RESUMO
The present study was undertaken to investigate and minimize possible differences in doctors' and nurses' documentation of drug prescriptions. A retrospective medical audit including 100 patients receiving medication revealed 69% correct prescriptions in doctors' case records. Only 44% of prescriptions in nurses' drug lists were correct. Based on the exposed problems a prescription sheet and clinical guidelines for medication were developed and implemented in the department. This resulted in 91% correct prescriptions in a comparable group of 100 patients receiving medication, a highly significant improvement. Among prescriptions signed by a doctor as legally requested, 98% were correct. The prescription sheet also served as an updated survey of medication. No health-threatening prescription errors were disclosed in either group. In conclusion, a common prescription sheet significantly improved the quality of drug prescriptions.
Assuntos
Documentação , Prescrições de Medicamentos , Erros de Medicação , Dinamarca , Prescrições de Medicamentos/normas , Prescrições de Medicamentos/estatística & dados numéricos , Feminino , Guias como Assunto , Humanos , Masculino , Auditoria Médica , Erros de Medicação/prevenção & controle , Erros de Medicação/normas , Enfermeiras e Enfermeiros , MédicosRESUMO
The oral function of 81 consecutive patients with intraoral squamous cell carcinoma was assessed at diagnosis and during the follow-up 1-2 years after diagnosis. Patients received either radiotherapy, surgery, or radiotherapy and surgery. Speech function and tongue mobility were better among patients who received radiotherapy alone than among patients treated with surgery or combined therapy. Subjective complaints about mucositis, poor dental status, and loss of teeth were most pronounced among patients who received radiotherapy. Patients with tumor recurrence reported a poorer quality of life and found it more difficult to accept their treatment than patients with successful primary therapy. Patients with stage I tumors, notably patients treated with surgery, felt that their quality of life was good after treatment.
Assuntos
Neoplasias Bucais/reabilitação , Qualidade de Vida , Adulto , Idoso , Idoso de 80 Anos ou mais , Candidíase Bucal/etiologia , Carcinoma de Células Escamosas/radioterapia , Carcinoma de Células Escamosas/cirurgia , Terapia Combinada/efeitos adversos , Ingestão de Alimentos , Estética , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mucosa Bucal/patologia , Neoplasias Bucais/radioterapia , Neoplasias Bucais/cirurgia , Movimento , Recidiva Local de Neoplasia , Índice de Higiene Oral , Complicações Pós-Operatórias , Radioterapia de Alta Energia/efeitos adversos , Inteligibilidade da Fala , Inquéritos e Questionários , Língua/fisiopatologia , Perda de Dente/etiologiaRESUMO
A retrospective survey of symptomatology, treatment and course of disease in 45 patients with glomus tumours treated between 1959 and 1986 at the Radium Centre and ENT Department of the Aarhus University Hospital is presented. Nine patients were treated surgically, 7 had surgery and irradiation combined, and 25 patients were treated solely with radiation therapy. Six patients developed recurrence of tumours. Two patients died of tumour, one of them with pulmonary metastases.
