Relevant bibliographies by topics / Medication

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Medication'

Author: Grafiati
Published: 4 June 2021
Last updated: 27 July 2024

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Journal articles on the topic "Medication"

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Minton, Alyssa, Madeline Nievera, Nathaniel Young, and Joseph Mikels. "Age Differences in Response to Framed Side Effects Information About Hypothetical Medications." Innovation in Aging 4, Supplement_1 (December 1, 2020): 502. http://dx.doi.org/10.1093/geroni/igaa057.1622.

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Abstract Framing equivalent information as a gain (e.g., 90% survival rate) or a loss (e.g., 10% mortality rate) can differentially impact judgments and decision making, such that people make more favorable judgements when information is presented as a positive gain versus a negative loss. The current study investigated how framing and age influences evaluative judgments of hypothetical medications used to treat common health issues when the equivalent probability of experiencing a particular side effect was presented as a gain (e.g., “86% of people who took this medication did not experience rash outbreaks”) or a loss (e.g., “14% of people who took this medication did experience rash outbreaks”). Younger and older adults were presented with health pamphlets for hypothetical medications with three unique side effects for each and indicated the medication’s perceived riskiness, how positively and negatively they felt about the medication, and their likelihood to take the medication. Numeracy, risk-taking behavior, and current affective state were also measured. When information was presented in a loss frame, people reported more negative feelings about the medication, leading to greater perceived riskiness, IE = -.785, SE = .13, p < .001. Age indirectly influenced likelihood via the positive feelings about the medication, IE = .349, SE = .14, p = .013. Younger adults felt more positively about the medications than older adults, leading to an increased willingness to take the medication. These findings provide insight into how framing and age can differentially influence evaluative judgments, perceived risk, and willingness to take medication.
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Turkoski, Beatrice B. "New Medications and Medication Changes." Orthopaedic Nursing 27, no. 5 (September 2008): 318–20. http://dx.doi.org/10.1097/01.nor.0000337284.49832.28.

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&NA;. "New Medications and Medication Changes." Orthopaedic Nursing 27, no. 5 (September 2008): 321–22. http://dx.doi.org/10.1097/01.nor.0000337285.57455.99.

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Ferrario, Catherine G. "Geropharmacology." AACN Advanced Critical Care 19, no. 1 (January 1, 2008): 23–37. http://dx.doi.org/10.4037/15597768-2008-1005.

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Advanced practice nurses’ challenge in managing older adults’ medication regimens from an evidence base is difficult because older adults are vulnerable to medication errors and adverse drug reactions related to a number of factors. Predicting patients’ responses to drugs is compounded during critical illness, adding to the heterogeneity and unpredictability of drug effects that are prevalent premorbidly. In the first part of this 2-part continuing education series, sources of medication errors and older adults’ vulnerability are discussed, including normal changes of aging affecting pharmacokinetics and pharmacodynamics, polypharmacy, self-medicating, patient-family noncompliance, and inappropriately prescribed medications. In the second part, drug classes and drugs posing particular problems for older adults and cautions for acute care and critical care nurses who manage the medications of older adults are highlighted.
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Gunter, Zachariah, Nikolaus Lawson, and Carolyn Bondarenka. "Impact of Dispense Tracking Software on Inpatient Pharmacy Operations." Journal of Pharmacy Technology 38, no. 2 (March 15, 2022): 88–94. http://dx.doi.org/10.1177/87551225211069001.

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Background: When medications dispensed from a hospital inpatient pharmacy aren’t able to be found at their intended destination (ie, a missing dose), this can result in delayed medication administration and rework to redispense the medication. Technology advancements in the medication use process have led to development of dose-tracking software that has the capability to track medication doses throughout the medication use cycle and document a medication’s location to its destination. Objective: The primary objective of this study was to evaluate the impact of dose-tracking software on the number of inpatient pharmacy redispenses and nursing requests for missing medications. Secondary objectives included pharmacy staff satisfaction with dose-tracking software, its impact on workflow and patient safety, and compliance with dose-track scanning. Methods: The study design was a prospective, pre-post implementation to compare the requests for missing doses and associated dispenses of injectable medications during the set evaluation period. Dose-track scanning compliance data was collected and evaluated. A survey was also administered to staff to evaluate employee perception and satisfaction with usability and value of the software. Results: During the preimplementation period, 40 021 injectable doses were dispensed, and 9841 (24.6%) were documented as redispensed doses. After dose-tracking implementation, 42 975 total injectable doses were dispensed with 9839 (22.9%) being redispensed. The count of medication messages was 10 661 in the preperiod and 11 475 in the postperiod. The data were normalized using case mix index (CMI) and patient days to account for variation in severity of illness. Conclusion: Implementation of dose-tracking software showed a decrease in the percentage of redispensed injectable medications.
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Ruppar, Todd M., Vicki S. Conn, and Cynthia L. Russell. "Medication Adherence Interventions for Older Adults: Literature Review." Research and Theory for Nursing Practice 22, no. 2 (June 2008): 114–47. http://dx.doi.org/10.1891/1541-6577.22.2.114.

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This literature review explores the range and nature of medication adherence interventions tested with older adults. The unique needs of older adults require specifically designed and tailored interventions. Low medication adherence rates among some elderly contribute to inadequate pharmacological management of illnesses. Searches were conducted to identify randomized controlled trials of medication adherence; computerized databases, journal hand searches, and ancestry searches yielded 63 studies published between 1977 and 2005 where participants’ mean age was > 60 years. Interventions were categorized by focus (patient, medication, and administration factors). Most were geared toward promoting knowledge and skills for medication-taking and adherence. Gaps were noted in addressing memory aids and self-monitoring strategies; further development of interventions addressing medication and administration factors influencing adherence are also needed. Identified interventions are geared toward self-medicating patients and fail to address caregivers administering medications. Finally, interventions do little to address variations in patterns of adherence among older adults.
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Garza, Pam, Sabrina Q. Mikan, and Linda H. Yoder. "Improving oncology patient medication knowledge through a systematic medication reconciliation process." Journal of Clinical Oncology 40, no. 28_suppl (October 1, 2022): 354. http://dx.doi.org/10.1200/jco.2022.40.28_suppl.354.

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354 Background: Patient medication knowledge improves medication adherence. Lack of medication adherence leads to 125,000 deaths per year and $100-$299 billion in cost to the U.S. health care system. An Oncology Advanced Practice Provider (APP) conducted a quality improvement (QI) project to evaluate the effect of an educational review of medications to improve oncology patients’ knowledge regarding medication use. Methods: A QI project consisting of 60 patients seen during their regularly scheduled office visits was conducted. Patients received verbal instructions and written documentation about their medications; prescribed and over-the-counter. Evaluations were conducted and yes/no responses were recorded based on patients’ ability to answer four questions correctly: name of medication, reason for the medication, dosing schedule, and prescriber’s name. This was followed by a second visit using the same process. Results: Participants ranged in age from 42-87 (median = 67); most participants were female (N = 36), Caucasian (N = 37), and retired (N = 31). The total number of medications taken by the participants equaled 174, of which 130 were prescribed and 44 were over the counter medications or supplements. The most common prescribed medications were antiemetics (ondansetron and prochlorperazine) and pain medications (hydrocodone and oxycodone). Other prescribed medications included steroids, antihypertensives, and antiglycemics. The most common over the counter medications were Aspirin, Vitamin D, and multiple vitamins. A total of 612 Medication Reviews were completed. Of these reviews, on Visit I (Initial visit) 274 Educational reviews were required. On Visit II (post educational review) 169 Educational reviews were required. Patients needed 105 fewer educational reviews after the initial educational review. The average time between visits was two weeks. An unexpected finding was the lack of a complete and accurate record of medications taken by the participants as documented in their medical records. Conclusions: An Oncology APP led medication reconciliation process including an educational review showed improved medication knowledge among participants, although more than one review may be needed by some patients. Findings confirm the need for a systematic, comprehensive medication profile in the electronic medical record (EMR) to avoid medication errors in both administration and prescribing. An annual review of medications with patients is critical to their well-being.
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El-Fattah Mohamed Aly, Nagah Abd, Safaa M. El-Shanawany, Maha Ghanem, Maysa Abdalla Elbiaa, Hana Abass Ahmed Mohamed, and Wael M. Lotfy. "Medication safety climate: managing high-alert medication administration and errors among nurses in intensive and critical care units." Egyptian Nursing Journal 20, no. 2 (May 2023): 228–36. http://dx.doi.org/10.4103/enj.enj_16_23.

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Background High-alert medications are drugs that may lead to serious harm when they are wrongly administered to patients. Safe medication administration is the crucial role of nursing staff. Aim This study aims to investigate relationships of medication safety climate and nurses’ knowledge about high-alert medications with managing their administration and errors. Design A cross-sectional correlational study. Sample A convenience sample of 300 nurses. Setting Surgical intensive and critical care units. Tools Self-report questionnaires about medication safety climate, nurses’ knowledge and administration competency of high-alert medications and high-alert medication error experience as well as high-alert medication practice observational tool. Results The nurses’ knowledge, practice, and competencies about administering high-alert medications were below sufficient standards. They described medication safety climate at undesirable levels and reported encountering high-alert medication administration errors of about 25.3%. The medication safety climate and nurses’ knowledge of high-alert medication were associated with and affected nurses’ practice (r =.43; r =.31, respectively) and competencies (r=.32; r=.23, respectively), during administration of high-alert medications. Insufficient levels of medication safety climate and nurses’ knowledge and administration practice of high-medications were the predictive factors of incidence of high-alert medication administration errors among nurses (r =-.18; r =-.32; r = -.21, respectively). Conclusion Sufficient nurses’ knowledge and medication safety climate were deemed to be one of the most important measures to improve managing high-alert medication administration and reduce the occurrence of high-alert medication administration errors. Recommendation The hospital management should implement medication safety in its clinical standards and plan for promoting the safe administration of high-alert medications.
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Hill, Jeoffrey, and Daniel Alford. "Prescription Medication Misuse." Seminars in Neurology 38, no. 06 (December 2018): 654–64. http://dx.doi.org/10.1055/s-0038-1673691.

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AbstractIn the United States, there is a prescription medication misuse crisis including increases in unintentional drug overdose deaths, medications obtained on the illicit market (i.e., diversion), and in the number of individuals seeking treatment for addiction to prescription medications. Neurologists manage patients suffering from conditions (e.g., pain, seizures, spasticity) where the prescriptions of medications with misuse potential are indicated. It is therefore imperative that neurologists understand which medications are liable to misuse and institute strategies to minimize the harm associated with these medications. The authors review the most common medications prescribed by neurologist with misuse potential, and briefly discuss the behaviors that are suggestive of medication misuse and tools for monitoring patients to minimize medication-related harm from misuse.
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Syed, Mahira, and Sarojit Ganguly. "Implementation of STOMP (Stopping Over-Medication of People With Learning Disability, Autism or Both With Psychotropic Medications) PLEDGE: A Quality Improvement Project at Bradford District Care Foundation Trust CAMHS Learning Disability Team." BJPsych Open 8, S1 (June 2022): S114. http://dx.doi.org/10.1192/bjo.2022.343.

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AimsThe project's aim coincides with NHS England STOMP Pledge signed by BDCFT. To maintain up to date records of children and adolescents with learning disabilities eligible for STOMP reviews, implement planned supervised dose reduction, consider alternatives to psychotropics and maintain an up-to-date record of physical health monitoring for patients on antipsychotic medications according to local Trust guidelines.MethodsThe sample consisted of the caseload registered with the CAMHS learning disability Team at BDCFT in December 2021. Each case was reviewed retrospectively through electronic records. Data were collected on a data collection tool designed in Microsoft Excel.Baseline data about Diagnosis and Psychotropic medications prescribed were recorded. The Antipsychotic prescribing practice was audited against local Trust guidelines as part of the project.The project was registered and approved by the Trust Audit Team.ResultsThe study included 106 cases registered in December 2021.42 patients (40%) were prescribed psychotropic medication only10 patients (9%) were prescribed psychotropic medication plus ADHD medication14 patients (13%) were prescribed ADHD medication only40 patients (38%) were not prescribed any medication66 (62%) patients from the sample were prescribed medication.Medications were divided into, Psychotropics and ADHD medication groups. Each group was assessed against a prescription time standard of either less or more than 12 months.Antipsychotics were the most frequently prescribed psychotropic medications; 60% of those prescribed psychotropics were on Antipsychotics. A smaller number (31%) on an Anxiolytic, and an even small number (12%) on an Antidepressant. Anticonvulsants were prescribed to 6 in our sample, but all by another service provider (Paediatrics). 20 patients (38%) were on more than one psychotropic medication.The length of the time was divided into less and more than a year on medication. 20% of patients were on psychotropics for less than 12 months and about 80% for more than 12 months.As there are local BDCFT guidelines for monitoring patients on Antipsychotics, a summary of compliance against standards was included as an audit in the project.All 66 patients on medications were deemed eligible for STOMP reviews, and 64 out of them had behavioural support plan in place.Conclusion66 patients who had eligibility for STOMP: 1.35%: Undergoing reduction plan.2.35%: Reduction was not deemed suitable.3.30%: No review or reduction plan in placeRecommendations are made in the report to achieve full compliance with STOMP objectives and a re-audit in a year to monitor progress.
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Dissertations / Theses on the topic "Medication"

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Given, BarbaraA, CharlesW Given, Alla Sikorskii, Eric Vachon, and Asish Banik. "Medication burden of treatment using oral cancer medications." MEDKNOW PUBLICATIONS & MEDIA PVT LTD, 2017. http://hdl.handle.net/10150/625510.

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Objective: With the changes in healthcare, patients with cancer now have to assume greater responsibility for their own care. Oral cancer medications with complex regimens are now a part of cancer treatment. Patients have to manage these along with the management of medications for their other chronic illnesses. This results in medication burden as patients assume the self-management. Methods: This paper describes the treatment burdens that patients endured in a randomized, clinical trial examining adherence for patients on oral cancer medications. There were four categories of oral agents reported. Most of the diagnoses of the patients were solid tumors with breast, colorectal, renal, and gastrointestinal. Results: Patients had 1u4 pills/day for oral cancer medications as well as a number for comorbidity conditions (3), for which they also took medications (10u11). In addition, patients had 3.7u5.9 symptoms and side effects. Patients on all categories except those on sex hormones had 49%u57% drug interruptions necessitating further medication burden. Conclusions: This study points out that patients taking oral agents have multiple medications for cancer and other comorbid conditions. The number of pills, times per day, and interruptions adds to the medication burden that patients' experience. Further study is needed to determine strategies to assist the patients on oral cancer medications to reduce their medication burden.
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Litell, Munjanja Yvonne. "Medication Reconciliation in the Elderly." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6236.

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Medication therapy is the most prevalent and critical intervention of health delivery and the source of most errors in healthcare. Medication errors and associated adverse drug events (ADE) have serious health and economic ramifications, and in elderly patients ADE are the leading cause of morbidity and mortality. Medication reconciliation is the process of evaluating current medication treatment to manage the risk and optimize the outcomes of medication treatment by detecting, solving, and preventing ADEs. This education project answered the question whether education provided to long term care staff would improve knowledge of medication reconciliation and be retained over time. The education program was developed through results of a literature search to identify evidence-based standards for medication reconciliation. The guiding theory for program was Kurt Lewin's theory of planned change. The test was developed on the medication reconciliation content and arrangements made for each of the 30 participants who were RNs, LPNs, and CMAs to take the test before and after the education program and again at 30 and 45 days. Results showed statistically significant improvement (p < 0.05) with knowledge of medication reconciliation retained at 30- and 45-days post intervention. Positive social change is possible as nurses and CMAs in the long-term care facility use the knowledge of medication reconciliation to improve patient medication safety for the long-term care residences in the facility. Through appropriate reconciliation, medication errors and ADEs can be reduced or prevented and patient outcomes improved.
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Mekonnen, Alemayehu B. "Medication Reconciliation as a Medication Safety Initiative." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/18050.

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Medication errors and their adverse outcomes are the most common cause of patient injuries in hospitals. Medication reconciliation is the safety strategy usually called for, to prevent medication errors that occur at care transitions. This strategy has been adopted as a standard practice in many developed countries. However, in Ethiopia, there were no published studies on medication reconciliation, nor evidence-based interventions aimed to tackle the burden of medication errors. This thesis was a medication safety initiative focusing on medication reconciliation intervention overall, and explored the journey to medication reconciliation service implementation as a medication safety strategy in Ethiopian public hospitals. Given the lack of consistent reports regarding the impact of this strategy, the journey to implementation was guided by synthesise of the evidence supporting the effectiveness of this intervention. The findings of our systematic reviews have shown that medication reconciliation interventions carried out through pharmacist assessment at hospital transitions were found to be an effective strategy for improving clinical outcomes (e.g. adverse drug event-related hospital visits, all-cause readmissions, and emergency department visits), as well as process outcomes, such as the occurrence of medication errors. Therefore, the overarching aim of this thesis was to implement a pharmacist-led medication reconciliation intervention in resource-limited settings. Implementation of medication reconciliation is not an ultimate end but sustainability is an issue, and this should be corroborated by corresponding changes in attitudes, teamwork, communication, culture and leadership. For this purpose, the thesis employed methods from both safety and implementation sciences for successful implementation of the medication reconciliation program. System approaches to patient safety, such as patient safety culture has been explored, and patients’ experiences of medication-related adverse events have been discussed followed by a theoretically robust evidence-based exploration of the barriers to implementation. Patient safety culture in Ethiopian public hospitals has been found lower than the benchmark studies. Importantly, understaffing followed by problems during handoffs and care transitions and punitive response to error were identified as major safety problems. Particularly, handoffs and care transitions were largely affected by the lack of teamwork across units, punitive response to error reporting and managerial inaction for promoting patient safety. In addition to system factors presumed to affect patient safety, other factors such as individual healthcare professionals, patient, and task factors have been identified as challenges to achieve an optimal patient safety in the Ethiopian public hospitals. Resource limitations (e.g. material deficiencies, poor infrastructure) have been indicated as the greatest barriers for patient safety. Patients expressed a range of perceived experiences related to their medication, and a number of strategies required to improve patient safety practices have been suggested. Changes in practice, processes, structure, and systems were believed to help improve patient safety in the Ethiopian health care system. The results of this thesis have demonstrated that hospital pharmacists were very much enthusiastic for their extended roles and were positive towards the future of the profession; however, there were many factors that likely influenced their behaviour in the clinical practice, and these behavioural determinants were predominantly related to ‘Knowledge’, ‘Skills’, ‘Environmental constraints’, ‘Motivation and goals’, ‘Social influences’, and ‘Social/professional role’. While medication errors were highly prevalent at the time of hospital admission, this thesis has also found that pharmacist-led medication reconciliation was able to minimize medication errors significantly. Thus, implementation of medication reconciliation as a medication safety strategy is feasible, and pharmacists may be regarded as key resource personnel for the safe use of medications at the time of hospital admission. However, the sustainability of this service utilization is highly dependent on other behavioural determinants, such as knowledge and skill, competing priorities, and reimbursement for clinical services.
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Walsh, Marie Helen. "Automated Medication Dispensing Cabinet and Medication Errors." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/305.

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The number of deaths due to medical errors in hospitals ranges from 44,000 to 98,000 yearly. More than 7,000 of these deaths have taken place due to medication errors. This project evaluated the implementation of an automated medication dispensing cabinet or PYXIS machine in a 25-bed upper Midwestern critical access hospital. Lewin's stage theory of organizational change and Roger's diffusion of innovations theory supported the project. Nursing staff members were asked to complete an anonymous, qualitative survey approximately 1 month after the implementation of the PYXIS and again 1 year later. Questions were focused on the device and its use in preventing medication errors in the hospital. In addition to the surveys that were completed, interviews were conducted with the pharmacist, the pharmacy techs, and the director of nursing 1 year after implementation to ascertain perceptions of the change from paper-based medication administration to use of the automated medication dispensing cabinet. Medication errors before, during, and after the PYXIS implementation were analyzed. The small sample and the small number of medication errors allowed simple counts and qualitative analysis of the data. The staff members were generally satisfied with the change, although they acknowledged workflow disruption and increased medication errors. The increase in medication errors may be due in part to better documentation of errors during the transition and after implementation. Social change in practice was supported through the patient safety mechanisms and ongoing process changes that were put in place to support the new technology. This project provides direction to other critical access hospitals regarding planning considerations and best practices in implementing a PYXIS machine.
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Samaranayake, Nithushi Rajitha. "Medication safety in hospitals : medication errors and interventions to improve the medication use process." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193507.

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Medication errors are an unnecessary threat to patient safety. The aim of this study was to assess the epidemiology of medication errors and to assess the effectiveness of interventions intended to avoid medication errors in a tertiary-care hospital in Hong Kong. The epidemiology of medication errors included the study of the pattern of interception of medication errors and the study of technology-related medication errors using medication incidents reported during years 2006–2010. 34.1% of all medication errors that were reported in the study hospital were not intercepted and 92.4% of all drug administration errors reached the patient. 17.1% of all reported medication errors were technology-related and, most were due to human interaction with technology. The effects of a bar-code assisted medication administration (BCMA) system when used without the support of computerised prescribing (stand-alone), on its users and the dispensing process was studied using direct observations, questionnaires (Likert scale) and interviews. It was found that this system increased the number of dispensing steps from 5 to 8 and dispensing time by 1.9 times. Potential dispensing errors also increased (P<0.001). The perceived usefulness of the technology decreased among pharmacy staff (P=0.008) after implementation and they (N=16) felt that the system offered less benefit to the dispensing process (8/16) without the support of computerised prescribing. Nurses (N=10) felt that the stand-alone BCMA system was useful in improving the accuracy of drug administration (8/10). Avoiding the use of inappropriate abbreviations in prescriptions will help to reduce medication errors. Therefore the effectiveness of a ‘Do Not Use’ list (a list of error-prone abbreviations used in the study hospital) and attitudes of health care professionals on using abbreviations in prescriptions was studied using prescription review and questionnaires respectively. The use of abbreviations included in the ‘Do Not Use’ list decreased significantly (P<0.001) after its introduction but other unapproved abbreviations to denote drug names and instructions were commonly used. 96% of doctors, and all pharmacists and nurses, believed that avoiding inappropriate abbreviations will help to reduce medication errors. The use of abbreviations in prescriptions and attitudes of pharmacists in the study hospital was compared with a different medical system to determine the appropriateness of developing a universal error-prone abbreviation list. It was found that the types and frequencies of using inappropriate abbreviations vary among different medical systems. In conclusion, additional interventions such as technological interventions are needed to minimise drug administration errors, but proper planning and careful monitoring are needed to avoid unintended errors when using technologies. Implementing a stand-alone BCMA system aimed at reducing drug administration errors may affect the dispensing process. Therefore effects of a technology on all related processes need to be considered before implementation, and monitored after implementation. The introduction of a ‘Do Not Use’ list is effective in reducing inappropriate abbreviations in prescriptions and most health care professionals agree that avoiding inappropriate abbreviations may help to reduce medication errors. However, formulating in-house error-prone and standard abbreviation lists in hospitals, continuous updating of the lists and frequent reminders to prescribers are recommended.
published_or_final_version
Medicine
Doctoral
Doctor of Philosophy
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Shumaker, Becki Debora. "MEDICATION BELIEFS AND MEDICATION ADHERENCE IN THE OLDER ADULT." Thesis, The University of Arizona, 2003. http://hdl.handle.net/10150/610591.

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Purpose: To explore the relationship between beliefs about medication and medication adherence in the older adult. Organizing Constructs: Medication adherence and beliefs within the framework of Orem's Self -Care Theory. Study Design: This exploratory study uses a correlational design to survey a convenience sample of older adults. Methods: A convenience sample of 30 older adults, living independently, at least 65 years of age, and taking at least 3 prescription medications per day, were surveyed to identify factors that may influence medication non -adherence. Participants were asked to complete a demographic questionnaire, the Beliefs about Medication Scale, and the Morisky Medication Adherence Scale. Descriptive analyses and Pearson Product Moment Correlation Coefficients were conducted. Results: A relationship between beliefs and medication adherence was not identified in this group of older adults. Conclusion: Beliefs may be an important factor in medication adherence. Further research is needed to explore the relationship between the two concepts in a less homogeneous sample.
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Oudah, Alsafa. "Medication Reconciliation : Electronic medication list discrepancies – Cross sectional study." Thesis, Umeå universitet, Institutionen för integrativ medicinsk biologi (IMB), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178901.

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Badie, Shahene, Elizabeth Jing, Carissa Fernandez, and Terri Warholak. "An Assessment of Medication Synchronization on Improving Medication Adherence." The University of Arizona, 2015. http://hdl.handle.net/10150/614100.

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Class of 2015 Abstract
Objectives: Our specific aim is to assess the changes in patient adherence in response to medication synchronization. Our working hypothesis is that medication synchronization will have a positive impact on patient adherence. Methods: This retrospective pre-post cohort study assessed medication adherence 365 days before and 365 days after enrollment into a prescription synchronization program. There were 5,994 patients included in the study. Seven medication classes and three demographic groups were chosen to assess for adherence. Adherence was determined by calculating mean proportion of days covered. A paired t-test was used to determine statistical significance for each drug class and demographic group. Exploratory analyses were done at 90 days and 180 days before and after the sync date to determine differences in terms of time. An alpha a-priori was set at 0.05 before analysis was started. Results: Current Fry’s Pharmacy patients greater than 18 years old that met the Centers for Medicare and Medicaid Services (CMS) for STARs rating criteria were included in the study. Results at 365 days showed a statistically significant decrease in PDC (p<0.0001), and was not affected by demographics. Conclusions: One year after the implementation of medication synchronization program at Fry’s Pharmacy, a statistically significance decrease in PDC is seen across all categories of chronic medications: statins, ACE-I/ARBs, beta-blockers, CCBs, metformin, thiazides, loop-diuretics, and inhaled corticosteroids. As such, medication synchronization may decrease patient adherence to the maintenance medications evaluated.
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Diaz, Melissa, Yanina Ortega, and Kevin Boesen. "Medication Therapy Management: Methods to Increase Comprehensive Medication Review Participation." The University of Arizona, 2013. http://hdl.handle.net/10150/614243.

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Class of 2013 Abstract
Specific Aims: To compare the Comprehensive Medication Review (CMR) rate for Workflow Model #1 (used in 2010) to the CMR rate for Workflow Model #2 (used in 2011) at the Medication Management Center (MMC). Methods: A retrospective database analysis was completed in which Comprehensive Medication Review (CMR) completion rates for 2010 and 2011 were assessed. Comparison included only Center for Medicare and Medicaid Services (CMS) contracts that the Medication Management Center (MMC) provided Medication Therapy Management (MTM) services for both in 2010 and 2011. Data was used to determine the effect a process change had on CMR participation rate at the MMC and best practices for improving the rate of Medication Therapy Management Program (MTMP) beneficiaries participating in a CMR. Main Results: In 2010, patient participation and response to a CMR offer letter was low (0.2%). The changes in process yielded an increase in the CMR completion rate (6.93%); this in turn yielded higher performance measurements for prescription drug plans. Conclusion: Workflow modifications, including a pro-active secondary CMR offer, led to a marked increase in member participation and CMR rates. Patients are more apt to consent to a CMR if they are called for a specific medication related problem. It is recommended to continue to convert TMR calls to CMRs whenever possible, monitor CMR rates at least quarterly, and make cold calls where needed to increase CMR percentages.
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Lim, Rosemary Hwee Mei. "A systems approach to medication safety in care homes: Understanding the medication system, investigating medication errors and identifying the requirements of a safe medication system." Thesis, University of Surrey, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.493045.

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In the year 2000, the United Kingdom government produced a report called "Organisation With a Memory" in response to the problem of safety in the healthcare sector and committed to reduce the number of serious medication errors. Whilst patient safety research in other healthcare settings such as the primary and secondary care has been under way for the past two decades, patient safety research in care homes has largely been neglected. This thesis presents the findings of the first large-scale epidemiological study of the prevalence and types of medication errors in England that was conducted as part of a wider study.
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Books on the topic "Medication"

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M. N. M.N. Press. Medication Stuff: Daily Medications Log. Independently Published, 2021.

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Deter, Lena L. Medication Administration: Medicating Children Module. Cengage Learning, 2010.

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Health, House. Medications and Supplements: XL Medication Logbook. Independently Published, 2021.

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Staff, Journals for All. Medication Record: Medication Log. Independently Published, 2017.

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Staff, Journals for All. Medication Tracker: Medication Log. Independently Published, 2017.

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Staff, Journals for All. Daily Medication: Medication Log. Independently Published, 2017.

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Bill, Ally. Medication Log Book: Daily Medication Journal, Health Medication Diary, Medication Tracker Journal. Independently Published, 2021.

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Press, Marumnnie. Medication Log Book : Medication Log Book: Simple Pill Log to Keep Track of Your Daily Medications / Undated Daily Medication. Independently Published, 2021.

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Publisher, Sami. Medication Log Book: Medication Tracker Journal, Medical Record Book to Keep Track of Medications, Personalized Reminder Medication Chart Book. Independently Published, 2021.

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Publisher, Al-Hosain. Medication Log Book: Medication Tracker Journal, Medical Record Book to Keep Track of Medications, Personalized Reminder Medication Chart Book. Independently Published, 2021.

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Book chapters on the topic "Medication"

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Johnston, Robert B. "Medication." In Attention Deficits, Learning Disabilities, and Ritalin™, 88–112. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-7246-0_8.

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Adams, Danielle, and Barry Jubraj. "Medication." In Promoting the Health and Well-Being of People with Learning Disabilities, 89–106. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43488-5_7.

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Kleiman, Karen. "Medication." In Therapy and the Postpartum Woman, 135–40. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003248477-19.

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Kleiman, Karen. "Medication." In Therapy and the Postpartum Woman, 125–33. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003248477-18.

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Balsamo, Noelle, and James W. Forgan. "Medication." In Parent's Quick Start Guide to Autism, 26–35. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003285953-4.

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Balsamo, Noelle, and James W. Forgan. "Medication." In Parent's Quick Start Guide to Autism, 26–35. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003285953-4.

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Soon, Hooi Cheng, Pierangelo Geppetti, Chiara Lupi, and Boon Phiaw Kho. "Medication Safety." In Textbook of Patient Safety and Clinical Risk Management, 435–53. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_31.

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AbstractPharmacotherapy is the most common therapeutic intervention in healthcare to improve health outcomes of patients. However, there are many instances where prescribed medications resulted in patient morbidity and mortality instead. Medication errors can happen at any step of the medication use process, but a substantial burden of medication-related harm is focused primarily on three priority areas of healthcare delivery: transitions of care, polypharmacy and high-risk situations. This chapter highlights prevalence of issues concerning these three core areas and describes common medication errors as well as risk mitigation strategies to improve service delivery. An appreciation of these inherent risks will enable healthcare providers to navigate the pitfalls better and make efforts to ensure medication safety while providing health services.
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Griese-Mammen, Nina, Martin Schulz, Fabienne Böni, and Kurt E. Hersberger. "Medication Review and Medication Reconciliation." In The Pharmacist Guide to Implementing Pharmaceutical Care, 69–87. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-92576-9_7.

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Carney, Colleen E., and Jack D. Edinger. "Medication Considerations." In Insomnia and Anxiety, 63–77. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-1434-7_5.

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Marcus, Dawn A., and Atul Deodhar. "Medication Treatments." In Fibromyalgia, 143–57. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-1609-9_12.

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Conference papers on the topic "Medication"

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Yang, Chaoqi, Cao Xiao, Lucas Glass, and Jimeng Sun. "Change Matters: Medication Change Prediction with Recurrent Residual Networks." In Thirtieth International Joint Conference on Artificial Intelligence {IJCAI-21}. California: International Joint Conferences on Artificial Intelligence Organization, 2021. http://dx.doi.org/10.24963/ijcai.2021/513.

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Deep learning is revolutionizing predictive healthcare, including recommending medications to patients with complex health conditions. Existing approaches focus on predicting all medications for the current visit, which often overlaps with medications from previous visits. A more clinically relevant task is to identify medication changes. In this paper, we propose a new recurrent residual networks, named MICRON, for medication change prediction. MICRON takes the changes in patient health records as input and learns to update a hid- den medication vector and the medication set recurrently with a reconstruction design. The medication vector is like the memory cell that encodes longitudinal information of medications. Unlike traditional methods that require the entire patient history for prediction, MICRON has a residual-based inference that allows for sequential updating based only on new patient features (e.g., new diagnoses in the recent visit), which is efficient. We evaluated MICRON on real inpatient and outpatient datasets. MICRON achieves 3.5% and 7.8% relative improvements over the best baseline in F1 score, respectively. MICRON also requires fewer parameters, which significantly reduces the training time to 38.3s per epoch with 1.5× speed-up.
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Huang, Fei-Hui. "The Needs of Smart Medication Reminder for Elderly s." In Applied Human Factors and Ergonomics Conference. AHFE International, 2021. http://dx.doi.org/10.54941/ahfe100523.

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The increasing burden of chronic illness is currently a significant challenge due to the aging of the global population. For most people who suffer from chronic illnesses, lifelong treatment is needed for their health management. This study is focused on the needs of elderly people with chronic conditions who require lifelong treatment for disease management in taking medications as prescribed. A face-to-face survey and a multiple case study were conducted to elicit the reasons why elderly s use pill box and to determine the effectiveness of the smart medication reminder system. The results indicated that 60% patients need a tool for assistance in taking their medication as prescribed. The experimental results showed that the smart medications reminder may effectively assist users in taking their medications as prescribed. The patients’ needs for the smart mediation reminder include reminder design, mobile medication reminder, ease of use, flexible design, and Modular Design. By using the smart medication reminder, the pressure of taking medications as prescribed may be relieved for the most elderly users. Furthermore, economic, social support, and elder care subsidies are the important factors for patient welfare.
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Shooter, Steven B., and Shane W. Cohen. "The Commonality Differentiation Index Using Prominence of Visual Information for Medication Package Family Planning." In ASME 2010 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/detc2010-28808.

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Consumable products such as medications rely on the package or label to represent the contents. Package confusion has been widely recognized as a major problem for both over-the-counter and pharmacy-dispensed medications with potentially lethal consequences. It is critical to identify a medication as a member of a product family and differentiate its contributing elements based on visual features on the package or label. Indices that indicate degrees of commonality and differentiation of features for platforms have been shown to benefit development of engineered product families. It is possible to take a similar approach for visual features in packaging such as typography, shape/form, imagery and color. This paper establishes a commonality/differentiation index for prominence of visual features on over-the-counter and pharmacy-dispensed medications based on size and location of features. It provides a quantitative measure to assist package designers in evaluating alternatives to satisfy strategic goals and improve safety. The index is demonstrated with several medications that have been identified by the Institute for Safe Medication Practice as commonly confused.
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Wang, Yanda, Weitong Chen, Dechang PI, Lin Yue, Sen Wang, and Miao Xu. "Self-Supervised Adversarial Distribution Regularization for Medication Recommendation." In Thirtieth International Joint Conference on Artificial Intelligence {IJCAI-21}. California: International Joint Conferences on Artificial Intelligence Organization, 2021. http://dx.doi.org/10.24963/ijcai.2021/431.

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Medication recommendation is a significant healthcare application due to its promise in effectively prescribing medications. Avoiding fatal side effects related to Drug-Drug Interaction (DDI) is among the critical challenges. Most existing methods try to mitigate the problem by providing models with extra DDI knowledge, making models complicated. While treating all patients with different DDI properties as a single cohort would put forward strict requirements on models' generalization performance. In pursuit of a valuable model for a safe recommendation, we propose the Self-Supervised Adversarial Regularization Model for Medication Recommendation (SARMR). SARMR obtains the target distribution associated with safe medication combinations from raw patient records for adversarial regularization. In this way, the model can shape distributions of patient representations to achieve DDI reduction. To obtain accurate self-supervision information, SARMR models interactions between physicians and patients by building a key-value memory neural network and carrying out multi-hop reading to obtain contextual information for patient representations. SARMR outperforms all baseline methods in the experiment on a real-world clinical dataset. This model can achieve DDI reduction when considering the different number of DDI types, which demonstrates the robustness of adversarial regularization for safe medication recommendation.
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Cho, Jay, Scarlett R. Miller, Timothy W. Simpson, and Steven B. Shooter. "Effects of Over-the-Counter Medication Product Family Packaging Design on Knowledge Acquisition and Consumer Preferences." In ASME 2014 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/detc2014-35328.

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Adverse drug events result in hospitalization of more than 1.5 million Americans each year leading to large increases in health care costs. Although researchers have shown that a large portion of these adverse drug events are preventable, most Americans admit to only reading portions of over-the-counter (OTC) labeling, and only half say they seek out information on the label for usage information when they take an OTC medication for the first time. It is important then that we carefully consider what packaging features can motivate consumers to more thoughtfully consider the use of the OTC medicine and how packaging commonality within a product family influences the correct selection of these medications. In order to understand these questions, a controlled study was conducted with sixty-four participants who were asked to complete a Short Test of Functional Health Literacy in Adults (s-TOFHLA), a medication selection questionnaire that required participants to select the appropriate medication based on a given set of symptoms, and a packaging label ratings questionnaire. Two medication brands with five different types of package designs were studied. Product family commonality metrics were used to analyze the similarity among these simulated products, and statistical analyses were performed on the selection time and accuracy data obtained. The results illustrated that variations in labeling and product family packaging design significantly impact the accuracy and efficiency of medication decision-making and thus has the potential to reduce adverse drug events made during the OTC medication selection process.
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Almubarak, T., F. AlOtaibi, M. Rafie, and A. Baiz. "Expired Medications as Corrosion Inhibitors in the Oil and Gas Industry." In ADIPEC. SPE, 2023. http://dx.doi.org/10.2118/216036-ms.

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Abstract As environmental awareness is rising worldwide, the oil and gas industry is introducing alternative chemicals in their operation that can degrade after disposal. Yet, there is a bigger concern regarding waste materials that are generated daily and accumulate in landfills with minimal recycling solutions. Research has shown that flushed expired medications leach pharmaceuticals into the environment. Consequently, causing severe harm to plants and aquatic life. This paper explores the possibility of utilizing expired high-use medications as corrosion inhibitors. To determine the inhibition efficiency of expired medications, low carbon steel metal coupons were exposed to 15 wt.% HCl solutions at temperatures between 77-200°F. The medications have been divided into 3 categories based on their functionality: Category A, Category B, and Category C. Medications from each category were powdered and were used in these tests at a concentration of 2 wt.% for 6 hours. In addition, a control solution containing no corrosion inhibitor was used to establish a corrosion rate for a base case. Category C medication was observed to perform well at room temperature providing a maximum of 99% corrosion inhibition efficiency. Category A and Category B on the other hand, did not provide as much corrosion inhibition. At a temperature of 150°F, the control solution showed a catastrophic failure producing a corrosion rate of 0.371 lb/ft2, whereas the use of Category C medication was observed to maintain good corrosion inhibition efficiency of 88.3%. When the temperature was raised to 200°F, the corrosion rate observed was 0. 0.0352 lb/ft2 for Category C medication, in the presence of 1 wt.% corrosion inhibitor intensifier. These results pass the oil and gas acceptable low carbon steel corrosion requirements of producing a corrosion rate below 0.05 lb/ft2 for the duration of 6 hours. The work shows that expired medications can be utilized as corrosion inhibitors. Due to being expired and not fit for human consumption, the cost is inherently low. Thus, these chemicals may provide alternatives to commercial corrosion inhibitors while concurrently reducing damage to the environment.
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Dominguez, Rodrigo, Alex Rojas, Enrique Calderón, Dany Bahamondes, Catalina Torrejon, Aylin Astudillo, and Macarena Santander. "Exploring Self-Medication Practices Among Undergraduate University Students: A Qualitative Descriptive Study." In 15th International Conference on Applied Human Factors and Ergonomics (AHFE 2024). AHFE International, 2024. http://dx.doi.org/10.54941/ahfe1004835.

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The findings of this study underscore the critical role of human factors and ergonomics in understanding and addressing the issue of self-medication among undergraduate university students. The aim of the presented qualitative descripted study was to explore the self medication and to assess practices among undergraduate university students of Viña del Mar from Chile. Method: A self-administered questionnaire consisting of 13 items was distributed to 342 participants through quota sampling, distributed in the following fields of study: Biotechnology Engineering (5), Manufacturing and Industrial Design Engineering (15), Computer Engineering (32), Industrial Maintenance Engineering (19), Industrial Safety and Environmental Engineering (10), Business Administration Technician (22), University Technician in Food (3), University Technician in Biotechnology (8), University Technician in Construction (25), University Technician in Environmental Control (5), University Technician in Electricity (25), University Technician in Electronics (17), University Technician in Renewable Energies (8), University Technician in Informatics (29), University Technician in Industrial Maintenance (24), University Technician in Automotive Mechanics (24), University Technician in Industrial Mechanics (18), University Technician in Mining and Metallurgy (29), University Technician in Engineering Projects (6), University Technician in Chemistry with a Mention in Analytical Chemistry (7), and University Technician in Telecommunications and Networks (11). The 342 participants (mean age=22 ± 2.3 years, Male: Female ratio=1.07:1), 71 were engineering and 271 were technician students. Self-medication was reported by 85.4% students. The most common reason for self-medication was lack of time to go to the doctor (49%). On the other hand, students (72%) use medications without prescription when symptoms appear, and the majority (75%) go to the doctor if the symptoms persist after self-medication. Commonly used medicines were analgesics (62.3%), antipyretics (21.1%) and antibiotics (11%). which are reflections of insufficient knowledge and wrong beliefs. Conclusion: Prevalence of self-medication is high in the Undergraduate University Students, despite majority being aware of its harmful effects. There is a need to educate the youth to ensure safe practices. Strict policies need to be implemented on the advertising and selling of medications to prevent this problem from escalating. Interventions must be put in place to educate on appropriate medicine use. National education programmes about the dangers of self medication use and restriction of antibiotics without prescriptions should be the priority including all paper components such as references, appendices, acknowledgements.
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Diehl, Michael S., and Brian D. Jensen. "Wet Etched Pyramidal Microneedles With Fluid-Delivery Microchannels." In ASME 2007 International Mechanical Engineering Congress and Exposition. ASMEDC, 2007. http://dx.doi.org/10.1115/imece2007-43524.

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A number of designs for microneedles have recently been developed to facilitate the painless injection of medications, such as insulin, into the human body [1–6]. The injections are painless because the needles penetrate the skin predominantly in the epidermal layer of skin which contains no nerve endings. Some microneedles do not contain inner channels and are simply coated with medication, the intent being that the transdermal drug delivery will take place through absorption over time. A more effective method of medicinal transfer is to equip the microneedles with an inner channel to facilitate rapid delivery of the medication to the skin.
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Steuber, Amanda, and Carrie Cuttler. "Elucidating the Nature of the Links Between Cannabis Use and Attention Deficit/Hyperactivity Disorder." In 2021 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.01.000.04.

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Many individuals with mental health disorders use cannabis to self-medicate for their symptoms. Attention-deficit/hyperactivity disorder (ADHD) is a neurological disorder associated with increased cannabis use but, relative to other mental disorders (e.g., anxiety, psychosis, post-traumatic stress disorder), far less attention has been paid to examining cannabis use by people with ADHD. Nevertheless, there is some limited evidence to suggest that people with ADHD might use cannabis to self-medicate for their symptoms and that they perceive it to be beneficial for this purpose. The goal of this study was to better understand the nature of the relationships between cannabis use and A total of 1,382 undergraduate students completed an online survey measuring their ADHD symptoms, and cannabis use patterns. Participants who reported they have used cannabis to manage their ADHD were further asked to report their perceptions of whether acute and/or chronic cannabis use improves, worsens, or has no effect on their ADHD symptoms. Participants who reported they have been prescribed ADHD medication and use cannabis also reported their perception of how cannabis use affects the effectiveness of their medication, and ADHD medication side effects. Evidence from this study revealed that ADHD symptom severity is associated with consuming cannabis more frequently and with more severe symptoms of cannabis use disorder. Participants with ADHD reported that cannabis has acute detrimental effects on memory but beneficial effects on many of their other core symptoms of ADHD, including hyperactivity, impulsivity, restlessness, and mental frustration. While most participants on ADHD medications reported that cannabis does not influence their medication effectiveness, they did report that cannabis helps with many of the side effects associated with their ADHD medications including headaches, loss of appetite, sleep disturbances, moodiness/irritability, and anxiety. The knowledge gained from this study will help people with ADHD and their healthcare providers by providing them with a better understanding of the use of cannabis by individuals with ADHD including the possible risks and benefits of such use on cannabis use disorder, ADHD symptoms, and medication side effects.
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Li, Yishuo, Zhufeng Shao, Weimin Chen, Shoujin Wang, Yuehan Du, and Wenpeng Lu. "Significance-aware Medication Recommendation with Medication Representation Learning." In 2024 27th International Conference on Computer Supported Cooperative Work in Design (CSCWD). IEEE, 2024. http://dx.doi.org/10.1109/cscwd61410.2024.10579995.

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Reports on the topic "Medication"

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McSpadden, James. Medication Literacy Series: Medication Management. Washington, DC: AARP Public Policy Institute, June 2023. http://dx.doi.org/10.26419/ppi.00193.001.

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Darden, Michael, and Nicholas Papageorge. Rational Self-Medication. Cambridge, MA: National Bureau of Economic Research, December 2018. http://dx.doi.org/10.3386/w25371.

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McSpadden, James. Medication Literacy: A Helpful Concept for Understanding Medication Decision Making Among Older Adults. AARP Public Policy Institute, January 2022. http://dx.doi.org/10.26419/ppi.00156.001.

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McSpadden, James. Medication Literacy Series: Drug Formularies. Washington, DC: AARP Public Policy Institute, October 2023. http://dx.doi.org/10.26419/ppi.00201.001.

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McSpadden, James. Medication Literacy Series: Drug Disposal. Washington, DC: AARP Public Policy Institute, April 2024. http://dx.doi.org/10.26419/ppi.00223.001.

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McSpadden, James. Medication Literacy Series: Generic Drugs. Washington, DC: AARP Public Policy Institute, January 2023. http://dx.doi.org/10.26419/ppi.00182.001.

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Garber, Judith, and Shannon Brownlee. Medication Overload: America's Other Drug Problem. Lown Institute, April 2019. http://dx.doi.org/10.46241/li.wouk3548.

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Roy, Dianne E., and Roslyne C. McKechnie. Non-regulated Home Support Worker role in medication support and administration: A scoping review of the literature prepared for the Home & Community Health Association. Unitec ePress, September 2017. http://dx.doi.org/10.34074/rsrp.metro22017.

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The aim of this literature review is to identify and critique literature relating to current policy, guidelines and practice of non-regulated caregivers in relation to medication while they are working with clients in their own homes. The scope of this review comprises medication administration and medication support, which includes medication prompting and assisting the client to take their medication. Out of scope in this review is medication management. The review draws on relevant Aotearoa New Zealand statutes, standards and practice guidelines related to medication support and administration, District Health Board (DHB) policies, and education and training recommended and/ or available to Home Support Workers (HSWs). Relevant published research and international guidelines are also included.
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McSpadden, James. Medication Literacy Series: Prescription Drug Container Labels. Washington, DC: AARP Public Policy Institute, November 2022. http://dx.doi.org/10.26419/ppi.00174.001.

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Tornatore, Laura. Determination of the ideal medication characteristics for the safe and effective administration of medications via enteral feeding tubes. National Institute for Health Research, August 2021. http://dx.doi.org/10.3310/nihropenres.1115162.1.

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