Effectiveness of Teaching Standardized Protocol on Safe Medication Administration Process Upon the Level of Knowledge among Nurses at a Tertiary Care Hospital, Chennai

Strategies to improve medication safety focused on acute care settings. Twenty-six studies and descriptions of quality improvement projects were identified. Strategies used to focus on recommendations to prevent medication errors at various stages, from a nationwide voluntary organization to improve safety of patients and empower education system of nurses and other health care providers in safe practices in health care system and vast growing technology.

Encefalopatía por cefepima en paciente renal: una reacción adversa a medicamento / Cefepime encephalopathy in a kidney patient: an adverse reaction to the drug

RESUMEN La reacción adversa a medicamentos es un problema importante para la salud de pacientes en manejo hospitalario, encontrado de manera regular durante la práctica médica y cuya asociación no identificamos de forma oportuna, pero que aumentan la morbimortalidad y la estancia hospitalaria; en este artículo presentamos el caso clínico de un paciente con encefalopatía severa asociada al uso de cefepima, el deterioro clínico evidenciado durante su proceso de hospitalización y el razonamiento a través del cual se identificó una reacción adversa tipo A como causa de encefalopatía.

SUMMARY The adverse reaction to medications represents a major problem for the health of patients in hospital management, which we encounter on a regular basis during medical practice and whose association we do not identify in a timely manner, but increase morbidity and mortality and hospital stay; In this article we present the clinical case of a patient with severe encephalopathy associated with the use of cefepima, the clinical deterioration evidenced during the hospitalization process and the reasoning through which an adverse type A reaction was identified as a cause of encephalopathy.

Drug-Induced Diabetes Mellitus / 임상당뇨병

Drug-induced diabetes is becoming more prevalent as a result of individuals taking diverse types of medication. A variety of drugs can impair glucose tolerance through several mechanisms, including increased insulin resistance, diminished insulin secretion, or both. Efforts should be made to identify and closely monitor patients receiving drugs that may alter glucose metabolism as diabetes is a leading cause of morbidity and mortality. We review the latest data concerning commonly used drugs associated with development of diabetes and present postulated mechanisms by which the drugs might cause diabetes.