The Experts below are selected from a list of 159 Experts worldwide ranked by ideXlab platform
David M Benjamin - One of the best experts on this subject based on the ideXlab platform.
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reducing medication Errors and increasing patient safety case studies in clinical pharmacology
The Journal of Clinical Pharmacology, 2003Co-Authors: David M BenjaminAbstract:Today, reducing medication Errors and improving patient safety have become common topics of discussion for the president of the United States, federal and state legislators, the insurance industry, pharmaceutical companies, health care professionals, and patients. But this is not news to clinical pharmacologists. Improving the judicious use of medications and minimizing adverse drug reactions have always been key areas of research and study for those working in clinical pharmacology. However, added to the older terms of adverse drug reactions and rational therapeutics, the now politically correct expression of medication Error has emerged. Focusing on the word Error has drawn attention to “prevention” and what can be done to minimize mistakes and improve patient safety. Webster's New Collegiate Dictionary has several definitions of Error, but the one that seems to be most appropriate in the context of medication Errors is “an act that through ignorance, deficiency, or accident departs from or fails to achieve what should be done.” What should be done is generally known as “the five rights”: the right drug, right dose, right route, right time, and right patient. One can make an Error of Omission (failure to act correctly) or an Error of commission (acted incorrectly). This article now summarizes what is currently known about medication Errors and translates the information into case studies illustrating common scenarios leading to medication Errors. Each case is analyzed to provide insight into how the medication Error could have been prevented. “System Errors” are described, and the application of failure mode effect analysis (FMEA) is presented to determine the part of the “safety net” that failed. Examples of reengineering the system to make it more “Error proof” are presented. An Error can be prevented. However, the practice of medicine, pharmacy, and nursing in the hospital setting is very complicated, and so many steps occur from “pen to patient” that there is a lot to analyze. Implementing safer practices requires developing safer systems. Many Errors occur as a result of poor oral or written communications. Enhanced communication skills and better interactions among members of the health care team and the patient are essential. The informed consent process should be used as a patient safety tool, and the patient should be warned about material and foreseeable serious side effects and be told what signs and symptoms should be immediately reported to the physician before the patient is forced to go to the emergency department for urgent or emergency care. Last, reducing medication Errors is an ongoing process of quality improvement. Faulty systems must be redesigned, and seamless, computerized integrated medication delivery must be instituted by health care professionals adequately trained to use such technological advances. Sloppy handwritten prescriptions should be replaced by computerized physician order entry, a very effective technique for reducing prescribing/ordering Errors, but another far less expensive yet effective change would involve writing all drug orders in plain English, rather than continuing to use the elitists' arcane Latin words and shorthand abbreviations that are subject to misinterpretation. After all, effective communication is best accomplished when it is clear and simple.
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reducing medication Errors and increasing patient safety case studies in clinical pharmacology
The Journal of Clinical Pharmacology, 2003Co-Authors: David M BenjaminAbstract:Today, reducing medication Errors and improving patient safety have become common topics of discussion for the president of the United States, federal and state legislators, the insurance industry, pharmaceutical companies, health care professionals, and patients. But this is not news to clinical pharmacologists. Improving the judicious use of medications and minimizing adverse drug reactions have always been key areas of research and study for those working in clinical pharmacology. However, added to the older terms of adverse drug reactions and rational therapeutics, the now politically correct expression of medication Error has emerged. Focusing on the word Error has drawn attention to “prevention” and what can be done to minimize mistakes and improve patient safety. Webster's New Collegiate Dictionary has several definitions of Error, but the one that seems to be most appropriate in the context of medication Errors is “an act that through ignorance, deficiency, or accident departs from or fails to achieve what should be done.” What should be done is generally known as “the five rights”: the right drug, right dose, right route, right time, and right patient. One can make an Error of Omission (failure to act correctly) or an Error of commission (acted incorrectly). This article now summarizes what is currently known about medication Errors and translates the information into case studies illustrating common scenarios leading to medication Errors. Each case is analyzed to provide insight into how the medication Error could have been prevented. “System Errors” are described, and the application of failure mode effect analysis (FMEA) is presented to determine the part of the “safety net” that failed. Examples of reengineering the system to make it more “Error proof” are presented. An Error can be prevented. However, the practice of medicine, pharmacy, and nursing in the hospital setting is very complicated, and so many steps occur from “pen to patient” that there is a lot to analyze. Implementing safer practices requires developing safer systems. Many Errors occur as a result of poor oral or written communications. Enhanced communication skills and better interactions among members of the health care team and the patient are essential. The informed consent process should be used as a patient safety tool, and the patient should be warned about material and foreseeable serious side effects and be told what signs and symptoms should be immediately reported to the physician before the patient is forced to go to the emergency department for urgent or emergency care. Last, reducing medication Errors is an ongoing process of quality improvement. Faulty systems must be redesigned, and seamless, computerized integrated medication delivery must be instituted by health care professionals adequately trained to use such technological advances. Sloppy handwritten prescriptions should be replaced by computerized physician order entry, a very effective technique for reducing prescribing/ordering Errors, but another far less expensive yet effective change would involve writing all drug orders in plain English, rather than continuing to use the elitists' arcane Latin words and shorthand abbreviations that are subject to misinterpretation. After all, effective communication is best accomplished when it is clear and simple.
Ichiro Koshijima - One of the best experts on this subject based on the ideXlab platform.
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Training Cyber Security Exercise Facilitator: Behavior Modeling Based on Human Error
Advances in Human Factors in Cybersecurity, 2019Co-Authors: Shiho Taniuchi, Haruna Asai, Tomomi Aoyama, Ichiro KoshijimaAbstract:Exercise facilitators are essential in the field of cybersecurity training. They provide useful insights to the exercise participants while guiding the group discussion. During the exercise conducted at the Nagoya Institute of Technology, the variation of exercise deliverables was observed due to the un-even facilitation. In this paper, facilitation Error was studied by modeling the Error behavior as the Error of Omission and commission. The quality of the facilitation was evaluated based on the Error occurrence.
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Training Cyber Security Exercise Facilitator: Behavior Modeling Based on Human Error
Advances in Human Factors in Cybersecurity, 2019Co-Authors: Shiho Taniuchi, Haruna Asai, Tomomi Aoyama, Ichiro KoshijimaAbstract:Exercise facilitators are essential in the field of cybersecurity training. They provide useful insights to the exercise participants while guiding the group discussion. During the exercise conducted at the Nagoya Institute of Technology, the variation of exercise deliverables was observed due to the un-even facilitation. In this paper, facilitation Error was studied by modeling the Error behavior as the Error of Omission and commission. The quality of the facilitation was evaluated based on the Error occurrence.
Shiho Taniuchi - One of the best experts on this subject based on the ideXlab platform.
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Training Cyber Security Exercise Facilitator: Behavior Modeling Based on Human Error
Advances in Human Factors in Cybersecurity, 2019Co-Authors: Shiho Taniuchi, Haruna Asai, Tomomi Aoyama, Ichiro KoshijimaAbstract:Exercise facilitators are essential in the field of cybersecurity training. They provide useful insights to the exercise participants while guiding the group discussion. During the exercise conducted at the Nagoya Institute of Technology, the variation of exercise deliverables was observed due to the un-even facilitation. In this paper, facilitation Error was studied by modeling the Error behavior as the Error of Omission and commission. The quality of the facilitation was evaluated based on the Error occurrence.
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Training Cyber Security Exercise Facilitator: Behavior Modeling Based on Human Error
Advances in Human Factors in Cybersecurity, 2019Co-Authors: Shiho Taniuchi, Haruna Asai, Tomomi Aoyama, Ichiro KoshijimaAbstract:Exercise facilitators are essential in the field of cybersecurity training. They provide useful insights to the exercise participants while guiding the group discussion. During the exercise conducted at the Nagoya Institute of Technology, the variation of exercise deliverables was observed due to the un-even facilitation. In this paper, facilitation Error was studied by modeling the Error behavior as the Error of Omission and commission. The quality of the facilitation was evaluated based on the Error occurrence.
Dennis Jenke - One of the best experts on this subject based on the ideXlab platform.
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identifying and mitigating Errors in screening for organic extractables and leachables part 1 introduction to Errors in chromatographic screening for organic extractables and leachables and discussion of the Errors of Omission
Pda Journal of Pharmaceutical Science and Technology, 2020Co-Authors: Piet Christiaens, Jeanmarie Beusen, Philippe Verlinde, Jan Baeten, Dennis JenkeAbstract:Substances leached from materials used in pharmaceutical manufacturing systems, packages, and/or medical devices can be administered to a patient as part of a clinical therapy. These leachables can have an undesirable effect on the effectiveness of the therapy and/or patient safety. Thus, relevant samples such as material extracts or drug products are chromatographically screened for foreign organic impurities, where screening is the analytical process of discovering, identifying, and quantifying these unspecified foreign impurities. Although screening methods for organic extractables and leachables have achieved a high degree of technical and practical sophistication, they are not without issues with respect to their ability to accomplish the aforementioned three functions. In this first part of a series of three manuscripts, the process of screening is examined, limitations in screening are identified, and the concept of using an internally developed analytical database to identify, mitigate, or correct these Errors is introduced. Furthermore, Errors of Omission are described, where an Error of Omission occurs when a screening method fails to produce a recognizable response to an analyte present in the test sample. The Error may be that no response is produced (“falling through the cracks”) or that a produced response is not recognizable (“failing to see the tree for the forest”). In either case, proper use of a robust internal extractables/leachables database can decrease the frequency with which Errors of Omission occur. Examples of Omission Errors, their causes, and their possible resolution are discussed.
Tomomi Aoyama - One of the best experts on this subject based on the ideXlab platform.
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Training Cyber Security Exercise Facilitator: Behavior Modeling Based on Human Error
Advances in Human Factors in Cybersecurity, 2019Co-Authors: Shiho Taniuchi, Haruna Asai, Tomomi Aoyama, Ichiro KoshijimaAbstract:Exercise facilitators are essential in the field of cybersecurity training. They provide useful insights to the exercise participants while guiding the group discussion. During the exercise conducted at the Nagoya Institute of Technology, the variation of exercise deliverables was observed due to the un-even facilitation. In this paper, facilitation Error was studied by modeling the Error behavior as the Error of Omission and commission. The quality of the facilitation was evaluated based on the Error occurrence.
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Training Cyber Security Exercise Facilitator: Behavior Modeling Based on Human Error
Advances in Human Factors in Cybersecurity, 2019Co-Authors: Shiho Taniuchi, Haruna Asai, Tomomi Aoyama, Ichiro KoshijimaAbstract:Exercise facilitators are essential in the field of cybersecurity training. They provide useful insights to the exercise participants while guiding the group discussion. During the exercise conducted at the Nagoya Institute of Technology, the variation of exercise deliverables was observed due to the un-even facilitation. In this paper, facilitation Error was studied by modeling the Error behavior as the Error of Omission and commission. The quality of the facilitation was evaluated based on the Error occurrence.