| Medication safety infrastructure in critical-access hospitals in Florida. | |
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MedLine Citation:
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PMID: 16484518 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The medication safety infrastructure of critical-access hospitals (CAHs) in Florida was evaluated. METHODS: Qualitative assessments, including a self-administered survey and site visits, were conducted in seven of nine CAHs between January and June 2003. The survey consisted of the Institute for Safe Medication Practices Medication Safety Self-assessment, the 2003 Joint Commission on Accreditation of Healthcare Organizations patient safety goals, health information technology (HIT) questions, and medication-use-process flow charts. On-site visits included interviews of CAH personnel who had safety responsibility and inspections of pharmacy facilities. The findings were compiled into a matrix reflecting structural and procedural components of the CAH medication safety infrastructure. RESULTS: The nine characteristics that emerged as targets for quality improvement (QI) were medication accessibility and storage, sterile product compounding, access to drug information, access to and utilization of patient information in medication order review, advanced safety technology, drug formularies and standardized medication protocols, safety culture, and medication reconciliation. CONCLUSION: Based on weighted importance and feasibility, QI efforts in CAHs should focus on enhancing medication order review systems, standardizing procedures for handling high-risk medications, promoting an appropriate safety culture, involvement in seamless care, and investment in HIT. |
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Authors:
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Almut G Winterstein; Abraham G Hartzema; Thomas E Johns; Jessica M De Leon; Kathie McDonald; Zak Henshaw; Robert Pannell |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists Volume: 63 ISSN: 1079-2082 ISO Abbreviation: Am J Health Syst Pharm Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-02-17 Completed Date: 2006-07-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9503023 Medline TA: Am J Health Syst Pharm Country: United States |
Other Details:
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Languages: eng Pagination: 442-50 Citation Subset: IM |
Affiliation:
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Department of Pharmacy Health Care Administration, College of Pharmacy, University of Florida (UF), Gainesville 32610-0496, USA. almut@cop.ufl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Drug Compounding Drug Information Services Drug Labeling Drug Storage Florida Health Care Surveys Hospitals, Rural* Medical Records Systems, Computerized Medication Errors Medication Systems, Hospital* Quality Assurance, Health Care* Reference Books |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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