Aplicación de las nuevas tecnologías a la logística organizativa de la terapéutica medicamentosa hospitalaria / Application of new tecnologies to the organisational logistics of hospital drug therapeutics

En este trabajo se explica como se buscan los elementos para aumentar la seguridad en el uso del medicamento hospitalario, integrando la prescripción en la Historia Clínica electrónica informatizada y mejorando el aporte de datos al sistema de contabilidad analítica (AU)

This work presents the search for elements to increase safety in the use of hospital medicines, incorporating the prescription into the computerized electronic Medical History and improving the contribution of data to the analytical accounting system (AU)

Protecting infants in healthcare facilities from abduction: a facility's search for a sound infant security system.

Metropolitan Methodist Hospital, a 279-bed facility, had an electronic infant security system frequently in need of repairs. The vendor became increasingly difficult to locate, and so the decision was made to replace the system. A literature search of vendors and agencies supporting hospitals in the prevention of infant abductions; solicitation of information from facilities experiencing abductions; and onsite tours of facilities were most beneficial in determining a new system. As a result, the facility purchased a state-of-the-art infant security system and agreed to participate as a beta site for mother-baby recognition identification bands, an added security feature not yet on the market. This article describes the process of evaluating and selecting an infant security system in order to reduce the risk of infant abduction.

Guidelines for Regional Anesthesia in Obstetrics: potential impact on obstetric anesthesia services in rural Alabama.

When the American Society of Anesthesiologists published its Guidelines for Regional Anesthesia in Obstetrics, I did a survey to determine what impact a broadly implemented strict interpretation of those guidelines might have on obstetric anesthesia care in small rural Alabama hospitals. Thirty-six rural Alabama hospitals with fewer than 200 beds were included in the survey, with a response rate of 50%. Data included total deliveries, cesarean section rates, utilization rates of anesthesia services, personnel providing anesthesia care, and identification of physician personnel available during labor and cesarean section. Results showed that anesthesia care is provided for approximately 52% of births in the responding hospitals. Of these, approximately 60% of cesarean sections and 90% of vaginal deliveries are not routinely attended by anesthesiologists. If these data also reflect the nonrespondent hospitals, statewide access could be limited for approximately 6000 parturients annually. The Guidelines should be interpreted with caution. Rather than conform to related policies, interpretation should allow implementation consistent with the capabilities of the individual institutions, while ensuring quality anesthesia care for the parturients.