hypoglycemic agents.
What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes | BMJ Quality & Safety
Background Little is known about adverse events (AEs) that occur between physician visits for ambulatory chronic disease patients. An automated telephone self-management support programme for a diverse population of diabetes patients was implemented to capture AEs, describe the self-management domains from which they emanate and explore contributing causes. Methods AEs and potential AEs (PotAEs) were identified among 111 ethnically diverse diabetes patients. An AE is an injury that results from either medical management or patient self-management; a PotAE is an unsafe state likely to lead t...
Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records - PubMed
Pharmacy records identified a substantial number of medications that were not in the ED chart. There is potential for greater safety and efficiency with automated access to pharmacy records.
Drug record discrepancies in an outpatient electronic medical record: frequency, type, and potential impact on patient care at a hemodialysis center - PubMed
Drug record discrepancies occur frequently among patients undergoing hemodialysis. Incorporation of a pharmacist into the patient care team may increase the accuracy of the electronic drug record and avert unnecessary drug-related problems.
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Tactical Walking Stick | The Ultimate Camping and Survival Tool
The Tactical Walking Stick is your new best friend on the trail. Designed to help you handle any situation, from building a shelter to starting a fire. The Tactical Walk Stick is a trekking pole and multitool in one.
Written by CMPartners Principal Consultant, Jayne Nucete In an editorial published last week in the NY Times, Susan Rice implored Americans – and our...
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ACR/ARTEX is the leading development center for emergency beacons that are designed with one purpose in mind: Saving Lives. Through our combined technology expertise in the marine, aviation, outdoor and military markets, we design and manufacture cutting edge rescue beacons and survival gear.
Chronic equine hepacivirus infection in an adult gelding with severe hepatopathy - Tegtmeyer - 2019 - Veterinary Medicine and Science - Wiley Online Library
Equine hepacivirus (EqHV) is the closest homologue of hepatitis C virus (HCV) to date and was recently identified to infect equine liver cells, however, the clinical relevance remains elusive. Here, ...
