Journal articles on the topic 'Medication practices'
To see the other types of publications on this topic, follow the link: Medication practices.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Medication practices.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Majdi Tolah, Khaled, Abdulmajeed Ghallab Alamri, Yasser Salman Almohammedi, Azhar Abdulrahman Kurban, Meeral Majdi Tolah, Khadega Ahmed Salem, Ahmed Majdi Tolah, and Sami Abdo Radman Al-Dubai. "PERCEPTION OF SELF-MEDICATION AMONG TAIBA UNIVERSITY STUDENTS, SAUDI ARABIA." International Journal of Advanced Research 11, no. 05 (May 31, 2023): 969–76. http://dx.doi.org/10.21474/ijar01/16953.
Full textAbstract:
Self-medication refers to the practice of treating oneself with medication without consulting a healthcare professional. This practice can be dangerous to health. This study aimed to assess the practice of self-medications and associated factors among students in Taiba University, Saudi Arabia. Across sectional study was employed to investigate the practice of self-medications among 210 students in Taiba University by using a self-administered questionnaire.Among all respondents, 87.1% practiced self-medication at least one medication in the last year. The most common self-medication was pain killers (80%) and the most common indication of use was headache (75%). Reasons of self-medication practices were previous experience (52.9%) and no serious health symptoms (51.0%). The most common source of information was personal knowledge (51.0%). The prevalence of elf-medication practice was 87.1%. The most common self-medication was pain killers while, the most common indication of self-medication was headache. The most common reason for self-medication practices was previous experience, and the most common source of information was personal knowledge. Males practiced self-medications more than females.
2
Ficca, Michelle, and Dorette Welk. "Medication Administration Practices in Pennsylvania Schools." Journal of School Nursing 22, no. 3 (June 2006): 148–55. http://dx.doi.org/10.1177/10598405060220030501.
Full textAbstract:
As a result of various health concerns, children are receiving an increased number of medications while at school. In Pennsylvania, the School Code mandates a ratio of 1 certified school nurse to 1,500 students, which may mean that 1 school nurse is covering 3–5 buildings. This implies that unlicensed personnel are administering medications, a violation of licensing laws in Pennsylvania. The purpose of this study was to determine the policies and practices that Pennsylvania public schools have in place regarding medication administration. The sample consisted of 314 state-certified school nurses who returned a 71-question survey. Findings indicated that school nurses are very concerned about issues related to medication administration. Additional findings identified the lack of standing orders to administer over-the-counter medications, the increase in medication errors when the school nurse had responsibility for multiple buildings, and the lack of understanding of the ramifications of the Nurse Practice Act on school nursing practice in regard to delegation. Recommendations for practice include development of detailed policies and procedures and collaboration among all stakeholders in the development of policies that address legal issues.
3
BAIG, SHAHBAZ. "SELF MEDICATION PRACTICES." Professional Medical Journal 19, no. 04 (August 7, 2012): 513–21. http://dx.doi.org/10.29309/tpmj/2012.19.04.2272.
Full textAbstract:
Introduction: Obtaining and consuming drugs without the advice of physician either for diagnosis, prescription or surveillanceis called Self medication. Self medication has been a natural tendency of mankind at all times to relief their discomfort. Objectives: To assessthe self medication practices and the factors influencing self medication practices among the people living in Ghulam Mohammad Abad,Faisalabad. Study design: A Descriptive Cross -Sectional Study. Setting: Population of Ghulam Mohammad Abad, largest colony ofFaisalabad. Material & methods: By simple random technique a sample of 369 people living in Ghulam Mohammad Abad were selected. A pre-tested questionnaire was filled by interviewing each individual. Results: Prevalence of self medication found in study group was 61.20%. Anincrease pattern of self medication practices were found in the younger age group (15-35 years) which were 64.8 %. Self medication practicewas found more in male (64.5%) as compared to female (58.5%). The unmarried persons as compared to married were involved 8% more in selfmedication. Similarly 11% increase pattern of self medication was observed amongst the respondents belonging to nuclear family (66.9%) ascompared to extended type of family status (55.9%). There were 13.60% more practices of self medication in urban population (64.2%) ascompared to rural (50.6%) and self medication was observed in illiterate (50.4%) and in matric level education (62.3%) and persons havingeducation above matric (74.4%). The prevalence of self medication was more among skilled labor (75.9%) as compared to (54.9%) in unskilledlabor. Conclusions: An increase pattern of self medication practices were found in the younger age group. As for as the gender is concerned itis more in the male as compared to female. Unmarried persons as compared to married persons were involved more in self medication. It ismore in persons belonging to nuclear family status and also more in urban population as compared to rural population. Furthermore uneducatedand respondents having education up to matric are more involve in self-medication practice. Advice of person selling medicine at medical storewere having more affect on self medication. No reason for the use of drugs and un–affordability are also the determinants of increased selfmedication.
4
Miller, Carol A. "Safe medication practices." Geriatric Nursing 24, no. 5 (September 2003): 314–17. http://dx.doi.org/10.1016/s0197-4572(03)00256-8.
Full text
5
Miller, Carol A. "Safe medication practices." Geriatric Nursing 24, no. 6 (November 2003): 378–79. http://dx.doi.org/10.1016/j.gerinurse.2003.10.012.
Full text
6
Maraud, Julie, Sabrina Bedhomme, Bruno Pereira, Sophie Trévis, Marine Jary, and David Balayssac. "Self-Medication during and after Cancer: A French Nation-Wide Cross-Sectional Study." Cancers 15, no. 12 (June 15, 2023): 3190. http://dx.doi.org/10.3390/cancers15123190.
Full textAbstract:
(1) Background: Little data are available in Western countries regarding self-medication practices in the context of cancer. The aim of this study was to describe the prevalence of self-medication practices during (cancer patients) and after cancer (cancer survivors). (2) Methods: This multicenter, cross-sectional, and online study was designed to assess self-medication prevalence. Other objectives were explored, notably the medication types, the perceived risks, and the relation with symptoms and quality of life. (3) Results: Among the 518 patients analyzed, 56.4% declared they practiced self-medication. Dietary supplements and pain medications were used by more than half of the patients. Self-medication was practiced in order to manage the adverse effects of anticancer therapies (63.8%), for which pain was the leading indication (39%), and to improve the efficacy of anticancer therapies (43.8%, cancer patients). Patients believed that self-medication could not lead to drug interactions with anticancer therapies (84.9%, cancer patients), or to adverse effects (84.6%, cancer patients and survivors). Self-medication practices were associated with altered social functioning, pain, insomnia, and financial difficulties. (4) Conclusions: Self-medication was performed by more than half of the responders (ongoing or past cancer) and could be a marker of the undermanagement of cancer and treatment-related adverse effects.
7
Kauser, Rehana, Mahmoud Saeed, Edward Marson, Saman Asad, Amoune Mohamed, and Georgina Knowles. "Looking at Current Practices Regarding Implementation of Covert Administration of Medication Policy." BJPsych Open 8, S1 (June 2022): S159—S160. http://dx.doi.org/10.1192/bjo.2022.451.
Full textAbstract:
AimsThe aims of the audit was to find out current practices regarding implementation of covert administration policy guidance. The Covert Medication Administration policy was introduced during the past two years, but due to ongoing pandemic, awareness of it was low. Guidelines for when making a decision to administer medication covertly were clear in the policy. Covert medication administration is a very restrictive practice, albeit clearly in a patient's best interests. Instances were found when medication for physical health was administered covertly and there isn't authority to do so under the Mental Health Act as noted in Care Quality Commissioning inspections.MethodsThe sample selection was obtained by Incident Reporting forms for covert medication prescription from which 10 patients were identified from a four month retrospective sample of geriatric psychiatric inpatient admissions at the Juniper Centre at Moseley Hall Hospital, Birmingham from April to August 2021.ResultsCovert medications administered were used to treat physical and mental health conditions. The physical health medication given was not for side-effects of mental health medication. Of the 22 medications and 10 patients there were no instances where the covert medication checklist had been completed. 9 of 22 medications (41%) (across 7 patients (70%)) had neither a best interest meeting nor a separate discussion held with the patient's family, friend, carer or advocate documented on the electronic record. Of the 22 medications, 7 medications (32%) belonging to 3 different patients had documentation of pharmacist involvement in the decision of covert medication administration whereas 15 medications belonging to 8 different patients did not.ConclusionOur findings conclude inadequate following of the standards protocol of the covert medication administration policy. Despite 77% of medications being prescribed with a completed multi-disciplinary covert care plan and 95% of medications having had completed Incident Reporting forms, the rest of the standards were notably missed.
8
Fernandes, P. C., G. G. Faria, and D. L. Pereira. "The importance of the rational use of medicines in pharmaceutical attention politics and the prevention of the population of self-medication." Scientific Electronic Archives 13, no. 5 (April 29, 2020): 80. http://dx.doi.org/10.36560/1352020947.
Full textAbstract:
Improper use of medications and self-medication are public health problems due to drug interactions, intoxications and delay in medical diagnosis. The objective was to discuss the importance of the rational use of medicines in the pharmaceutical care policies and the pharmacist's action to prevent self-medication practices by the population. This is a literature review of scientific articles published between 2005 and 2015 in the databases and virtual library, Scielo, LILACS and BVS. Self-medication is practiced by the adult, the elderly, and the child, and anti-inflammatories and analgesics are the most commonly used medications. Self-medication is practiced by the adult, the elderly, and the child, and anti-inflammatories and analgesics are the most commonly used medications. Pharmaceutical care reduces drug related problems, contributing to rational use and reducing the practice of self-medication for the population.
9
Gabriel, Dimple C., and Bhavani Bangarkodi Balakrishna. "Knowledge and practices of self-medication among adolescents." International Journal of Contemporary Pediatrics 8, no. 9 (August 23, 2021): 1557. http://dx.doi.org/10.18203/2349-3291.ijcp20213318.
Full textAbstract:
Background: Self-medication begins in early adolescence, often during the middle school years. By the age of 16, nearly all adolescents have taken medicine independently for minor illnesses and become more involved with managing chronic conditions. Taking medications without a doctor's prescription, even if the ailment is minor, can have serious repercussions. A large number of potent drugs such as pain relievers, cough remedies, anti-allergies, laxatives, antibiotics, antacids and vitamins are sold over-the-counter (OTC). The present study aimed to assess “the knowledge and practices of self-medication among adolescents in selected colleges, Bengaluru, India with a view to develop an informational booklet.Methods: The study was done using a survey design. Simple random sampling technique was adopted to select 100 adolescents from a pre-university college. A socio demographic Performa, a self-reported structured questionnaire to assess knowledge and practice checklist regarding self-medication was used to collect the data. Descriptive and inferential statistics was used for analysis.Results: Self-medication use was reported by 94% of the adolescents. Analgesics 65%, antipyretics 51%, cough and cold medications 49%, vitamins 35%, antibiotics 26%, and antacids 19%, were cited as the most common types of medication taken. Around 45% adolescents had poor knowledge about self-medication. There was a low negative correlation between knowledge and practice of self-medication among participants. (Pearson’s r=-0.44).Conclusions: The practice of self-medication among adolescent was very high. A significant number of adolescents had inadequate knowledge regarding self-medication and its consequences. Therefore, potential problems of self-medication should be emphasised to the adolescents. Need based information booklet was prepared and disseminated to the adolescents.
10
Butler, Susan M., Elizabeth A. Boucher, Jennifer Tobison, and Hanna Phan. "Medication Use in Schools: Current Trends, Challenges, and Best Practices." Journal of Pediatric Pharmacology and Therapeutics 25, no. 1 (January 1, 2020): 7–24. http://dx.doi.org/10.5863/1551-6776-25.1.7.
Full textAbstract:
There are a significant number of students on maintenance medications for chronic diseases or with diagnoses that may result in medical emergencies requiring administration of medications in school. With passing of legislation in all 50 states allowing self-administration of emergency medications for allergic reactions and asthma, the landscape of medication use in schools is changing. These changes have raised questions about the need for legislation or policy development relating to self-carrying and self-administration of medications for other disease states, undesignated stock of emergency medications, and administration of medications by non-medical personnel. Medication administration in the school setting has become a complex issue, and this review will discuss current legislation related to medication use in schools and provide best practices for administering medications to children and adolescents while at school.
11
Lawal, Basira Kankia, Aliyu A. Alhaji, Bilkisu Bello Maiha, and Shafiu Mohammed. "An assessment of medication safety practices in selected public health facilities in Kaduna State, Nigeria." Journal of Pharmacy & Bioresources 17, no. 1 (May 22, 2020): 52–59. http://dx.doi.org/10.4314/jpb.v17i1.9.
Full textAbstract:
Medication errors occur frequently and have significant clinical and financial consequences, which could be preventable. Unsafe medication practices and errors have been found to be amongst the leading cause of injury and avoidable harm in both developed and developing countries. The World Health Organisation (WHO) has recommended implementation of basic solutions to improve medication safety. This study assessed the presence of basic medication safety practices in four (4) public health facilities in Kaduna State, Nigeria. A validated survey tool was adopted which contains sections that assessed practices such as look-alike, sound-alike (LASA) medications, transitions in care, use of information technology, drug information and other practices. A structured interview was conducted with each head of Pharmacy department of the facilities after obtaining their consent. Only one facility had a medication safety committee, none of the facilities had a list of LASA medications nor a list of error proneabbreviations. Only one facility involved pharmacists in obtaining medication histories and none of the facilities uses ‘high risk’ warning label on diluted electrolyte solutions. Basic practices to improve medication safety were not implemented in the facilities. Effort must be put in place for the adoption of medication safety practices. Regulations and policies need to be implemented regarding these practices.
Keywords: Medication safety; Health facilities; Kaduna State; Nigeria; Medication errors
12
Lokeesan, V., and L. Laavanya. "Self-Medication Practices among Undergraduate Nursing Students." International Journal of Pharma Research and Health Sciences 7, no. 1 (2019): 2894–98. http://dx.doi.org/10.21276/ijprhs.2019.01.07.
Full text
13
Castelino, Supreetha, and Rev Dr John Varghese. "A Study to Assess the Self Medication Practices Among People in Bangalore." International Journal of Health Sciences and Research 12, no. 7 (July 25, 2022): 246–49. http://dx.doi.org/10.52403/ijhsr.20220736.
Full textAbstract:
Background: Self-medication is one of the major health concerns worldwide. Most people are not aware of the serious consequences faced by them if they take medications specially the antibiotics on their own. It is very evident that self-medication is increasing in the developing countries like India. Hence, this study is designed to study the self-medication practices in the metro city Bangalore, India. Materials and Methods: A cross sectional study was conducted, and data was collected by using structured questionnaire. Data was collected from 350 persons and analyzed using SPSS. Results: The prevalence of self-medication was 94%. The study revealed that self-medication was practiced more among young than old age group (P = 0.004). Unmarried people practiced self-medication more than the married people (P = 0.011). 80% preferred allopathic medicines. The common ailments for which self-medication was practiced were Common cold (59%), Headache (57%) and fever (55%). The type of drugs commonly used were Antipyretics (51%) and analgesics (43%). Conclusion: The study revealed that prevalence of self-medication was high. 91% of the respondents were belonging to urban area and hence it attributes to higher educational background and socioeconomic status. More awareness should be created on the side effects of practicing self-medication. Key words: Self-medication, Urban population, Rural population, Prevalence .
14
Tila, Salma, Hina Shams, Mubashira Jamil, Aasma Sajawal, Namra Javed, Muhammad Ibrahim Shuja, and Salma Khalid. "Practices and determinants of self-medication among undergraduate medical students of Peshawar, Pakistan." International journal of health sciences 7, S1 (June 7, 2023): 1127–40. http://dx.doi.org/10.53730/ijhs.v7ns1.14327.
Full textAbstract:
Self-medication, which often includes over-the-counter (OTC) medications, is described as a global public health issue affecting a vast number of individuals. The rate of self-medication has risen considerably among medical students, as evidenced by various published studies. Self-medication was reported to be quite common (88.4%) when 389 medical students were polled about it. The frequency were found higher in female students (66.3%) as compared to male students (22.1%) with significant p-value (p=0.007). The most frequently used items were painkillers (77.57%), antipyretics (52.06%), cough and cold medications (48.71%), antitussives (40.20%) and antibiotics (30.92%). They primarily purchased self-medication supplies from pharmacies and extensively relied on family members and their own prior medical experiences for knowledge on the medications they used (p<0.05). However, among these medical students, the idea of self-medication is well-established because they realized that mild illnesses could be treated without visiting a doctor. High levels of education and professional success have been said to be indicators of self-medication. The results suggest that in order to prevent the rising trend of self-medication, rigorous laws should be implemented that prohibit the distribution of pharmaceuticals without a valid prescription. The risks of self-medication should be made known to young people, especially females.
15
Alotaibi, Majed H. "Medication Safety." Journal of Medical Science And clinical Research 11, no. 06 (June 30, 2023): 111–13. http://dx.doi.org/10.18535/jmscr/v11i6.21.
Full textAbstract:
Drug therapy is the most common healing mediation in medicine to recover patient well-being. In spite of the concentrating to help patients, there are numerous examples of inappropriate medication procedures and practices that compromise drug efficacy and lead to preventable medication errors, thereby jeopardizing patient health. Insecure medication practices leading to medication errors are one of the leading reasons of healthcare-related illness and mortality that globally published drug safety fact files. Understanding these characteristic risks will allow healthcare suppliers to better manage drawbacks and efforts to guarantee drug security in healthcare delivery. When safety policies and risk organization skills are integrated into health methods and medication rehearses, safer hospitals and main care can be achieved. Safety and danger management are integrated into healthcare arrangements and processes
16
Dill, Jennifer L., and Joyce A. Generali. "Medication sample labeling practices." American Journal of Health-System Pharmacy 57, no. 22 (November 15, 2000): 2087–90. http://dx.doi.org/10.1093/ajhp/57.22.2087.
Full text
17
Stein, Patricia. "Perioperative Medication Safety Practices." AORN Journal 97, no. 3 (March 2013): 385. http://dx.doi.org/10.1016/j.aorn.2012.12.003.
Full text
18
Amir, Muhammad, Aimun Danish, and Shahid Channa. "Successful implementation of safe practice for adult intravenous push medication in a tertiary care hospital: determination of stability of four intravenous antibiotics in syringes." BMJ Open Quality 13, Suppl 2 (May 2024): e002382. http://dx.doi.org/10.1136/bmjoq-2023-002382.
Full textAbstract:
In 2017, a severe shortage of infusion bags resulted in a paradigm change in medication administration practice from intermittent infusion to intravenous push. The Institute for Safe Medication Practices proposed safe practice guidelines for adult intravenous push medications. A different study showed that ready-to-administer medication prepared in the sterile area of a pharmacy reduces the risk of harm, nurses’ time for medication administration and the cost of medications. Based on the recommendation of the Institute for Safe Medication Practices, we decided to conduct a pilot study on the implementation of sterile compounding and administration of intravenous push medication in adult patients admitted to the hospital. In the study, the stability of five intravenous push antibiotic syringes was also determined in the syringes.
19
Kinrys, Gustavo, Alexandra K. Gold, John J. Worthington, and Andrew A. Nierenberg. "Medication disposal practices: Increasing patient and clinician education on safe methods." Journal of International Medical Research 46, no. 3 (January 11, 2018): 927–39. http://dx.doi.org/10.1177/0300060517738681.
Full textAbstract:
Recent research suggests that the nation’s water supply is contaminated with trace pharmaceuticals that exert a negative environmental and public health impact. Incorrect medication disposal methods (e.g. flushing medications down the toilet or drain) are a significant factor contributing to the presence of medication compounds in the aquatic environment. In this commentary, we provide a summary of the existing data on pharmaceuticals in the nation’s water as well as the role of improper medication disposal methods on water contamination. We discuss statistics on improper medication disposal practices among patients and clinicians as well as recent advances in proper medication disposal methods as a solution to this problem. Currently, many patients and clinicians are not aware of proper medication disposal practices. We summarize the importance of patient and clinician education in advancing environmental-safe medication disposal methods.
20
O'Brien, Emma, Sandra Johnston, and Clint Douglas. "Implementing a medication lubricant for pill dysphagia on an acute care ward using Plan-Do-Study-Act cycles." BMJ Open Quality 12, no. 4 (December 2023): e002505. http://dx.doi.org/10.1136/bmjoq-2023-002505.
Full textAbstract:
BackgroundPill dysphagia, the difficulty in swallowing solid oral medications, is a common problem that can affect medication adherence and increase pill modifications. Current practices of crushing medications or using food vehicles have limitations and potential risks. This report describes the implementation of a medication lubricant, Gloup, for pill dysphagia on an acute care ward using Plan-Do-Study-Act cycles.ObjectiveThe objective of this project was to evaluate the implementation of Gloup in the acute care ward setting and assess its acceptability and uptake by patients and ward nurses during medication administration.MethodsThe project involved chart audits of medication administration records, collection of patient feedback, and staff feedback through meetings. Patient characteristics and medication administration practices were documented. The implementation process included education and training sessions for staff, development of a medication chart sticker for evaluation data collection and small-scale testing of Gloup with patients before ward-level implementation.ResultsThe implementation of Gloup on the acute care ward showed high uptake and acceptability. The majority of patients using Gloup had crushed medications, and the use of Gloup varied based on patient needs.ConclusionThe implementation of Gloup as a medication lubricant for pill dysphagia on an acute care ward was successful and well received by patients and staff. The use of Gloup appeared to improve medication administration practices and reduce the need for crushing medications or using food vehicles. This project highlights the importance of addressing pill dysphagia in acute care settings and provides insights for other wards considering similar interventions.
21
Quincho-Lopez, Alvaro, Christeam A. Benites-Ibarra, Maryori M. Hilario-Gomez, Renatta Quijano-Escate, and Alvaro Taype-Rondan. "Self-medication practices to prevent or manage COVID-19: A systematic review." PLOS ONE 16, no. 11 (November 2, 2021): e0259317. http://dx.doi.org/10.1371/journal.pone.0259317.
Full textAbstract:
Background Previous studies have assessed the prevalence and characteristics of self-medication in COVID-19. However, no systematic review has summarized their findings. Objective We conducted a systematic review to assess the prevalence of self-medication to prevent or manage COVID-19. Methods We used different keywords and searched studies published in PubMed, Scopus, Web of Science, Embase, two preprint repositories, Google, and Google Scholar. We included studies that reported original data and assessed self-medication to prevent or manage COVID-19. The risk of bias was assessed using the Newcastle–Ottawa Scale (NOS) modified for cross-sectional studies. Results We identified eight studies, all studies were cross-sectional, and only one detailed the question used to assess self-medication. The recall period was heterogeneous across studies. Of the eight studies, seven assessed self-medication without focusing on a specific symptom: four performed in the general population (self-medication prevalence ranged between <4% to 88.3%) and three in specific populations (range: 33.9% to 51.3%). In these seven studies, the most used medications varied widely, including antibiotics, chloroquine or hydroxychloroquine, acetaminophen, vitamins or supplements, ivermectin, and ibuprofen. The last study only assessed self-medication for fever due to COVID-19. Most studies had a risk of bias in the “representativeness of the sample” and “assessment of outcome” items of the NOS. Conclusions Studies that assessed self-medication for COVID-19 found heterogeneous results regarding self-medication prevalence and medications used. More well-designed and adequately reported studies are warranted to assess this topic.
22
Susanto, Agus, Heni Purwantiningrum, and Meliyana Perwita Sari. "Effects of self-medication reasons, television advertisements, and pharmaceutical professionals' roles on self-medication practices." Journal of Public Health and Development 21, no. 2 (May 8, 2023): 179–88. http://dx.doi.org/10.55131/jphd/2023/210215.
Full textAbstract:
Self-medication has become increasingly common in society, and it is crucial to provide reliable information and emphasize the role of pharmacists in dispensing information to ensure that self-medication is carried out safely. This study aimed to analyse the reasons for self-medication, the influence of television advertisements, and the role of pharmacists in self-medication. The research used a descriptive-analytic approach with a cross-sectional design. The study involved 350 adult participants who were purposively selected in Tegal City, Central Java, Indonesia. Data were collected using a questionnaire and analysed using SPSS, employing univariate and bivariate analyses. The Chi-Square test was used to investigate the relationship between variables, with a significance level of 0.05. The findings showed that the primary reasons for self-medication were minor illnesses (63.1%), complete TV advertisements (86.3%), active involvement of pharmacists (68.9%), and good self-medication practices (73.1%). The study revealed that there was a significant relationship between the reasons for self-medication (p=0.032) and the role of pharmacists (p=0.002) in self-medication practices. In conclusion, the study found that self-medication practices were good, but pharmacists should be more active in providing information to clients to enhance the quality of self-medication. To achieve this, pharmacists need to play a more significant role in promoting appropriate self-medication practices by providing appropriate information on the safe use of medications. Moreover, health authorities should develop policies to regulate the advertising of over-the-counter drugs, emphasizing the risks of inappropriate use of medications through the media.
23
Kulkarni, Prerana P., Tanvi S. Madane, and Anjali Kumbhar. "Prevalence of self-medication practices in the Maharashtra population: a cross-sectional study." International Journal of Basic & Clinical Pharmacology 13, no. 3 (April 25, 2024): 344–50. http://dx.doi.org/10.18203/2319-2003.ijbcp20240990.
Full textAbstract:
Background: Self-medication is a significant issue in public health, with varying global prevalence. It is one of the major causes of the emergence of antibiotic resistance in India. The study's objective was to identify the pattern, cause, and adverse events of self-medication in Maharashtra's urban and rural areas. Methods: A cross-sectional survey was conducted using a pre-populated questionnaire; including information on age (18-85 years), non-prescription and prescription medication use. Age, gender, past medical and medication history, social history, and self-medication pattern, frequency, reason, source of information, and adverse events noticed as a result of self-medication are all sociodemographic questions on the questionnaire. A percentage analysis was used to examine the data. Results: Study states that out of 400 sample, 76% of the individuals self-medicate, with painkillers (49.4%), antacids (23.7%), antibiotics (15.3%), being the most often used drugs for ailments like headache, fever, bodily pain, and acidity. The top most medications taken for self-medication are paracetamol (53.1%), pantoprazole (30.43%), ondansetron (13.62%), and azithromycin (12.46%); 66.07% usage of prescription drugs as self-medication was found. The most frequent causes of self-medication were discovered to be mild illnesses, the easy accessibility of medications, and chemist recommendations, 8% of those surveyed had adverse events, and sources of information were chemists, past prescriptions, family members, and acquaintances. Conclusions: In Maharashtra, self-medication is a prevalent practice that primarily utilizes over-the-counter (OTC) drugs. As a result, consumers should be made aware of the hazards of antibiotic resistance and other pharmaceuticals.
24
Torres Soto, Nissa Yaing, Guillermo López Franco, Norberto Alonso Torres Soto, Alejandra Aray Roa, Alicia Monzalvo Curiel, Edgar Fernando Peña Torres, and María de Lourdes Rojas Armadillo. "Risk perception about the covid-19 pandemic and its effect on self-medication practices in population of northwestern Mexico." Acta Universitaria 32 (January 26, 2022): 1–14. http://dx.doi.org/10.15174/au.2022.3189.
Full textAbstract:
The objective of the present study was to analyze the effect of the risk perception of covid-19 on self-medication practices in Mexican population. A total of 526 participants over 18 years of age were surveyed, 68.4% women and 31.6% men residing in northwestern Mexico. Using a structural model, the relation and prevalence of self-medication were analyzed. Risk perception about covid-19, consisting of preventive practices and the perception of the threat of the pandemic, was negatively correlated with self-medication practices, which indicates that people who follow preventive care recommendations tend to reduce the use of self-medication and to improve emotional selfmedication. Furthermore, the study shows that at least half of the participants have used drugs during the pandemic without medical prescription. Self-medication is a critical health problem; therefore, awareness programs about the adverse effects of medications can help reduce self-medication practices in Mexico.
25
Frenzel, Oliver, Jayme Steig, and Alyssa Hodges. "Assessing a Medication Safety and Disposal Educational Program using the Health Belief Model." INNOVATIONS in pharmacy 14, no. 3 (September 25, 2023): 6. http://dx.doi.org/10.24926/iip.v14i3.5546.
Full textAbstract:
Background: Self-medication practices continue to grow due to reclassification of prescription to OTC status and self-care information on the internet, however unintended injuries and inappropriate use of medications continue to challenge healthcare providers during the provision of patient care. Pharmacists have an integral role in pharmacovigilance and patient education activities to ensure safe medication use, storage, and disposal practices.
Objectives: The objective of this medication safety and disposal educational program was to provide comprehensive informational support to the community coupled with an assessment using the Health Belief Model (HBM) to gauge participants’ perceived behavior change.
Methods: The HBM was selected to assess the understanding of the community members' benefits and barriers to safe medication practices. The HBM posits that health behaviors are influenced by perceptions of a diseases’ severity, perceived susceptibility, perceived barriers to health practices, perceived benefits of health practices, self-efficacy, and cues to action. An 8 item pre/post survey following the HBM constructs was developed which used a 5 point Likert scale.
Results: A total of 25 senior participants attended the educational program. Twenty-three pre/post surveys were completed (RR=92%). Five items revealed a statistically significant change from pre to post-educational content including understanding risk of herbal/OTC products (p=0.021), improved awareness of medication disposal methods (p=0.044), comprehension of OTC ‘Drug Facts’ information (p=0.004), understanding OTC label information to prevent medication interactions and side effects (p=0.008), and routinely reviewing expiration dates on medications and disposing of these properly (p=0.019).
Conclusion: This study suggests a comprehensive approach which covers a wide range of medication safety topics and disposal practices can successfully improve the knowledge and skill of community participants and potentially improve medication harm reduction practices.
26
Gomez-Cano, Mayam, Bianca Wiering, Gary Abel, John L. Campbell, and Christopher E. Clark. "Medication adherence and clinical outcomes in dispensing and non-dispensing practices: a cross-sectional analysis." British Journal of General Practice 71, no. 702 (November 23, 2020): e55-e61. http://dx.doi.org/10.3399/bjgp20x713861.
Full textAbstract:
BackgroundMost patients obtain medications from pharmacies by prescription, but rural general practices can dispense medications. The clinical implications of this difference in drug delivery are unknown. This study hypothesised that dispensing status may be associated with better medication adherence. This could impact intermediate clinical outcomes dependent on medication adherence in, for example, hypertension or diabetes.AimTo investigate whether dispensing status is associated with differences in achievement of Quality and Outcomes Framework (QOF) indicators that rely on medication adherence.Design and settingCross-sectional analysis of QOF data for 7392 general practices in England.MethodQOF data from 1 April 2016 to 31 March 2017 linked to dispensing status for general practices with list sizes ≥1000 in England were analysed. QOF indicators were categorised according to whether their achievement depended on a record of prescribing only, medication adherence, or neither. Differences were estimated between dispensing and non-dispensing practices using mixed-effects logistic regression, adjusting for practice population age, sex, deprivation, list size, single-handed status, and rurality.ResultsData existed for 7392 practices; 1014 (13.7%) could dispense. Achievement was better in dispensing practices than in non-dispensing practices for seven of nine QOF indicators dependent on adherence, including blood pressure targets. Only one of ten indicators dependent on prescribing but not adherence displayed better achievement; indicators unrelated to prescribing showed a trend towards higher achievement by dispensing practices.ConclusionDispensing practices may achieve better clinical outcomes than prescribing practices. Further work is required to explore underlying mechanisms for these observations and to directly study medication adherence rates.
27
Tully, John, Elizabeth Park, Allison Dunne, Ivan T. Murray, Colm McDonald, and Brian P. Hallahan. "Analysis of prescribing practices in an acute psychiatric ward." Irish Journal of Psychological Medicine 27, no. 2 (June 2010): 82–85. http://dx.doi.org/10.1017/s0790966700001105.
Full textAbstract:
AbstractObjectives: Prescription writing is a basic clinical skill for all doctors; however, errors in prescriptions are frequent and can result in significant harm to patients both from sub-therapeutic dosages and from over prescribing. This study examines the prescribing practices of ‘as required’ medications in an acute psychiatric inpatient unit attached to a university teaching hospital.Method: A clinical audit was conducted to examine both prescribing practices of ‘as required’ medication and recording of ‘as required’ medication in nursing notes. A series of educational interventions were undertaken in an attempt to improve prescribing practices in relation to ‘as required’ medication and two further audits were completed to assess any change in practice and whether such changes were sustained.Results: Psycho-education led to an improvement in a number of prescribing practices, including increased generic prescribing, improved documentation of indications for medication administration and increased writing of medication dosages in acceptable abbreviations. These benefits were maintained four months after the education interventions. Rates of documenting the frequency of medication correctly and recording the administration of medication in nursing notes remained low.Conclusion: Our audit cycle clearly demonstrates that education can ameliorate prescribing practices and these improvements were maintained four months after education was delivered. However some aspects of prescribing practice remained deficient, and more focused educational interventions are required in these areas.
28
Mamo, Sara, Yohanes Ayele, and Mesay Dechasa. "Self-Medication Practices among Community of Harar City and Its Surroundings, Eastern Ethiopia." Journal of Pharmaceutics 2018 (July 25, 2018): 1–6. http://dx.doi.org/10.1155/2018/2757108.
Full textAbstract:
Purpose. Self-medication practice is often associated with irrational medication use. The aim of this study was to assess self-medication practices among community of Harar City and its surroundings, Eastern Ethiopia. Methods. A cross-sectional study was conducted through exit interview in selected drug outlets of Harar City among 370 clients from March to April, 2017. The data was coded and entered into epi-data and processed and analyzed using SPSS version 20. Results. Many participants practiced self-medication to alleviate their headache (30.30%), to treat their respiratory disorders (29.50%), and to treat their gastrointestinal disorders (27%). More than half (57.8%) of study participants declared that they were practicing self-medication due to prior experience and seeking less expensive service (20.50%). Two-fifths of them (40.3%) reported pharmacy professionals as source of information while 18.9% of respondents were advised by neighbors, friends, or relatives. About one-third (31.9%) of them did not have any source of information for self-medication practice. The most common type of drug used for self-medication by the participants was analgesic (42.2%). Approximately one-third (31.1%) of the subjects were expecting to be counseled by the pharmacy professionals about the drug side effects and to be helped in selecting their self-medication drug (30.3%). Conclusion. Varieties of medications were used among study participants ranging from antipain to that of antibiotics for different complaints including headache, respiratory complaints, and gastrointestinal problems. Experience with drugs and diseases as well as affordability were frequently reported reasons for self-medication practice. Participants had different views toward the role of pharmacy professionals. Hence, it is very important to educate patients on responsible use of medications and create awareness on the role of pharmacist in self-selected medication use in community.
29
van Summeren, Jojanneke JGT, Jan Schuling, Flora M. Haaijer-Ruskamp, and Petra Denig. "Outcome prioritisation tool for medication review in older patients with multimorbidity: a pilot study in general practice." British Journal of General Practice 67, no. 660 (March 27, 2017): e501-e506. http://dx.doi.org/10.3399/bjgp17x690485.
Full textAbstract:
BackgroundSeveral methods have been developed to conduct and support medication reviews in older persons with multimorbidity. Assessing the patient’s priorities for achieving specific health outcomes can guide the medication review process. Little is known about the impact of conducting such assessments.AimThis pilot study aimed to determine proposed and observed medication changes when using an outcome prioritisation tool (OPT) during a medication review in general practice.Design and settingParticipants were older patients with multimorbidity (aged ≥69 years) with polypharmacy (five or more chronic medications) from the practices of 14 GPs.MethodPatients were asked to prioritise four universal health outcomes — remaining alive, maintaining independence, reducing pain, and reducing other symptoms — using an OPT. GPs used this prioritisation to review the medication and to propose and discuss medication changes with the patient. The outcomes included the proposed medication change as documented by the GP, and the observed medication change in the electronic health record at follow-up. Descriptive analyses were conducted to determine medication changes according to the prioritised health outcomes.ResultsA total of 59 patients using 486 medications prioritised the four health outcomes. GPs proposed 34 changes of medication, mainly stopping, for 20 patients. At follow-up, 14 medication changes were observed for 10 patients. The stopping of medication (mostly preventive) was particularly observed in patients who prioritised ‘reducing other symptoms’ as most important.ConclusionUsing an OPT leads mainly to the stopping of medication. Medication changes appeared to be easiest for patients who prioritised ‘reducing other symptoms’ as most important.
30
Bogam, Rahul Ramesh. "Self-Medication Practices among Urban Population of Pune, Maharashtra." International Journal of Preventive, Curative & Community Medicine 03, no. 04 (January 15, 2018): 15–18. http://dx.doi.org/10.24321/2454.325x.201717.
Full text
31
Humayun, Shumaila, Warda Imran, Iram Naheed, Nazish Javid, Misbah Hussain, and Maheen Azhar. "ANALYSIS OF SELF MEDICATION PRACTICES." Professional Medical Journal 23, no. 05 (May 10, 2016): 608–13. http://dx.doi.org/10.29309/tpmj/2016.23.05.1592.
Full textAbstract:
Background: Worldwide practice of self-medication is increasing and due to lackof awareness emphasis is put on counseling of general public. Aim: To assess the practices ofself-medication among general public. Design: Descriptive cross sectional study. Place andduration of study: Fauji Foundation Hospital, Rawalpindi from February 2015 to September2015. Methods: Two hundred and fifty five attendants accompanying patients in general OPDof Fauji Foundation Hospital completed a self-administered questionnaire translated in urdulanguage for this study. Results: Out of 255 study participants, 168 (or 65.9%) practiced selfmedication.The prevalence was found highest among 25 to 38 years old (70.2%) and wasalmost equally distributed in males 65 (65.65%) and females 103 (66.02%). The main reasonsfor self-medication were lack of time (43.45%), and high doctor fee (35.71%).Factors influencingthis practice were age, employment, income and the education level. Conclusions: The studyrevealed that prevalence of self-medication was high among study population. Majority ofrespondents practiced self-medication for minor ailments and to get quick relief, or to avoidhigh doctor fee. Pharmacies are a big source of providing drugs for self-medication. Thereis need for healthcare professionals to educate the general public about the hazards ofinappropriate medicine use, and there should be restrictions on over-the-counter sale of drugswithout doctor’s prescription.
32
Ruiz, Maria. "Risks of Self-Medication Practices." Current Drug Safety 5, no. 4 (October 1, 2010): 315–23. http://dx.doi.org/10.2174/157488610792245966.
Full text
33
Mahlmeister, Laura R. "Best Practices in Medication Administration." Journal of Perinatal & Neonatal Nursing 21, no. 1 (January 2007): 6–8. http://dx.doi.org/10.1097/00005237-200701000-00004.
Full text
34
Charupatanapong, Nawarut. "Self-Medication Practices in Thailand." Journal of Pharmacoepidemiology 2, no. 4 (December 10, 1992): 13–34. http://dx.doi.org/10.1300/j055v02n04_03.
Full text
35
McDonnell, Patrick. "Focus on Safe Medication Practices." American Journal of Health-System Pharmacy 66, no. 21 (November 1, 2009): 1957. http://dx.doi.org/10.1093/ajhp/66.21.1957.
Full text
36
Cockey, Carolyn Davis. "Hospitals Improving Medication Safety Practices." AWHONN Lifelines 9, no. 2 (April 2005): 120. http://dx.doi.org/10.1111/j.1552-6356.2005.tb00773.x.
Full text
37
Chevalier, Bernadette, David Parker, Neil MacKinnon, and Ingrid Sketris. "Nurses' Perceptions of Medication Safety and Medication Reconciliation Practices." Nursing Leadership 19, no. 3 (September 15, 2006): 61–72. http://dx.doi.org/10.12927/cjnl.2006.18369.
Full text
38
Bates, David W., Timothy W. Vanderveen, Diane L. Seger, Cynthia Yamaga, and Jeffrey M. Rothschild. "Variability in Intravenous Medication Practices: Implications for Medication Safety." Joint Commission Journal on Quality and Patient Safety 31, no. 4 (April 2005): 203–10. http://dx.doi.org/10.1016/s1553-7250(05)31026-9.
Full text
39
Al-Nasri, Amira, Rahma AL Saadi, Jameela AL Rasbi, Ebtisam AL Rajhi, Badryia AL Harbi, Khadija AL Alawi, Badryi AL Musharafi, Huda AL Hashmi, Aliya AL Oraimi, and Aysha AL Blushi. "Medication Administration Practices Among Nurses: An Observational Study from Oman." British Journal of Nursing Studies 3, no. 2 (July 24, 2023): 01–11. http://dx.doi.org/10.32996/bjns.2023.3.2.1.
Full textAbstract:
Safe medication administration is vital in ensuring patients’ safety and enhancing their quality of life. This study aimed to observe nurses' practice in medication administration in Hospitals and primary healthcare institutions to identify and examine the different steps of the medication administration process for quality assurance and safe drug administration. The methodology of the study employed a cross-sectional design using quantitative descriptive data within health institutions at South Sharqiyah Governorate. Data from the direct observation of 99 nurses (once at a time) were observed while they were preparing and administering medications using the disguised observation method (DDM). The data was recorded via Microsoft Access using a descriptive approach (frequencies and percentages) for analysis. The areas of concern in the study were: the five rights of medication administration, documentation, the use of patient’s identifiers, double checking and drug labeling. The trained observer completed the checklist after observing the nurses’ medication administration. Data were collected from 99 observations for analysis. Data analysis was conducted using descriptive and inferential statistics in the SPSS software version 26. The quantitative data illustrates that only 34.3% of nurses performed an independent double check by another nurse, only 56.6% performed appropriate labeling, and 62.6% confirmed the patient’s identity using at least two patient identifiers. Most medication administrations meet the “Five Rights” criteria (right patient =92.9%; right medication=98%; right dose=97%; right route=98%; and right time=97%). A statistically significant association was found between the participant's age and right time (p=0.013); and between years of experience and right medication (p=0.005), right dose (p=0.019) and right route (p=0.004). In this study, the nurses' poor areas of practice in medication administration were identified as double-checking of medication, labeling, and use of patient identifiers. Checking the right of medication administration and documentation post the procedure was the most followed by nurses in the medication administration process. The relevance of the study to clinical practice is the continuing education and clinical audits for nurses regarding basic pharmacology, medication administration policy, factors contributing to medication errors, and strategies preventing medication errors should be a priority.
40
Adhikari, Pharsuram. "Perceptions And Practices Of Self-Medication Among The Residents Of Western, Nepal." Journal of Manmohan Memorial Institute of Health Sciences 8, no. 2 (November 6, 2023): 127–37. http://dx.doi.org/10.3126/jmmihs.v8i2.59764.
Full textAbstract:
Background: Self-medication is defined as the “The taking of drugs, herbs or some remedies on personal initiative, or on the advice of another person without consulting a physician for the aliment of self-diagnosed physical illness”. Self-medication is practiced throughout the world, including both developing and developed countries. Self-medication includes both risks and benefits. Objectives: To assess the perceptions and practices of self-medication among the residents of Western, Nepal. Methods: A cross-sectional study was conducted among 378 respondents aged above 18. Closed ended questionnaire was used as data collection tool. Non-probability purposive sampling method was used for the collection of data. Results: The prevalence of self-medication practices was found to be 76.8%. Friends/Family members/Relatives 34.20%), Past-own experience (23.9%) and Pharmacist (23.5%) were the major source of information for self-medication practices. The most common type of illness for self-medication were Headache (19.7%), Cough and Cold (19.1%) and fever (18.10%). NSAIDs (32.9%), Cough Syrups (15.0%) and Antibiotics (14.8%) were the mostly used drugs in self-medication practices. The most common reasons for self-medication were previous experience (23.59%), minor illness (19.77%) and quick reliefs (19.1%). More than half of respondents (57.0%) were found to have positive perception towards the self-medication practices. This study showed education status (p=0.033) had significant association with the self-medication practices. Conclusion: The study focused to assess the perception and practices of self-medication. The prevalence of self-medication was found to be 78.6%. More than half of the residents were found to possess positive perception towards the self-medication practices.
41
Rege, Sanika, Abhishek Kavati, Benjamin Ortiz, Giselle Mosnaim, Michael D. Cabana, Kevin Murphy, and Rajender R. Aparasu. "Asthma Medication Prescribing Practices in Pediatric Office Visits." Clinical Pediatrics 58, no. 4 (January 7, 2019): 395–405. http://dx.doi.org/10.1177/0009922818822980.
Full textAbstract:
This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a primary diagnosis (International Classification of Diseases, Ninth Revision, Clinical Modification, code 493.xx). Descriptive weighted analysis evaluated asthma medication use. Multivariable logistic regression examined characteristics associated with asthma prescribing practices. An estimated 2.5 million pediatric office visits were made annually for asthma. The majority of asthma visits involved males (59.3%), children aged 6 to 11 years (54.8%), and whites (73.6%). Several clinical and demographic characteristics contributed to the variations in overall asthma medication use as well as specific drug classes. Lack of documentation of asthma control and uncontrolled asthma were associated with oral corticosteroid and inhaled corticosteroid use in pediatric asthma patients, but not with overall asthma medication use.
42
Azmi Hassali, Mohamed, and Sadia Shakeel. "Unused and Expired Medications Disposal Practices among the General Public in Selangor, Malaysia." Pharmacy 8, no. 4 (October 23, 2020): 196. http://dx.doi.org/10.3390/pharmacy8040196.
Full textAbstract:
The appropriate disposal practice of unused and expired medications has become a global challenge that has caught the attention of health policymakers, pharmaceutical organizations, healthcare professionals, and the wider community. The current study aimed to evaluate the awareness, attitudes, and behaviors relating to the disposal practice of unused and expired medications and medication wastage issues among the general public in Selangor, Malaysia. The quantitative, cross-sectional study was conducted using a pre-validated structured survey form. Among the approached individuals, 426 showed their willingness to participate in the study. More than 80% of the study population reported being aware of the medication wastage issue and its impact on patients and the economy. The respondents with a higher level of education (OR = 1.85; 95% CI = 1.18–2.52; p < 0.003) were more likely to be cognizant of the detrimental consequences of inappropriate waste disposal. The female respondents were more likely to report comprehending that the availability of free healthcare resources is contributing to medication waste (OR = 1.33, 95% CI = 1.015–2.34; p < 0.005). The majority of respondents reported throwing away unused medications (202; 47.4%) and expired medications (362; 84.9%) in the garbage. The respondents believed that the provision of appropriate directions by healthcare professionals (312; 73.2%) and prescribing/dispensing medications in quantities for the duration that ensures patient adherence (114; 26.7%) could minimize medication wastage. The Ministry of Health (258; 60.5%), pharmaceutical organizations (212; 49.7%), and pharmacists (193; 45.3%) were the respondents’ perceived responsible sources of information. The current findings reported that respondents were familiar that inappropriate practices of medication wastage might have harmful consequences. However, a gap exists between their awareness and practice, and the disposal approaches practiced by the respondents were generally not appropriate.
43
Jafaru, Yahaya, and Danladi Abubakar. "Medication Administration Safety Practices and Perceived Barriers Among Nurses: A Cross-Sectional Study in Northern Nigeria." Global Journal on Quality and Safety in Healthcare 5, no. 1 (February 1, 2022): 10–17. http://dx.doi.org/10.36401/jqsh-21-11.
Full textAbstract:
ABSTRACT Introduction Safe medication administration is a vital process that ensures patients' safety and quality of life. However, reports of medication errors and their solutions are lacking. The aim of this study was to examine the correlation between medication administration safety practices and perceived barriers among nurses in northern Nigeria. Methods A descriptive approach to research and cross-sectional design was applied to this study. The study population included nurse employees of the Zamfara State Government in northern Nigeria. Simple random sampling and systematic sampling were used in selecting the respondents of the study. Descriptive analysis and the Spearman rank-order correlation were used in data analysis. Results Fewer than 50% of the respondents were found to agree or strongly agree that they identify allergic patients before administering medication. Most of the respondents had agreed or strongly agreed with the following as barriers to medication administration safety practices: lack of appropriate coordination between physicians and nurses, and lack of favorable policies and facilities. There was a very weak positive correlation between medication safety practices and barriers to medication safety practices, and the correlation was statistically significant (rs = 0.180, P = 0.009). Conclusion There was a high level of desirable medication administration safety practices that the respondents followed. Nonidentification of a patient's allergic status and inadequate information on the effects of medications were among the identified medication administration practice gaps. There should be policies guiding medication administration in all hospitals in Zamfara, Nigeria.
44
Gipson, Gregory, Janet L. Kelly, Christy M. McKinney, and Andrew A. White. "Optimizing Prescribing Practices of High-Cost Medications With Computerized Alerts in the Inpatient Setting." American Journal of Medical Quality 32, no. 3 (May 16, 2016): 278–84. http://dx.doi.org/10.1177/1062860616649660.
Full textAbstract:
Current literature does not consistently show a benefit to providing medication cost information to inpatient health care prescribers. This study assessed the effectiveness of computerized provider order entry alerts that displayed the cost of a high-cost medication alongside a lower cost alternative, targeting 3 high-cost medications. Medication utilization during the one year prior to the intervention was compared to usage in the year after implementation. Reduced utilization of high-cost medications was found when comparing pre to post. Ipratropium hydrofluoroalkane and fluticasone hydrofluoroalkane metered dose inhaler utilization were reduced by 29% and 62%, respectively ( P < .001 for both). A 71% decrease in intravenous chlorothiazide was observed ( P < .001); however, its effect was unable to be separated from implementation of a heart failure diuretic protocol during the study period. Overall, these results suggest computerized medication cost alerts that recommend a lower cost therapeutic alternative are effective in changing prescribing practices.
45
Gunkelman, Jay. "Medication Prediction with Electroencephalography Phenotypes and Biomarkers." Biofeedback 42, no. 2 (July 1, 2014): 68–73. http://dx.doi.org/10.5298/1081-5937-42.2.03.
Full textAbstract:
This article reviews current medication practices for the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, diagnostic category of attention-deficit hyperactivity disorder. A wide range of medication classes are in use clinically, based on divergent pharmacological mechanisms, from stimulants to anticonvulsants to antidepressants, and including even more esoteric medications such as oxytocin and the various channel blockers. The author proposes that quantitative electroencephalography (EEG) patterns can provide a more reliable basis for medication selection than diagnostic category. The EEG's neurophysiological indicators for these medication classes are summarized and reviewed based not only on 41 years of experience in the field but also on outcomes from psychiatric practices, in an evidence-based approach to medication prediction.
46
Neafsey, Patricia J. "Self-Medication Practices That Alter the Efficacy of Selected Cardiac Medications." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 22, no. 2 (February 2004): 88–98. http://dx.doi.org/10.1097/00004045-200402000-00007.
Full text
47
Memon, Sikander Munir, Haris Samoo, Bhawna Devi Lohana, Sadia Khan, Chander Kumar, Aresha Kumari, and Muskan Bhatti. "Self-Medication Knowledge, Attitude and Practice among the Population of Jamshoro City: A Cross-Sectional Study." Journal of Health and Rehabilitation Research 4, no. 1 (February 24, 2024): 984–89. http://dx.doi.org/10.61919/jhrr.v4i1.556.
Full textAbstract:
Background: Self-medication is a globally prevalent practice, with varying degrees of awareness and regulation across different regions. In developing countries like Pakistan, the practice poses significant public health challenges, including the risk of medication misuse and antibiotic resistance. Jamshoro, a city with a diverse demographic and educational landscape, provides a unique setting to explore the knowledge, attitudes, and practices of self-medication among its residents. Objective: This study aimed to assess the extent of self-medication practices among the adult population in Jamshoro, focusing on their knowledge, attitudes, and the types of medications commonly used. It sought to identify potential risks associated with self-medication and propose recommendations for safer practices. Methods: A descriptive cross-sectional survey was conducted from February to April 2023, involving 400 participants selected through non-probability convenience sampling. The survey encompassed questions related to demographic information, knowledge about self-medication, attitudes towards its practice, and the frequency and types of medications used. Data were collected using both online questionnaires distributed via Google Forms and face-to-face interviews, ensuring a comprehensive understanding of self-medication behaviors. Ethical approval was obtained from the Research Ethics Committee of Liaquat University of Medical and Health Sciences (LUMHS), with the study adhering to the Helsinki Declaration's ethical standards. Data analysis was performed using SPSS Version 25, utilizing descriptive statistics to summarize findings. Results: The majority of respondents were male (55.5%) and undergraduates (64.5%), with students representing 66% of the sample. A significant portion (87.3%) reported a lack of knowledge regarding self-medication, and 90.3% had never taken medication without a physician’s prescription. About 64% were aware of the difference between over-the-counter (OTC) and prescription drugs, and 82.5% recognized the risk of antibiotic resistance. Self-medication practices were infrequent among participants, with 32.5% engaging in it only occasionally. The study also found a predominant preference for private healthcare facilities (68.5%) over public ones. Conclusion: The findings indicate a substantial knowledge gap regarding self-medication among the population of Jamshoro, despite a general tendency to consult healthcare professionals for medical issues. There is a critical need for public health initiatives to educate the community on safe medication practices, the risks of antibiotic resistance, and the importance of adhering to prescribed treatments.
48
Speth, Jennifer. "Guidelines in Practice: Medication Safety." AORN Journal 118, no. 6 (November 27, 2023): 380–89. http://dx.doi.org/10.1002/aorn.14034.
Full textAbstract:
ABSTRACTMedication errors are preventable events that health care professionals, consumers, and medication manufacturers report to the US Food and Drug Administration. The agency receives more than 100,000 medication‐related reports each year, and some reports involve patient death. A variety of sources provide perioperative nurses with information on interventions and practices to prevent medication errors, including the US Pharmacopeia, The Joint Commission, medication manufacturers’ instructions for use, safety data sheets, and the updated AORN “Guideline for medication safety.” This article provides an overview of the guideline and discusses recommendations for organizational oversight, procurement and storage, retrieval and preparation, labeling, and hazardous medications. It also includes a scenario that illustrates perioperative nursing practices for administering an antineoplastic medication intraoperatively. Perioperative nurses should review the guideline in its entirety and implement recommendations in operative or procedural settings.
49
Jallow, Fatoumata, Elisa Stehling, Zara Sajwani, Kathryn Daniel, and Yan Xiao. "Opportunities and Barriers to Medication Safety in Community-Dwelling Older Adults." Innovation in Aging 5, Supplement_1 (December 1, 2021): 609. http://dx.doi.org/10.1093/geroni/igab046.2332.
Full textAbstract:
Abstract Community-dwelling multi-morbid older adults are a vulnerable population for medication safety-related threats. We interviewed a sample of these older adults recruited from local retirement communities and from primary care practices to learn their perceptions of barriers and enablers for their medication safety. The present study is part of the Partnership in Resilience for Medication Safety (PROMIS) study. One of the aims of this project is to identify barriers and opportunities to improve older adults' medication safety. These interviews were conducted during COVID-19 pandemic conditions. Results from this qualitative study suggest that trust between these older adults and their healthcare providers is an essential component of medication safety. Overarching themes include disruptions in medication management, caregivers caring for each other, patient safety practices or habits, and medication management literacy. Participants also shared strain due to lack of skills to navigate telemedicine visits, trust in Primary Care Providers (PCPs) and pharmacists to prescribe and dispense safely for them, reliance on PCPs and pharmacists to give essential information about medications without having to be asked. Our interviews illustrated large variations in older adults’ perceived role in medication safety, with some developing expertise in understanding how medications work for them and how long-term medications should be periodically reviewed. The types of information needs and supports from PCPs were likely different. Understanding these barriers and enablers for safe medication management can help us develop medication safety improvements for this vulnerable population.
50
Mariappan, Veerakumar Arumugam, and Velmurugan Anbu Ananthan. "Self-medication practices in a rural population in Tamil Nadu." International Journal Of Community Medicine And Public Health 7, no. 12 (November 25, 2020): 5021. http://dx.doi.org/10.18203/2394-6040.ijcmph20205179.
Full textAbstract:
Background: Self-medication is one of the harmful practices of growing concern where health care facilities are out of reach in the rural population. So, this study was carried out to know about the prevalence of self-medication and the type of drugs commonly used and the reason for self-medication. Methods: A cross-sectional study was conducted among 150 subjects in Out-patient department of a rural primary health centre, Sirugambur during April and May 2016. A pretested semi-structured questionnaire was used after obtaining informed consent. It was analysed using SPSS trial version 20. Univariate analysis was done. P value <0.05 was considered statistically significant. Results: Majority of the study population were in the age group of 18-30 years (38.6%), followed by 31-45 years (36.7%). The prevalence of self-medication use was 78.7% (n=118). Among those, 111 (74%) were getting medicines from medical shop directly. The common reasons for going to medical shop was easy accessibility (52.3%), immediate response (22.5%), and familiarity (18%). The most common source of drug information reported was pharmacist and friends (76.6%), followed by media (21%). The drugs commonly used were paracetamol (42%), antibiotics (32.1%) and antihistamines (16%).Conclusions: The prevalence of self-medication use was high in the study population. Self-medication is one of the components of self-care adopted by the WHO. The drug regulatory and health authorities have to increase awareness among the general public especially in rural areas on the pros and cons of responsible self-medications to eventually improve their attitudes towards the practices of self-medication.