Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
The DetecIP project aims to implement multifactorial dynamic rules within a computerized decision support system (CDSS) for pharmaceutical analysis of orders to reduce the rate and severity of iatrogenic hyperkalemia and acute kidney injury. However, understanding the impact of this intervention (if any) requires that the way in which it influences the work systems and processes also be studied. This study presents the preliminary results of the analysis of the work contexts in which these rules will be implemented. A series of semi-structured interviews exploring the dimensions of the systems engineering initiative for patient safety (SEIPS) were conducted with healthcare professionals involved in the prevention and management of iatrogenic risks in five hospital units. Data were analyzed to identify current barriers and facilitators to the prevention and management of iatrogenic risks. Preliminary results from a geriatric unit and a cardiology unit reveal that, despite overall similarities in work processes, differences in the availability and location of physicians and clinical pharmacists influence how iatrogenic risks are managed. These contextual differences could influence the impact of the new CDSS rules once implemented.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3233/SHTI230368 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Nomogram Model to Predict Meningitis Occurrence in Cerebrospinal Fluid Leak Patients.
Laryngoscope
September 2025
Department of Otolaryngology Head and Neck Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Background: Meningitis following cerebrospinal fluid (CSF) leak is associated with substantial morbidity and mortality. Current strategies for prevention, therapeutic options, and surgical timing lack consensus due to insufficient risk stratification tools. This study aimed to identify meningitis risk determinants and develop a predictive model to facilitate early detection in CSF leak patients.
View Article and Find Full Text PDFErectile Function in Patients With Pelvic Fracture Urethral Injury: What Are the Predictors of Persistent Severe Erectile Dysfunction After Delayed Anastomotic Urethroplasty?
Int J Urol
September 2025
Department of Urology, National Defense Medical College, Saitama, Japan.
Objective: To investigate factors associated with persistent erectile dysfunction (ED) after delayed anastomotic urethroplasty (DAU) in patients with pelvic fracture urethral injury (PFUI).
Methods: This retrospective study included 57 sexually active male patients who underwent DAU between 2008 and 2023. Erectile function was assessed using the Sexual Health Inventory for Men (SHIM) questionnaire both preoperatively and at least 12 months postoperatively.
Thoracic aortic injury as a complication of spinal surgery: A new case and systematic review (1991-2024).
J Vasc Surg Cases Innov Tech
December 2025
Faculdade de Ciências Médicas de Alagoas, Vascular and Endovascular Surgery Division, Alagoas, Alagoas, Brazil.
Background: Iatrogenic thoracic aortic injury (TAI) is a rare but well-recognized complication of spine surgery, lacking standardized treatment guidelines due to its rarity and variability of manifestations.
Methods: We present a new case of TAI successfully managed with endovascular repair and systematically reviewed 52 articles (1991-2024) reporting 64 cases, including demographics, surgical indications, injury patterns, and treatments.
Results: A 53-year-old man with a T7 fracture underwent posterior spinal instrumentation and developed chest pain due to a combination of impingement and screw penetration into the thoracic aorta and was treated with thoracic endovascular aortic repair (TEVAR) and removal of pedicle screws.
Pseudomonas Meningitis Post Spinal Anesthesia: A Case Report.
Cureus
August 2025
Anesthesia and Critical Care, Université Hassan II de Casablanca, Casablanca, MAR.
Nosocomial meningitis following spinal anesthesia is a rare but potentially life-threatening complication that breaches the central nervous system's natural defense barriers. This report presents a case of meningitis post spinal anesthesia, emphasizing the diagnostic, management, and preventive strategies for iatrogenic bacterial meningitis. A 53-year-old patient with sickle cell disease developed febrile confusion 10 days after spinal anesthesia for hemorrhoidal surgery, presenting with meningeal signs and positive infectious markers.
View Article and Find Full Text PDF