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Your search keyword '"Van de Vreede, Melita"' showing total 19 results
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19 results on '"Van de Vreede, Melita"'

4. Do High-Risk Medicines Alerts Influence Practice?

Author

Dunning, Trisha L, Leach, Helen, Van De Vreede, Melita, Williams, Allison F, Buckley, John, Jackson, John, Leversha, Anne, Nation, Roger L, Rokahr, Catherine, OʼReilly, Mary, and Kirsa, Suzanne W

Published
2010

5. Taking Aim at Infusion Confusion

Author

Burdeu, Gabrielle, Crawford, Ruth, van de Vreede, Melita, and McCann, Joanne

Subjects
Infusion therapy -- Safety and security measures, Infusion therapy -- Research, Patients -- Safety and security measures, Medical care -- Quality management, Medical care -- Research, Health
Published
2006

7. Intravenous potassium chloride prescribing and administration practices in Victoria: an observational study

Author

Van de Vreede, Melita A., Wilson, Sally G., and Dooley, Michael J.

Subjects
Potassium chloride -- Dosage and administration, Intravenous therapy -- Health aspects, Intravenous therapy -- Methods, Health
Abstract

A study was conducted to investigate current prescribing and administration practices in Victorian hospitals with regard to intravenous potassium chloride (IV KCI). Results indicated that there was a large amount of variation in prescribing and administration of IV KCI in hospitals in Victoria.

Published
2008

9. Do high-risk medicines alerts influence practice?

Author

Dunning, Trisha L., Leach, Helen, Van De Vreede, Melita, Williams, Allison F., Buckley, John, Jackson, John, Leversha, Anne, Nation, Roger L., Rokahr, Catherine, O'Reilly, Mary, Kirsa, Suzanne W., Dunning, Trisha L., Leach, Helen, Van De Vreede, Melita, Williams, Allison F., Buckley, John, Jackson, John, Leversha, Anne, Nation, Roger L., Rokahr, Catherine, O'Reilly, Mary, and Kirsa, Suzanne W.

Abstract

Background: Medicine-related adverse events are prevalent, costly and mostly preventable. The High Risk Medicines Working Party (Victoria) developed and distributed three highrisk medicines alerts – wrong route of administration of oral medicines, subcutaneous insulin and unfractionated heparin – and accompanying audit tools in 2008 and 2009. Aims: To determine the impact of the three high-risk medicines alerts on Victorian health services; to assess the clinical relevance and utility of the audit tools; to identify barriers to implementing recommendations; and to obtain feedback and suggestions for future alert topics. Method: A cross-sectional survey was undertaken from 6 to 31 July 2009 using an online questionnaire. The questionnaire was distributed to 90 metropolitan, regional and rural public health services in Victoria and approximately 200 members of the Quality Use of Medicines Network (Victoria). Results: Most of the 90 respondents were pharmacists (53%) and nurses (31%). 53 (59%) respondents reported making changes as a result of receiving the high-risk medicines alerts – 21 (40%) concerned the wrong route of administration, 12 (23%) subcutaneous insulin and 7 (13%) unfractionated heparin. Barriers to implementation included time constraints, inadequate staff and resources, excessive paperwork and competing priorities. A minority of respondents indicated some alerts were not relevant to small rural services. Suggestions for improving the audit tools included making them less labour intensive, enabling electronic responses and ensuring their distribution is coordinated with other medicine-related tools. Conclusion: High-risk medicines alerts and the accompanying audit tools facilitated change but there were some barriers to their implementation, such as time and resource constraints. Not all alerts and audit tools were relevant to all health services.

Published
2010

19. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Author

Dooley MJ, Wiseman M, McRae A, Murray D, Van De Vreede M, Topliss D, Poole SG, Wyatt S, and Newnham H

Subjects
Guideline Adherence, Humans, Inservice Training organization & administration, Practice Guidelines as Topic, Quality of Health Care organization & administration, Insulin administration & dosage, Medication Errors prevention & control
Abstract

Background: Insulin is a high-risk medicine which may cause significant patient harm or death when given incorrectly. A 10-fold error in administered insulin dose commonly occurs when the abbreviation 'u' is used for 'units' and subsequently misinterpreted as a 'zero.', Method: A multidisciplinary working party was convened and mapped insulin prescribing, dispensing and administration. All inpatient orders above 25 units for short-acting insulin and 50 units for other insulin require validation by an additional source. Educational strategies to support adherence to the guideline and product-labelling alerts were developed., Results: Implementation occurred in August 2008 across the three hospital sites. In 90 weeks after implementation, there were 150 patients identified in which 200 high doses of insulin were prescribed (>25 units for short-acting insulin and 50 units for other insulin). There were eight instances where high doses of insulin were prescribed in error but were detected and rectified through the new validation process. There were 12 dosing errors that occurred, including two 10-fold dosing errors. In contrast, seven major errors resulting in excessive insulin administration were identified over a 2-year period prior to the introduction of the insulin high-dose validation system., Conclusion: A structured validation process was successful in reducing incorrect prescription and administration of high-dose insulin and has reduced the risk of associated fatalities or significant patient harm. Consideration should be given to adopting this process in any setting where insulin is prescribed and administered.

Published
2011
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