...perform surgery, the role of the pharmacist emerged. The first pharmacy school opened in 1821 at the college of pharmacy and Sciences in Philadelphia” (Mosby 10-11). That school is now called the University of Sciences in Philadelphia. The tasks of pharmacy technicians have changed in means of procedures, responsibilities, and restrictions. The procedures of pharmacy technicians and pharmacists are very different. The differences between pharmacy technicians and pharmacists are that pharmacists have more schooling, more scope of knowledge’s, different duties, responsibilities, and salaries. For example, pharmacy technicians cannot counsel patients, i.e., if a patient says that she has a headache, the pharmacy technician cannot...
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...From Medscape Nurses Medication Error Prevention for Healthcare Providers Faculty and Disclosures CE Information There are between 44,000 and 98,000 individuals who die every year in hospitals due to preventable medical errors.[1] It has also been reported that this is only part of the problem, as thousands of other patients are adversely affected by medical errors or barely avoid injuries that are nonfatal.[2] These medical errors not only cost the loss of lives, but carry a financial burden that is estimated to be in a range of $17 billion to $29 billion annually. Additionally, there is physical and psychological pain and suffering related to these errors.[1] Another consequence is that medical errors diminish trust and satisfaction in the healthcare system and in healthcare professionals.[1] Ginette A. Pepper, PhD, RN, FAAN, a Professor and Helen Lowe Bamberger Colby Presidential Endowed Chair and Associate Dean for Research, University of Utah College of Nursing, Salt Lake City, spoke on medication safety for the geriatric nurse practitioner (GNP).[3] Dr. Pepper was trained as a pharmacologist with a nursing focus. She was one of the first NPs to add "geriatric" to her title as well as one of the first NPs to have prescriptive authority. Safety Principles and the Medication Use Process Dr. Pepper noted that safety issues are of the utmost importance for all healthcare providers.[3] Nursing as a profession has a long history of regarding patient safety as a primary...
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...trend of globalism, the outsourcing of manufacturing, the closing of mom & pop stores and independent grocers on Wal-Mart. But the question that must be asked is as follows: Is Wal-Mart really to blame for all the things that they are being accused of? After all, aren’t the consumers fueling Wal-Mart’s position as the number one retailer in the world by their constant search for the lowest possible price? And don’t we have a choice as to where we should shop and isn’t it our responsibility to avoid businesses that we deem are unethical? Is Wal-Mart unethical or are they just misunderstood? Background Wal-Mart has been forced to defend itself against several lawsuits that were filed against them. In the case; Cynthia Haddad vs. Wal-Mart stores, Inc. Wal-Mart was found liable for unequal compensation and wrongful termination of employment based on gender. (This was just one of several lawsuits filed against Wal-Mart for discrimination). On December 23, 2008, Wal-Mart settled 63 wage and hour action lawsuits that Wal-Mart has been defending against for several years. Wal-Mart has...
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...Medication Dispensing Errors and Potential Adverse Drug Events before and after Implementing Bar Code Technology in the Pharmacy Eric G. Poon, MD, MPH; Jennifer L. Cina, PharmD; William Churchill, MS; Nirali Patel, PharmD; Erica Featherstone, BS; Jeffrey M. Rothschild, MD, MPH; Carol A. Keohane, BSN, RN; Anthony D. Whittemore, MD; David W. Bates, MD, MSc; and Tejal K. Gandhi, MD, MPH Background: Many dispensing errors made in hospital pharmacies can harm patients. Some hospitals are investing in bar code technology to reduce these errors, but data about its efficacy are limited. Objective: To evaluate whether implementation of bar code technology reduced dispensing errors and potential adverse drug events (ADEs). Design: Before-and-after study using direct observations. Setting: Hospital pharmacy at a 735-bed tertiary care academic medical center. Intervention: A bar code–assisted dispensing system was implemented in 3 configurations. In 2 configurations, all doses were scanned once during the dispensing process. In the third configuration, only 1 dose was scanned if several doses of the same medication were being dispensed. Measurements: Target dispensing errors, defined as dispensing errors that bar code technology was designed to address, and target potential ADEs, defined as target dispensing errors that can harm patients. Results: In the pre– and post–bar code implementation periods, the authors observed 115 164 and 253 984 dispensed medication doses, respectively...
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...costs and marginal revenue to maximize profit. A mix of pricing and non-pricing strategies will be suggested. This proposal will also explore options of creating or increasing barriers to entry. Further, increased product differentiation will be discussed. Finally, other way to minimize costs will be explored. Market Structure and Elasticity of Demand CVS retail pharmacies operate in a monopolistic competition market structure. According to Investopedia (2012), the monopolistic competition is, “A type of competition within an industry where: 1. Firms produce similar yet not perfectly substitutable products. 2. Firms can enter the industry if the profits are attractive. 3. Firms are profit maximizers. 4. Firms have some market power, which means none are price takers. Firms in a monopolistic competition sell goods that have either actual or perceived non-price differences. These differences are not so significant, however, that they climate the potential for substitutes. The cross-price elasticity of demand in a monopolistic competition, therefore, is positive or high. Prescription drugs and retail pharmacies are close but imperfect substitutes, which perform the same basic functions but have differences that distinguish them from each other such as location,...
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...Western Governors University Nursing Informatics Nut 1 Task 2 It is often times a question as to how we, as healthcare professionals, can go about strengthening and bettering the quality of care that we provide to our patients. There are a number of ways to do that, including purposeful rounding, treating patients as a whole rather than just diagnoses, providing family and patient centered care, etc. One important action that can be taken to better the quality of care is through the use of our ever changing, always advancing, technology. Years ago, when computer systems did not exist, we did what we could to provide the best care we could, with the most efficient communication, charting, etc. Today, with the use of our advancing technology, we have the ability to use computerized management systems for efficiency, proficiency, and increased quality of care. The various aspects of using computerized management systems in the healthcare setting, including the efficiency, privacy, and cost will be discussed. How Computerized Management Systems Increase Quality of Care It is not easy to give up old habits and pick up new ones and it is certainly not easy to do that in the healthcare setting when people's lives are under our control. Computerized management systems are the use of technological advances such as computers and handheld devices to gather and input data on each patient entering and exiting your care. The use of this technology allows us, as physicians, nurses...
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...Advanced Information Management and the Application of Technology C156/WTT Task 1 Teresa Miller Student id: 000273119 Proposal Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system. Identification and Roles of Team Members/Expertise The first person on this team is the acute care nurse manager. The acute care nurse manager is a bachelor prepared nurse and is beneficial to this team because of her close relationship with staff nurses. She will have input from floor nurses and be able to contribute important information about charting from the nursing standpoint. The nurse manager will be able to assist with questions that staff nurses may have during implementation and training. This member is able to discuss what the nursing staff needs for adequate charting. She will be able to look at each computerized system and contribute a nurses point of view. The second team member will be the chief medical officer. The physician has the input from other doctors and will be able to answer questions for other...
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...Managing Human Resources for Health in India A case study of Madhya Pradesh & Gujarat 2007 Central Bureau of Health Intelligence Directorate General of Health services Ministry of Health & Family Welfare Nirman Bhawan, New Delhi – 110011 Website: www.cbhidghs.nic.in, www.prodindia.nic.in Email: dircbhi.nb.nic In collaboration with WHO - India Country Office Managing Human Resources for Health in India A case study of Gujarat & Madhya Pradesh October 2007 Central Bureau of Health Intelligence, Dte.GHS, MoHFW, GOI In collaboration with World Health Organisation - India Country Office The Report on Managing Human Resources in India may be freely reviewed, abstracted, reproduced or translated, in part or whole, but is not for sale or for use in conjunction with commercial purposes. Any relevant enquiry may be addressed to the office of Director, Central Bureau of Health Intelligence, Directorate General of Health Services, 401, A-wing, Nirman Bhavan, New Delhi 110011(India). © Central Bureau of Health Intelligence, Dte. General of Health Services, Ministry of Health & Family Welfare, Govt. of India. 2007 Technical Support: Advent Healthcare Group 102, Tribhuvan Complex, Mathura Road, New Delhi 110065 (India) Tel: 91-11-65689631, 26312631 Email: info@adventhcg.com 2 Table of Contents Foreword ............................................................................................................. 5 Preface ........................................
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...LEAN HOSPITALS “Mark Graban’s book has documented what is now happening in hospitals all across America as we learn to apply the Toyota Production System methodology to healthcare. This book lays out the nuts and bolts of the lean methodology and also describes the more difficult challenges, which have to do with managing change. Graban’s book is full of wins—these are the same type of wins that are happening at ThedaCare every day. I wish I could have read this book six years ago, as it might have prevented some of the mistakes we made in our lean transformation journey.” — John S. Toussaint, MD, President/CEO ThedaCare Center for Healthcare Value “Coupled with a foundation of alignment and accountability, the ideas in this book provide a powerful tool to help hospitals get closer to the goal we want – perfect care.” — Quint Studer, CEO, The Studer Group, author of Results that Last “Mark Graban is the consummate translator of the vernacular of the Toyota Production System into the everyday parlance of healthcare. With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of healthcare if standardized systems borrowed from reliable industries were implemented. Graban provides those trade secrets in an understandable and transparent fashion.” — Richard P. Shannon, MD, Frank Wister Thomas Professor of Medicine, Chairman, Department of Medicine, University of Pennsylvania School of Medicine “There is an...
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...Implementation Guide for the Use of Bar Code Technology in Healthcare Sponsored by Implementation Guide for the Use of Bar Code Technology in Healthcare © 2003 HIMSS 230 E. Ohio St., Suite 500 Chicago, IL 60611 All rights reserved. No part of this publication may be reproduced, adapted, translated, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. HIBCC ® and HIN® System are trademarks of the Health Industry Business Communications Council. ISBN: 0-9725371-2-0 Table of Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi Chapter 1: The Basics What is a bar code? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 How can you benefit from bar coding? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
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...Lapointe & Rivard/Resistance to IT Implementation RESEARCH ARTICLE A MULTILEVEL MODEL OF RESISTANCE TO INFORMATION TECHNOLOGY IMPLEMENTATION1 By: Liette Lapointe Faculty of Management McGill University 1001 Sherbrooke Street West Montreal, Quebec H3A 1G5 Canada liette.lapointe@mcgill.ca Suzanne Rivard HEC Montreal 3000 Côte Ste-Catherine Road Montreal, Quebec H3T 2A7 Canada suzanne.rivard@hec.ca of the nature of the relationships between these components and (2) refine our understanding of the multilevel nature of the phenomenon. Using analytic induction, we examined data from three case studies of clinical information systems implementations in hospital settings, focusing on physicians’ resistance behaviors. The resulting mixeddeterminants model suggests that group resistance behaviors vary during implementation. When a system is introduced, users in a group will first assess it in terms of the interplay between its features and individual and/or organizational-level initial conditions. They then make projections about the consequences of its use. If expected consequences are threatening, resistance behaviors will result. During implementation, should some trigger occur to either modify or activate an initial condition involving the balance of power between the group and other user groups, it will also modify the object of resistance, from system to system significance. If the relevant initial conditions pertain to the power of the resisting group vis-à-vis the system...
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...CHECKLIST FOR NABH ASSESSMENTS Issue No. 1 Issue Date: 03/ 11 Page 1 of 53 NABH Assessment Checklist Introduction This checklist will facilitate cross functional audits throughout the hospital as NABH standards are applicable Vertically as well as Horizontally across the hospital and its various functions. The checklist has 2 components namely: i. Primary: Essentially pertaining to area specific point ii. Secondary: Common requirements for the area This checklist can be used for practical guidance. The assessor should not limit the assessment only to this checklist and can add more points based on their experience and observations. This will help out in updating this checklist and making it more comprehensive in the 2nd version Version 1 Issue Date: 17/05/11 Page 2 of 53 NABH Assessment Checklist CONTENTS Clinical Areas S. No Department/Area Page Number 1. Emergency and Ambulance 5 2. Out Patient Department 6 3. Wards 7 4. Specialized wards 11 5. Palliative Care 12 6. Dialysis Unit 13 7. Intensive Care, Neonatal/ Paediatric ICU and High Dependency Units 14 8. Operation Theatre 17 9. Recovery Room 19 10. Endoscopy 20 11. Rehabilitation 22 12. Imaging: X Ray/ USG/ CT Scan/ MRI 22 13. Nuclear Medicine 24 14. Cardiac Catheterization lab 25 15. Laboratory: Haematology/ Microbiology 16. ...
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...background professional study. In this report I¶ve given the brief history of the Pepsi CO. and about Nau-Bahar Bottling Company, departments of the NBC, their functions and working of the some departments as well. I also include work done by me in NBC and Financial Analysis of the PEPSI CO and SWOT analysis of the NBC. And finally give the recommendations about the working of NBC. University Of the Punjab, Gujranwala Campus Page 2 Internship Report On NBC A brief History of Pepsi Born in the Carolinas in 1898, Pepsi-Cola has a long and rich history. The drink is the invention of Caleb Bradham (left), a pharmacist and drugstore owner in New Bern, North Carolina. The information published here is provided by PepsiCo, Inc. and may be accessed at their site: www.pepsi.com. The summer of 1898, as usual, was hot and humid in New Bern, North Carolina. So a young pharmacist named Caleb Bradham began experimenting with combinations of spices, juices, and syrups trying to create a refreshing new drink to serve his customers. He succeeded...
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...http://www.nap.edu/catalog/9728.html We ship printed books within 1 business day; personal PDFs are available immediately. To Err Is Human: Building a Safer Health System Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine ISBN: 0-309-51563-7, 312 pages, 6 x 9, (2000) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/9728.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department tollfree at 888-624-8373, visit us online, or send an email to feedback@nap.edu. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying...
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...ork2012 - 2013 Catalog A Message from the President “Sullivan University is truly a unique and student success focused institution.” I have shared that statement with numerous groups and it simply summarizes my basic philosophy of what Sullivan is all about. When I say that Sullivan is “student success focused,” I feel as President that I owe a definition of this statement to all who are considering Sullivan University. First, Sullivan is unique among institutions of higher education with its innovative, career-first curriculum. You can earn a career diploma or certificate in a year or less and then accept employment while still being able to complete your associate, bachelor’s, master’s or doctoral degree by attending during the day, evenings, weekends, or online. Business and industry do not expand or hire new employees only in May or June each year. Yet most institutions of higher education operate on a nine-month school year with almost everyone graduating in May. We remained focused on your success and education, and continue to offer our students the opportunity to begin classes or to graduate four times a year with our flexible, year-round full-time schedule of classes. If you really want to attend a school where your needs (your real needs) come first, consider Sullivan University. I believe we can help you exceed your expectations. Since words cannot fully describe the atmosphere at Sullivan University, please accept my personal invitation to visit and experience...
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