Evaluation of changes in the types of drugs administered by various treatment services in Emergency Department
Journal Title: Journal of Acute Disease - Year 2018, Vol 7, Issue 4
Abstract
Objective: To determine the amount and type of changes in the Emergency Department, in order to hasten treatment and disposition process of patients in the Emergency Department to expedite by eliminating or minimizing such changes that decreases the cost of treatment and drug resistance Methods: In this study, 1 005 patients’ file admitted to emergency department of Rasool Akram Hospital were reviewed to see at least two different health services or two shifts of one service with written orders. Results: In total, the rate of drug changes studied cases was obtained as 5.47%. The largest pharmaceutical group in which the changes were developed was antibiotic (2.8% from all cases and 50% of total drug changes). Among the various health services, the internal service had imposed the most changes (67.3% of total drug changes). Conclusions: Considering that after the removal of trauma patients, the frequency of drug changes had been 11.47%, then it should be noted that the frequency was high and it was not desirable. The greatest change has been operated by internal services due to the fact that most treatments in this department was carried out by drugs.
Authors and Affiliations
Babak Mahshidfar, Fatemeh Motaghed, Mansour Nateghi, Davood Farsi, Saeid Abbasi, Mani Mofidi, Peyman Hafezimoghadam, Mahdi Rezai
Comparison between laparoscopic surgery and laparotomy for the treatment of acute ruptured ectopic pregnancy
Objective: To study the stress reaction after laparoscopic surgery and laparotomy for the treatment of acute ruptured ectopic pregnancy. Methods: 68 patients with acute ruptured ectopic pregnancy who received emergency s...
The effects of large doses of vitamin C and vitamin E on nerve injury, neurotrophic and oxidative stress in patients with acute craniocerebral injury
Objective: To study the effects of large doses of vitamin C and vitamin E on nerve injury, neurotrophic and oxidative stress in patients with acute craniocerebral injury. Methods: Patients with acute craniocerebral trau...
Acute myocardial infarction associated with right bundle branch block and changeable trifascicular block: a case report
Rationale: Acute myocardial infarction in the presence of right bundle branch block. Patient concerns: A 70-year-old, male heavy smoker presented with angina and hypertension. Interventions: Electrocardiography, intraven...
Epidemiological patterns of animal bites in Yazd Province (central Iran) between 2013 and 2017
Objective: To investigate the epidemiological pattern of animal bites in Yazd Province, central Iran. Methods: In this cross-sectional study, 8 545 individuals with animal bites who were referred to the Yazd Province Rab...
Intranasal ketamine as an analgesic agent for acute pain management in emergency department: A literature review
Ketamine is a well-known dissociative anesthetic agent, and has been used over 50 years. Intranasal pathway is a mucosal way for absorbing agents to directly affect in brain via olfactory sheets, bypassing first pass met...