Activity recognition approaches have been applied in home ambient systems to monitor the status and wellbeing of occupant especially for home care systems. With the advancement of embedded wireless sensing devices, various applications have been proposed to monitor userâĂŹs activities and maintain a healthy lifestyle. In this paper, we propose and evaluate a Smart Medication Alert and Treatment...

The provision of medications to paediatric patients involves challenges distinct from those associated with medication administration to adult patients. These challenges arise for all paediatric age groups (infants, children, and youth) in every care setting, from community hospitals to specialty tertiary care facilities. Management of high-alert medications1, such as opioids, poses additional ...

BACKGROUND Elderly people (aged 65 years or more) are at increased risk of polypharmacy (five or more medications), inappropriate medication use, and associated increased health care costs. The use of clinical decision support (CDS) within an electronic medical record (EMR) could improve medication safety. METHODS Participatory action research methods were applied to preproduction design and ...

UNLABELLED OBJECTIVE To compare the clinical relevance of medication alerts in a basic and in an advanced clinical decision support system (CDSS). DESIGN A prospective observational study. MATERIALS AND METHODS We collected 4023 medication orders in a hospital for independent evaluation in two pharmacotherapy-related decision support systems. Only the more advanced system considered patient...

In 2006, ISMP (US) reported that prefilled saline syringes were being used for reconstitution or dilution of medications, with the medication being withdrawn from the vial back into the syringe. 1 ISMP alerted practitioners to the increased risk of medication error if syringes used in this way were not appropriately relabelled. This problem can be of particular concern if a high-alert medicatio...

Anesthesia is one of the few areas in healthcare with no secondary verification of medication administration, yet it also has the highest number of administered medications, most of which are high-alert medications. Anesthetists often prescribe, dispense, mix, relabel, administer, and document medications without secondary verification. To increase patient safety, vigilance is one of the basic ...

Healthcare organizations continue to adopt information technologies with clinical decision support (CDS) to prevent potential medication-related adverse drug events. End-users who are unfamiliar with certain high-risk patient populations are at an increased risk of unknowingly causing medication errors. The following case describes a heart transplant recipient exposed to supra-therapeutic conce...

BACKGROUND Automated clinical decision support has shown promise in reducing medication errors; however, clinicians often do not comply with alerts. Because renal insufficiency is a common source of medication errors, the authors studied a trial of alerts designed to reduce inpatient administration of medications contraindicated due to renal insufficiency. METHODS A minimum safe creatinine cl...

mobilize widespread, national adoption of consensus-based best practices for specific medication safety issues that continue to cause fatal and harmful errors in patients, despite repeated warnings in ISMP publications. Hospitals can focus their medication safety efforts over the next 2 years on these best practices, which are realistic and have been successfully adopted by numerous organizatio...