Thesis (Master)--İzmir Institute of Technology, İzmir, 2004. / Includes bibliographical references (leaves. 62-67).

Thesis (Ph. D.)--University of Texas at Austin, 2004. / Supervisor: Nicholas A. Peppas. Vita. Includes bibliographical references. Also available from UMI.

No / The effects of drug errors and any consequent adverse events frequently impact on patients, their relatives and professional carers. Furthermore, the financial cost to the National Health Service is considerable (DoH, 2000; DoH, 2001; DoH, 2004). In a study of two London teaching hospitals, Vincent et al. (2001) found that 10% of patients are exposed to an adverse event, which adds a mean 8.5 days to their hospital stay. Drug errors are recurrently reported to account for between 10 and 20% of all adverse events (DoH, 2004). In response to Department of Health policy, NHS trusts are changing their approach to the management of error to encourage more reporting. The emphasis is on openness and support, and individual and organisational learning rather than blame. Research designed to increase a knowledge of the aetiology and context of drug errors should be carefully constructed and include qualitative methods which, if implemented according to established convention, can reflect the approaches described above. This paper will critique a recently published study that focused on nursing practice and was, in our view, inappropriately described as ethnographic. The study undoubtedly adds to the body of existing knowledge about drug errors and, crucially, if the study contributes to improved patient safety, it must, fundamentally, be valued. Nevertheless, some qualitative research conventions were broken and, as such, it is suggested, some opportunities for a broader understanding and for learning may have been lost. The critique will lead to a range of recommendations about future qualitative studies in this research domain which, it is argued, could produce a fuller picture of the context, culture and, perhaps, even the cause of error.

No description available.

Thesis (M. Sc. (Pharmacy))--Rhodes University, 2006.

Made available in DSpace on 2014-12-17T14:47:02Z (GMT). No. of bitstreams: 1 StephanieBM_DISSERT.pdf: 2245776 bytes, checksum: e3e61896a587b7725c29cc298bbff65c (MD5) Previous issue date: 2013-11-28 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / This study aimed to compare self-medication and domestic drug storage among undergraduate students in the areas of health and technology. This is a descriptive study of cross-sectional type and quantitative approach, conducted in a Public University of Natal, Rio Grande do Norte, Brazil. The sample consisted of 300 students of the third year of undergraduate courses at the Center for Health Sciences and Technology Center, selected through a simple random sample. The project was authorized by the Ethics Committee of Federal University of Rio Grande do Norte (CAAE 0137.0.051.000-10). Data collection lasted twelve months and was conducted during the period of study participants, in the university environment. The instrument for data collection was a structured questionnaire consisting of open and closed questions. For data analysis, we used descriptive statistics and applied Fisher s exact test and Chi-square test with adopted level of significance &#945;=5% and 10%. For the variables that correlated with self-medication (p<0.05), we subsequently calculated the odds ratios and confidence intervals. The prevalence of undergraduate students who performed self-medication in the 15 days prior to the collection accounted for 33.7% and, by analyzing each knowledge area, we verified was a higher prevalence of self-medication among students in the technological area (37.3%). The analysis of the socio-demographic characteristics of the participants in this practice revealed a significant difference between the knowledge areas in the income and self-medication variables (p=0.005). General analgesics and antipyretics (N02) represent the therapy group most used in self-medication (57.4%), especially acetaminophen (28.7%), and the main health situations that motivated this practice related to pain, especially headaches (48.5%). Regarding the indication of the drugs used, the majority of students self-medicated themselves on their own (71.3%). As regards to the in-home drug storage, most of the participants had a home pharmacy (88%). By analyzing the socioeconomic characteristics, the variables medical service and home medicine presented a significant difference (p=0.002). General 10 analgesics and antipyretics constituted the medicinal products most found in the home pharmacies, especially acetaminophen. The main room used for the drug storage was the kitchen (36.4%), most students kept these products in boxes of different materials (38.6%) and the medicines stored at home of most of the participants were not easily accessible to children (75%). The results reinforce the need to develop strategies, from the reality found, aiming to encourage and implement educational and preventive activities with undergraduate students on the importance of proper self-medication and in-home drug storage. Despite the sample in our study is relatively small, not representative for the whole country, we believe that, at national level, the panorama of the subject does not present major differences / O estudo teve como objetivo comparar a pr?tica da automedica??o e do abastecimento dom?stico de medicamentos entre os estudantes universit?rios das ?reas de sa?de e tecnologia. Trata-se de um estudo descritivo, com delineamento transversal e abordagem quantitativa, desenvolvido em uma Universidade P?blica no munic?pio de Natal, Rio Grande do Norte. A amostra constituiu-se de 300 universit?rios do terceiro ano dos cursos de gradua??o do Centro de Ci?ncias da Sa?de e do Centro de Tecnologia, selecionados por meio de uma amostra aleat?ria simples. O projeto foi apreciado pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, obtendo o parecer favor?vel (CAAE 0137.0.051.000-10). A coleta de dados teve dura??o de doze meses e foi realizada no turno de estudo dos participantes, em ambiente universit?rio. O instrumento de coleta foi do tipo question?rio estruturado, composto por perguntas abertas e fechadas. Para a an?lise dos dados, foi realizada a estat?stica descritiva e aplicado os testes de Fisher e Qui-quadrado com n?vel adotado de signific?ncia &#945;=5% e 10%. Para as vari?veis que se correlacionaram com o uso da automedica??o (p<0,05) foram, posteriormente, calculadas as raz?es de chance e intervalos de confian?a. A preval?ncia dos universit?rios que realizaram a automedica??o nos ?ltimos 15 dias antecedentes a coleta correspondeu a 33,7% e, ao analisar cada ?rea de conhecimento, verificou-se uma maior preval?ncia da automedica??o nos estudantes pertencentes ? ?rea tecnol?gica (37,3%). A an?lise dos aspectos sociodemogr?ficos dos participantes com essa pr?tica revelou diferen?a significativa entre as ?reas de conhecimento nas vari?veis renda e automedica??o (p=0,005). Os analg?sicos e antipir?ticos gerais (N02) se configuraram como o grupo terap?utico mais usado na automedica??o (57,4%), destacando-se o acetaminofeno (28,7%), e as principais situa??es de sa?de que motivaram esta pr?tica relacionaram-se com a dor, principalmente, as cefaleias/dores de cabe?a (48,5%). Quanto ? indica??o dos medicamentos utilizados, a maioria dos universit?rios automedicou-se (71,3%). Em 8 rela??o ao abastecimento domiciliar de medicamentos, a grande maioria dos participantes possu?a uma farm?cia caseira (88%). Ao analisar as caracter?sticas socioecon?micas, as vari?veis servi?o m?dico e farm?cia domiciliar apresentaram diferen?a significativa (p=0,002). Os analg?sicos e antipir?ticos gerais constitu?ram a especialidade farmac?utica mais presente nas farm?cias domiciliares, destacando-se o acetaminofeno. O principal c?modo utilizado para a armazenagem dos medicamentos foi a cozinha (36,4%), a maioria dos universit?rios guardava esses produtos em caixas de diferentes materiais (38,6%) e os medicamentos estocados nos domic?lios da maioria dos participantes n?o eram de acesso f?cil para crian?as (75%). Os resultados refor?am a necessidade do desenvolvimento de estrat?gias, a partir da realidade encontrada, com o objetivo de incentivar e implementar atividades educativas e preventivas junto aos estudantes universit?rios, quanto a import?ncia de uma automedica??o e guarda domiciliar de medicamentos de forma mais adequada. Embora a amostra em nossa investiga??o seja relativamente pequena, n?o sendo representativa para todo o pa?s, acredita-se que a n?vel nacional o panorama da tem?tica n?o apresente grandes diferen?as