Medication Safety- Projects
The Centre of Research in Patient Safety will investigate how social, relational, and organizational structures contribute to medication error using cognitive engineering and human factors techniques.
Title: Medication Error in the Recovery Room
Principal Research category: Medication Safety
Project Coordinator: Paul Myles
Project aim: This project will identify factors contributing to error in the Recovery Room using cognitive engineers, so that an intervention can be introduced to successfully reduce error rates.
Project description: The Recovery Room is the ideal place to study interactions as many events occur in a short time period. Ethnography will be used to study practice. Analysis will use Rasmussen’s multi-layered approach to risk management.
Title: Warfarin complications in the community
Principal Research category: Medication Safety and Care Management
Project Coordinator: John McNeil
PhD Student: Basia Diug
Project aim: This study aims to improve the management of people receiving warfarin therapy
Project description: Anticoagulants have been shown to be a significant patient safety concern. Intracerebral bleeds and strokes are catastrophic consequences of over or under treatment. The proposal involves an epidemiological comparison of patients who develop a high INR during the course of warfarin therapy with a matched control group whose INRs have remained in the normal range. These will be compared across a range of variables, looking particularly at personal, social or organisational factors that may predispose to such an event.
Project status: This project is in the implementation phase
Contact: Basia Diug or Judy Lowthian
Title: Performance measures relating to medication management
Principal Research category: Medication Safety
Project Coordinator: Peter Cameron
Project aim: The aim of this project is to develop and validate indicators to measure anticoagulant related harm in Australian hospitals.
Project description:. Measuring harm from anticoagulants is currently a time consuming and laborious task. The NSW Therapeutic Advisory Group, in conjunction with the Clinical Excellence Commission has recently tested and implemented an Australian version of the Insitiute for Safe Medication Practices Medication Safety Self Assessment - Antithrombiotic.The Australian Council for Healthcare Standards has a series of indicators relating to Warfarin bleeds but these have not been revised since 2001and only 20-31 hospitals report annually. This is possibly due to collection difficulty. It is proposed that this project will develop a simple but accurate way to measure harm from anticoagulants in Australian hospitals.
Project status: This project is in the concept phase
|
