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1.
Br J Nurs ; 32(14): S4-S12, 2023 Jul 27.
Article in English | MEDLINE | ID: mdl-37495417

ABSTRACT

BACKGROUND: Two major avoidable reasons for adverse events in hospital are medication errors and intravenous therapy-induced infections or complications. Training for clinical staff and compliance to patient safety principles could address these. METHODS: Joint Commission International (JCI) consultants created a standardised, 6-month training programme for clinical staff in hospitals. Twenty-one tertiary care hospitals from across south-east Asia took part. JCI trained the clinical consultants, who trained hospital safety champions, who trained nursing staff. Compliance and knowledge were assessed, and monthly audits were conducted. RESULTS: There was an overall increase of 29% in compliance with parameters around medication preparation and vascular access device management. CONCLUSION: The programme improved safe practice around preparing medications management and managing vascular access devices. The approach could be employed as a continuous quality improvement initiative for the prevention of medication errors and infusion-associated complications.


Subject(s)
Nursing Staff, Hospital , Patient Safety , Humans , Medication Errors/prevention & control , Hospitals , Quality Improvement
2.
J Assoc Physicians India ; 65(7): 106-108, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28792179

ABSTRACT

Listeria monocytogenes is a facultative anaerobic intracellular Gram positive rod causing infection in pregnant women, extremes of age and immune-compromised hosts. In clinical specimens, the organisms may be gram-variable: laboratory misidentification of L. monocytogenes isolates as diphtheroids, streptococci, or enterococci is not uncommon and the isolation of a diphtheroid from blood or CSF should always alert the clinician to the possibility that the organism may be L. monocytogenes. The disease has rarely been reported in India in non-pregnant adults. We herein report four cases of L. monocytogenes infection in immune-compromised adults.


Subject(s)
Immunocompromised Host , Listeriosis/diagnosis , Adult , Aged , Female , Humans , Male , Middle Aged
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