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Showing posts with label medical risk. Show all posts
Showing posts with label medical risk. Show all posts

Sunday, 2 November 2014

Helping to improve safety in the use of medicines in Sub-Saharan Africa.


Press Release: 00.00h Monday 3rd November 2014


Medicines have powerful effects to help patients. However medicines also have the potential to cause powerful harmful effects. Education on how to ensure safe and effective use of medicines is therefore vitally important for patients and health services.
An International Symposium on Medicines and Patient Safety is being held in Kigali, Rwanda at the College of Medicine and Health Sciences (CMHS) on Wednesday 5th November 2014, followed by an international videoconference on Prescribing Skills and on Pharmacovigilance on Thursday 6th November with contributors from the UK and the WHO. The meeting will include talks on medicines and communicable and non-communicable diseases by national and international clinical and policy experts from Rwanda, South Africa, USA and the UK.
The Symposium is being held in partnership with Pharmacology for Africa, a consortium of 8
Sub-Saharan countries supported by the International Union of Pharmacology, and led by Professor Douglas Oliver and Professor Christiaan Brink, from South Africa, both of whom will be speaking at the meeting.The 3 major themes of the symposium are: educating health professionals in safe and effective use of medicines; regulating drugs, including pharmacovigilance and quality of medicines, reducing harm from high risk medicines and in patients with high risk conditions.
Speakers will discuss ways to reduce risk from medicines for treating children and expectant mothers, preventing disorders of the heart and stroke, and for treating cancer, retroviral disease and kidney disease. There will also be round table discussions not only on prescribed medicines, but also on the risks of over-the-counter and traditional medicines.
Pharmacist Dr Kayumba said: “The Symposium is timely in building on strategy in Rwanda on pharmacovigilance and on developing our undergraduate and postgraduate educational systems for good practice in use of medicines.”
Physician Dr Musabeyezu added: “The Symposium will also provide important updates for doctors, pharmacists and nurses from Referrral and District Hospitals from throughout Rwanda on reducing risk of harm from high risk medicines often used for high risk diseases”. 
Clinical Pharmacologist Professor Singer noted: “Partnership with Pharmacology for Africa brings important opportunities to improve patient health and safety through engaging with a wide range of international experts in education, training, clinical practice and research aimed at best practice in use of medicines.
The symposium is supported by the World Health Organisation, Pharmacology for Africa, the International Union of Basic and Clinical Pharmacology, Partners in Health, the Rwanda Social Security Board and the University of Rwanda College of Medicine and Health Sciences

Information for Editors
For further information, including to arrange an interview with the organisers, and for a press pass to attend the symposium on 5th November 2014, email ISMPS@gmail.com





Sunday, 19 October 2014

New words: 'Mewsing' on medical risk

'She's mewsing 6, doctor'.

New medical shorthand for an urgent message for the duty doctor, part of an 'escalation protocol'. The word 'mewsing' derives from Modified Early Warning Score (MEWS), a red flag system for identifying patients at risk of a rapid deterioration in their medical condition, either as assessed in the community by emergency medical services or by health professionals in hospital.

A recent systematic review of the value of early warning scores (EWS) concluded that "scores perform well for predicting cardiac arrest and death within 48 hours although the impact on (other) health outcomes and resource utilization remains uncertain ...".

Current forms of  Early Warning Scores (EWS) have their origins in the 1990s, arising from efforts aimed at development of a simple scoring system suitable for bedside application for identifying patients at increased risk of rapid deterioration in their medical condition, irrespective of the illness involved.

The EWS protocol describes a clinical pathway which starts with health workers making standard physiological measurements - systolic blood pressure, heart rate, respiratory rate, body temperature and level of consciousness.  If these recordings are outside the expected rates, the early warning score increases. The higher the score the greater the risk of worsening in the medical condition due e.g. to progression in infection, development of acute cardiac complication and other serious medical problems.

In response to a high EWS score practitioners are called to respond urgently to reassess the at risk patient and institute with appropriate escalation  in clinical treatment.

Modified Early Warning Score (MEWS) were later devised to improve identification of surgical and medical patients "at risk of catastrophic deterioration". Modified scores may for example include weighting for the level of saturation of oxygen in the blood, urine output and pain.