Global Introspection: Having one or more smart, ethical, and experienced drug safety experts to read the case details, and make a causality judgments based on their expertise in the field of medicine. (2) Causality assessment includes an evaluation whether the AE occurred in the expected drug’s pharmacological time frame, if no problems or symptoms were obvious before exposure to the drug, if no other medical conditions or medications could cause this AE, or if it is a dose response. Moreover, the causality assessment includes evaluation of the dechallenge/rechallenge information, biologic plausibility, positive in vitro or in vivo test, and similar findings in toxicity studies.
NOW WHAT (modifying future outcomes) At this level, the role of Anticoagulant team has its major part in treatment of Mr Moore plus NMC’s other patients, and also the colleagues of Anticoagulant management. This aspect makes sure the optimal level of Anticoagulant therapy by evading offensive risks of haemorrhage. The reflection case exemplifies to reflect the decision that I made is so perfect but in future if I had sufficient time I could ask patient’s general practitioner for the authorisation if he or she could fund new oral anticoagulants. The prescribed medicines influence patient’s behaviour by taking medicines and improve adherence. 7 steps of safe prescribing with respect to NMC standards It is stated that the entire process to prescribe or not is assumed as a complex aspect method that wants different many factors, which is considered before that all significant piece of paper that is all given to the patient by prescribing the pyramid of steps and process that may help in prescribing either nurse or midwifery, in that way he or she would be responsive of all bases, which has been enclosed (Stahl,
“Medication Administration is a complex multistep process that encompasses prescribing, transcribing, dispensing, and administering drugs and monitoring patient response.” (Anderson, 2010). Patients name, and date of birth are two factors that can be used to tell if a person is really who they say they are. This is a safe way to tell if the patient is really who they are, and should be asked before given their medications to prevent any med errors. Barcode scans on the patients bracelets are used to help decrease the risk of giving the wrong patient a medication (Anderson, 2010). A nurse should know about the medications that they are giving to the patients and why they are giving them.
According to University College London (UCL) (2011), critical evaluation helps to filter necessary information, identify studies that are applicable clinically and also for continuous professional development (CPD). However, evaluation of an article, is assessed using pre-designed instrument that encourages a more thorough and systematic method; it is designed for different study design and ask specific questions as pertain validity of the study such as: if the study has given an answer to the research question and has met its set aims and objectives, the methodology, analysis and interpretation of findings (Harder, 2014; Burls, 2009; Whiffin and Hasselder, 2013). It could be said that a good critical assessment plays a vital in evidence-based practice. Therefore, a critical appraisal skills programme (CASP, 2009) checklist will be used to evaluate the selected paper for this
I am writing you in response to your question regarding how certain calcium supplements will interact with levothyroxine so that you can finish developing your clinical trial. As you likely know, understanding organic chemistry interactions such as acidity and basicity is vital for deciding how compounds interact. Levothyroxine is a drug which is used to treat hypothyroidism, and many patients taking this drug simultaneously take calcium supplements. Understanding how multiple drugs interaction is important to know whether there will be any undesirable effects. I plan to explain how calcium carbonate and calcium citrate supplements interact differently with levothyroxine and how the environment of the stomach and small intestine affects its absorption.
Rideau Medical Limited has developed a mood enhancing cream based on the doctor’s reports about the side effects of the mood enhancing tablets. After receiving approval, RML is now ready to market its product, however the company has asked us to carry out a research and gather as much information as possible so that the company can base their final decision on the results of the research. I will be carrying out both primary and secondary research to collect accurate information from different sources. The objective of this research is to find out how fast will the cream sell out, predict a profit or possible loss and future sales. I will use two research methods, which are: Survey (primary), Internet reviews and reports (secondary).
Mednax uses a proprietary picture achieving together with the communication system in order to facilitate services (Value Line, 1936). The other strength of Mednax is physicians and advanced practitioners practicing as part of the corporate reshaping the delivery of care in its specialties and subspecialties. The fact is that Mednax uses evidence-based tools, continuous quality initiatives as well as clinical research in order to enhance patient outcomes hence providing high quality and cost effective care. Acquisition has furthered broadens the scope of services that the corporation offers to hospital partners. Brand portfolio on the other hand is the major weakness of Mednax Company.
The author of the journal suggests that “immediate review of prescriptions should be performed with the assistance of a hospital pharmacist” to prevent errors in the prescription stage and to increase patient safety. Errors within administration are also common. Chloe Copping (RGN) published an article titled ‘Preventing and reporting drug administration errors. In this article she suggests that the most common source of drug administration errors are within calculation and also the 5 R’s, right drug, right route, right time, right dose and right patient. She states that a busy working environment can lead to distraction which then leads to medication errors therefore inhibiting patient safety.
There is large investments being made in new technology to reduce production times and improve quality so that patients receive the best quality products in the swiftest manner. Patient care is at the heart of Janssen as clinical trials are on site to always try to gain more information on the potential products to improve. Janssen is a subsidiary of Johnson & Johnson, so to look at the organisation structure it must fall under J&J’s structure first. J&J’s organisation can be split into three main factions; Consumer healthcare, medical devices and pharmaceuticals. Consumer healthcare is concerned with J&J’s baby care, skin care, oral care and woman’s health care products.