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Drug supply in in-patient nursing care facilities: reasons for irregularities in quality reviews
- Source :
-
Pflege [Pflege] 2017; Vol. 30 (2), pp. 85-94. Date of Electronic Publication: 2017 Jan 16. - Publication Year :
- 2017
-
Abstract
- Background: Quality checks of the independent German Health Insurance Medical Service in in-patient nursing care facilities pursuant to Articles 114 et seqq. SGB XI [11th Book of the Social Code] also comprise the Pflegerische Medikamentenversorgung (PMV) [drug supply by nursing personnel]. Irregularities are described in quality reports in the reviewer’s own words. This investigation was intended to categorise the reasons for the above irregularities. Methods: The bases for the examination are the reports of quality checks of all of in-patient nursing care facilities conducted in 2014 (regular quality checks) in Hamburg and Schleswig-Holstein (N = 671), in which the PMV was examined for 5 742 randomly selected residents. Results: With regard to the documentation, inexplicable drug intakes (5.8 %) were found most frequently, followed by missing information on dosages and application provisions (0.8 % each), which were registered as irregularities at the residents. In the documentation of on-demand medication, insufficient indication data (3.2 %), missing daily maximum dosages (0.8 %) and missing single doses (0.6 %) were most commonly ascertained. The most frequent reasons for medication handling irregularities for the residents were false positioning (6.0 %), missing and respectively false data on consumption and on when the medical packaging was opened (3.5 %), as well as medication not directly administered using the blister (0.7 %). As for subordinate classifications of false positioning, incorrect dosages were revealed most often, followed by drugs with an exceeded expiry date and by out-of-stock drugs. Systematic patient-related factors with influence on PMV could not be determined. Conclusions: The extent of the irregularities and their type prompt a further increase in the efforts to improve the quality of nursing care facilities. The results can be used as a basis for designing specific initiatives to improve the PMV.
- Subjects :
- Aged
Aged, 80 and over
Germany
Humans
Medication Errors
Nursing Records standards
Physician-Nurse Relations
Prescriptions standards
Quality Indicators, Health Care
Drug Therapy nursing
Drug Therapy standards
Homes for the Aged standards
National Health Programs standards
Nursing Homes standards
Quality Assurance, Health Care standards
Subjects
Details
- Language :
- German
- ISSN :
- 1012-5302
- Volume :
- 30
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Pflege
- Publication Type :
- Academic Journal
- Accession number :
- 28092226
- Full Text :
- https://doi.org/10.1024/1012-5302/a000523