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Jul 22, 2022 · Key issues and concerns in 2021. Governance of controlled drugs. Local intelligence networks and occurrence reporting. Prevention of Future Death reports. Controlled drugs in secondary care. Controlled drugs in adult social care services. Controlled drugs in prisons and secure settings.
- Introduction
- Methods
- Results
- Discussion
- Limitations
- Conclusion
Medication errors are defined as any preventable errors that occur in any part of the medication use cycle, whether or not they result in patient harm. Medication errors may be classified according to where they occur in the medication use process: 1. Prescription (e.g. inappropriate drug, illegible handwriting, route errors); 2. Dispensing (e.g. d...
This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Overview of selected studies
Searching PubMed, Science Direct, Scopus, Wiley, Cochrane Library and the grey literature yielded 183 articles; 6 duplicate articles were removed. The remaining 177 articles were screened by title and abstract based on the inclusion criteria. 147 articles were excluded as they did not fit the inclusion criteria. Scrutinising the reference lists of some of the articles retrieved in the search identified three additional potentially relevant studies; of these, one met the inclusion criteria. Fo...
Characteristics of the studies
The characteristics of the selected studies are summarised in Table 2. There were six retrospective cohort studies[15–20], five prospective cohort studies[21–25], three cross-sectional studies[26–28] and three interviews[29–31]. Five studies focused on the use of psychotropic drugs in patients with dementia[16,21,27–29], and three studies focused on medication errors involving patients with diabetes[18–20]. Four studies examined the link between using different medication systems...
Quality assessment of included studies
All observational studies assessed using the Newcastle-Ottawa scale scored at least six points, meaning they were of good quality. The median score was seven, indicating a low risk of methodological bias overall. Most studies lost points because of the dropout rate of participants or the comparability of the non-exposed and exposed cohort. The study by Maidment et al. had a particularly high dropout rate, as some residents withdrew and some died. All studies had clearly presented aims and o...
Medication errors in care homes were common in all the studies assessed. This information is not surprising, because the patients who reside in care homes are usually older people with known patient safety risks, including comorbidities, polypharmacy, dementia, lack of physical dexterity and dysphagia. The most commonly found types of medication er...
This review has some limitations. First, the review has included only studies published in the period January 2008 to February 2021, meaning that some important studies that were published outside this period might have been excluded. The literature search was conducted by only one author (HP), although a systematic approach to database search was ...
Medication errors are common in care homes. The most frequently discovered and investigated types of medication errors in the literature were related to administration and inappropriate prescribing. Care staff are in need of support and training to be able to use medicines safely to care for vulnerable patients with multiple physical and cognitive ...
Background: The safety of drug use by nursing-home residents can be impaired by polypharmacy, potentially inappropriate medications (PIM), and neuroleptics, as well as by a lack of adequate...
NECS good practice guidance and tools for care homes. The NECS Vulnerable Adults Workstream Group has produced a suite of guidance documents and tools for use across all stakeholder CCGs, based national standards, legislation and guidance. Click on the links below to access these documents. Audit.
Oct 22, 2021 · Background: The safety of drug use by nursing-home residents can be impaired by polypharmacy, potentially inappropriate medications (PIM), and neuroleptics, as well as by a lack of adequate interprofessional coordination in the nursing home.
May 1, 2017 · Overview. This guideline covers good practice for managing medicines in care homes. It aims to promote the safe and effective use of medicines in care homes by advising on processes for prescribing, handling and administering medicines.
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Care homes with nursing may hold stocks of CDs for residents nearing the end of their lives. Nursing homes may need a Home Office controlled drugs license to hold stock. Residential homes cannot hold stocks of CDs. They may only hold CDs prescribed and dispensed for an individual person.
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