Exact(1)
Omitted items were identified after reconciliation on admission or after comparison with earlier inpatient prescribing documentation, and their inclusion in the denominator ensured that pharmacists were able to determine whether items were omitted for a valid clinical reason before recording them as a PE.
Similar(59)
The audit checklist included information on the process and outcome of care as per guideline recommendations, such as treatments prescribed, documentation of family history, smoking and physical activity, recording of blood pressure, BMI and waist circumference in physical examination and investigations ordered - ECG, Creatinine, HbA1C, lipid profile, and TSH.
We examined six areas: prescribing support, disease management, clinical documentation, work practice, preventive care, and patient-physician interaction.
We organized the studies into six topic areas: prescribing support, disease management, clinical documentation, work practice, preventive care, and patient-physician interaction.
A subset of procedural tasks is administrative (e.g. prescribing orders, documentation, scheduling imaging studies).
For example, the overuse of antibiotics in upper respiratory infections might be targeted by an alert if an antibiotic is prescribed when documentation does not warrant it or by a smart form that guides documentation and therapy selection.
Illegible prescription and medical note documentation, prescribing using incorrect sections of the prescription chart and failure to record medication administration contributed to slips, mistakes and violations when nurses decided against or omitted looking at these or misinterpreted their meaning.
Oxygen treatment for pneumothorax should be viewed as a prescribed drug, with documentation for its indication, target saturation and titration goals.
Before prescribing febuxostat, one should check documentation of allopurinol intolerance/ineffectivity/ contraindication.
A systematic review of literature relating to MEs in prescribing, transcribing, dispensing, administration and documentation in adults and children in Middle Eastern countries was conducted in October 2011.
Studies show poor documentation of contraceptive counseling when prescribing women teratogenic medications, suggesting a missed opportunity for contraceptive education.
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