>From: James D Mellor <[log in to unmask]>
Agree with the first line...
>I'm aware that this is not the most appropriate list to post this question
>to,
>but having drawn blanks elsewhere added to the fact that most of us work in
>hospitals, I thought that I'd give it a try.
>I'm trying to conduct an audit into the administration of medicines to
>hospital
>inpatients by nurses. More particularly the appropriate use of codes for
>the
>non-administration of medicines (i.e. nil by mouth, no stock,
>contra-indicated,
>refusal etc....). I'm sure that quite often inappropriate codes are being
>used
>and as a result, patients are not receiving the best possible care
>(no-stock is
>being used when in fact if somebody had bothered to look in the medication
>cupboard, instead of seeing the medication trolley as a bottomless pit that
>can
>carry everything and everything, they would have found that it had been
>supplied by pharmacy earlier that day!! The most worrying fact being that
>the
>on-call pharmacist is not being consulted to make sure that the medication
>omission will not put the patient at risk). I intend to attach a no-blame
>policy to my research as I'm aware of the great pressures that nursing
>staff
>are under, just using the results to try improve things in future. I may
>find
>that pharmacy are more at fault than the nursing staff!!!
>Has anybody come across any audit material or research like this before?
>because the audit units at many major hospitals have not and I'm having
>trouble
>finding any previous research.
>Any help would be gratefully received!!!
>Thank you in advance,
>
>J. Daniel Mellor
>
>----------------------
>James Daniel Mellor
>Dewsbury District Hospital & University of Bradford
>
>
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