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Need a medicine in hospital? Our study shows how often IT failures lead to the wrong medicine or dose

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Each time a medication is prescribed in the hospital, the computer will inform the doctor whether the medication is acceptable and what dose to prescribe.

Each time a healthcare provider updates a patient’s medical record on a computer, they have to enter the appropriate information in the appropriate space or select an option from a drop-down menu.

But as a growing group research showsthese electronic systems usually are not perfect.

Our recent study shows how common these technology-related errors are and what they mean for patient safety. They often occur due to programming errors or poor design and have less to do with the healthcare staff using the system.

What were we ? What did we discover?

Our team analyzed greater than 35,000 medication orders at a large urban hospital to understand how common technology-related errors were.

We focused on errors made when prescribing or ordering medications through a computer system. In many hospitals, these systems have replaced the clipboard that hung at the end of the patient’s bed.

Our research has shown that up to one in three medication errors is technology-related. This implies that the design or functionality of the electronic medication system facilitated the error.

We also analyzed how technology-related errors modified over time by examining error rates at three time points: the first 12 weeks of system use and one and 4 years after implementation.

We can expect technology-related errors to turn into less frequent over time as healthcare staff turn into more acquainted with the systems. However, our research has shown that while there may be an early “learning curve”, technology-related errors remained a problem for a few years after the implementation of electronic systems.

In our study, the rate of technology-related errors was the same 4 years after system implementation as in the first yr of use.

How can errors occur?

Errors can occur for a lot of reasons. For example, prescribers could also be faced with a long list of possible doses of a drug and inadvertently select the wrong one. This can lead to a dose that’s lower or higher than intended.

In our study, we found that high-risk medications were often related to technology-related errors. These included oxycodone, fentanyl, and insulin, all of which might have serious unwanted side effects if prescribed incorrectly.

This drop-down menu for prescribing oxycodone shows just a few of the options a doctor can select from. This example is typical and never limited to one form of software.
Author provided

Technology errors can occur at any stage of patient care when using a computer.

One case in the United States, a nurse accessed and administered the wrong medication. The medication was taken from a computer-controlled meting out cabinet (generally known as an automatic meting out cabinet) that’s used to store, dispense, and track medications.

Due to poor design, the cabinet allowed the nurse to seek for medications by typing in only two letters. An excellent design wouldn’t have displayed any medication options with only two letters.

A nurse chosen and administered the wrong medication to a patient, which caused cardiac arrest and the nurse faced criminal charges.

Automatic meting out cabinets are used increasingly often rolled out in Australian hospitals.

Earlier this yr we heard about an error in the electronic health records system in South Australia. the payment deadline was calculated incorrectly in greater than 1,700 pregnant women, which can result in premature induction of labor.

We produce a series Security Bulletins for the healthcare system, which describe and address specific examples of poor system design that we have now identified during our research or which have been brought to our attention by others working in the system.

These include a drop-down menu that permits you to prescribe medication via spinal injection. This particular medication could be fatal if served this fashion.

Another one shows built-in calculator which rounds up or down medication doses according to established rules. However, this will lead to incorrect doses in very young or low-weight children.

We provide recommendations for optimizing systems with each example. Organizations can then use these specific examples to test their systems and take motion.

What else could improve security?

As digitalization increases in our hospitals and healthcare, the risk of technology-related errors increases. And that’s before we even start talking about the potential for error in the AI ​​used in our healthcare systems.

We usually are not calling for a return to paper records. But until we tackle the task of constructing computer systems secure, we’ll never fully realize the enormous potential that digital systems can provide in healthcare.

Systems need to be always monitored and updated to make them easier and safer to use and to prevent disasters.

Healthcare IT managers and developers must understand errors and recognize situations where the system design is suboptimal.

Because physicians are often the first to notice problems, mechanisms must be in place to quickly investigate and address their concerns, supported by systematic data on technology-related errors.

This article was originally published on : theconversation.com
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Health and Wellness

I think my child is having panic attacks. What should we do?

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In the movie From inside to outside 2Riley, 13, who recently began puberty, has panic attack during a hockey game timeout.

Anxiety (the emotion accountable for the panic attack) becomes completely crazy and Riley looks like she is losing control. After some time, Anxiety calms down and Riley’s panic attack subsides.

The film does an ideal job of capturing the experience of a panic attack. But panic attacks (and anxiety) don’t just occur to teenagers – younger children can have them too.

It’s essential to know what to look out for and how you can respond when feeling anxious or panicked, as this may assist you and your child cope higher with these worrying symptoms.

What does a panic attack in a child seem like?

You might get the impression that something terrible is happening.
Rivelino/Pexels

A panic attack is a sudden, intense feeling of fear or discomfort accompanied by a minimum of 4 of the next symptoms:

  • feel very popular or cold
  • heartbeat
  • dyspnoea
  • feeling of tightness within the throat or chest
  • exploitation
  • tingle
  • dizziness.

Panic attacks in children can last from a number of minutes to half-hour.

Some children describe a panic attack as feeling trapped or threatened, that something terrible is happening to them, that they’re losing control of their body, having a heart attack, and even dying.

Often the child doesn’t realize that their symptoms are related to anxiety. This experience will be very frightening for kids and others around them who have no idea what is happening.

How common are panic attacks and at what age do they occur?

There is a typical myth that panic attacks only occur in teenagers and adults, but tests shows that this is not the case.

Although panic attacks are less common amongst teenagers, they do occur in children. Research shows around 3–5% of youngsters experience panic attacks.

They can start at any age, although normally occurs for the primary time in children and adolescents aged 5 to 18 years.

What causes a panic attack?

In some children, panic attacks can occur unexpectedly and for no apparent reason. These are referred to as “unannounced” panic attacks.

Other children could have ‘signaled’ panic attacks, meaning they occur in specific anxiety-provoking situations, equivalent to being separated from a caregiver or giving a speech in school.

Panic attacks with signals are inclined to more common Children usually tend to have panic attacks than unexpected attacks.

Sometimes a panic attack can occur when a child’s physical symptoms (feeling anxious) change into the main focus of their attention. For example, if a child notices a physical symptom (equivalent to shortness of breath) and starts to fret about it, this may make them feel anxious, resulting in more anxiety or a panic attack.

If children understand that their physical symptoms are an indication of tension fairly than a serious health problem, they’ll learn to not pay an excessive amount of attention to them and stop the vicious cycle.

What can parents do without delay to support their child?

If your child is respiratory in a short time or hyperventilating, attempt to stay calm and encourage them to breathe normally.

Tell your child that these feelings are temporary and never dangerous. Focusing in your child’s rapid respiratory or other symptoms can sometimes make things worse.

Try helping your child give attention to something else through the use of the 3-3-3 rule: “Tell me three things you can hear, three things you can see, and three things you can touch.” Ask your child to say them out loud.

Mother calms her son down
When attacking, try the 3-3-3 rule.
Kindel Media/Pexels

If your child is complaining of somatic symptoms but is not experiencing a full-blown panic attack, try to know and acknowledge the symptoms they’re experiencing.

Once you’re certain their symptoms are usually not a physical health issue, tell them the whole lot can be OK, after which move on to something else. This will help redirect their attention and keep their anxiety and symptoms from escalating.

What next?

Once your child’s panic attack has passed, you possibly can teach them about panic attacks. Explain that panic attacks are common and never dangerous, although they could seem scary and uncomfortable, and are a brief feeling.

An effective strategy for panic attacks is a cognitive behavioral therapy technique called “exposure,” which inspires children to face their fears. In the case of panic attacks, this may occasionally involve facing certain situations or objects that trigger the attack, or exposing them to the actual physical symptoms.

Exposure therapy is typically done with the support of a therapist, but there are an increasing variety of programs that help parents conduct exposure therapy with their child.

Does my child having a panic attack mean she or he has an anxiety disorder?

If your child has a panic attack, it doesn’t suggest they’ve an anxiety disorder. Panic attacks can occur to all children, with or without an anxiety disorder or mental health problem.

However, panic attacks are common occur in children with anxiety disorders or other mental disorders equivalent to depression or post-traumatic stress disorder.

Panic disorder is a selected kind of anxiety disorder wherein panic attacks are a core feature. Panic disorder is not quite common in childrenand occurs in lower than 1% pre-pubertal children. It normally appears in adolescence or maturity.

If your child has panic attacks continuously and unexpectedly, is persistently afraid (for a minimum of a month) of having more panic attacks, or avoids situations that may trigger panic attacks, this may occasionally indicate an anxiety disorder.

If your child has panic attacks in response to certain situations or fears, equivalent to separation from a caregiver, and these fears interfere with their each day life, this may occasionally indicate an anxiety disorder.

Where can I seek help?

If you’re concerned that your child has an anxiety disorder, consult with your GP or psychologist about it.

You don’t need a referral from your loved ones doctor to see a psychologist, but your loved ones doctor can issue one. mental health treatment plan allowing you to use for Medicare reimbursement for as much as ten sessions.

A spread of options are also available online resources.

This article was originally published on : theconversation.com
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Health and Wellness

Instagram Takes ‘Protect Your Peace’ to the Next Level by Creating Teen-Friendly Accounts

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Getty

Those who’ve been lobbying for Instagram to introduce higher rules for teens could be pleased to know that the social media platform has taken motion. The Meta-owned brand has over a billion energetic accounts and has created one for teens. Instagram Teen accounts are designed for teens aged 13 to 17 and are meant to be a safer platform for them to engage with social media. Starting today, all latest and existing account holders under the age of 18 might be transitioned to a teen account.

Anyone under 16 will need parental or guardian consent to open an account, and there are regulated supervision tools available. However, children aged 16 and over can adjust the settings themselves. While it is a thoughtful feature, there may be a risk that teenagers will lie about their age when opening accounts.

“We know that some teens will try to lie about their age to get around these protections,” Antigone Davis, Meta’s global head of security, told The Verge. “So we’re going to be building new capabilities to verify teens’ ages.” One way they’ll try this is by using AI to search for clues that an account holder is under 18.

Other features include automatic privatization of adlescent accounts. Account holders is not going to have the opportunity to receive messages from people they don’t follow or should not connected to.

“It really standardizes a lot of the work we’ve done, simplifies it, and makes it available to all teens,” Davis said. “It basically provides a set of safeguards that are already in place and already populated.”

There can also be the issue of teens being exposed to inappropriate content via Explore. The latest platform addresses this issue with sensitive content controls that be sure that content that appears on Explore and Reels has limited sensitive content. Additionally, the feature allows teens to select topics that interest them, so that they see more of that content on Explore. Offensive words and phrases might be filtered out in comment sections and DM requests via the hidden words feature.

Some studies show social media use in adolescence is related to poor sleep quality, depression, anxiety and low self-esteem. Meta tries to solve the sleep problem by adding a time management tool like Sleep Mode, which silences notifications at night and sets each day limits and reminders.

 

This article was originally published on : www.essence.com
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Health and Wellness

‘Preventable’ death of black mother after complications first linked to abortion ban

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Amber Thurman, Roe v. Wade, theGrio.com

A Black mother died in Georgia after a strict state law banning abortion caused an almost 24-hour delay in her care.

In August 2022, 28-year-old Amber Nicole Thurman went to a North Carolina clinic to have an abortion, People Magazine reportedShe couldn’t get the procedure in Georgia, where she lived, because she was six weeks pregnant — and after Roe v. Wade was overturned in 2022, the state banned abortions after six weeks of pregnancy.

The clinic gave her the pregnancy-terminating pills, mifepristone and misoprostol, which she took home to Georgia. A number of days later, Thurman developed a rare complication during which she didn’t expel all of the fetal tissue, according to ProPublicathe editorial office that first reported on her case.

Thurman, a medical assistant and mother of a 6-year-old boy, began experiencing heavy bleeding and pain before she eventually collapsed at home. Her boyfriend called an ambulance and she or he was taken to Piedmont Henry Hospital in Stockbridge. The remaining tissue caused her to develop a highly dangerous infection often called sepsis.

However, due to Georgia’s anti-abortion laws, doctors didn’t perform a D&C (dilation and curettage). Despite losing consciousness within the hospital room and rapidly deteriorating, she didn’t receive treatment for nearly 24 hours.

ProPublica reports that an official state commission found that doctors waited 20 hours before the surgery while monitoring Thurman’s infection status — during which era her blood pressure dropped to dangerous levels and her organs shut down.

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After her death, a state investigation concluded it was “preventable” — and ProPublica said Thurman’s case is the first known “preventable” case involving an abortion.

The publication notes that it should likely take one other two years to fully understand the impact of Roe v. Wade’s defeat, as many hospitals have a two-year delay in reporting the cause of patient deaths. But it’s not surprising that the first public story is a few black woman. The maternal health crisis continues to disproportionately affect black moms.

What happened to Thurman isn’t only one of the risks of abortion. It may occur in cases of miscarriage, vaginal delivery or cesarean section, according to Mayo ClinicWhen many warned that overturning Roe v. Wade and letting states resolve could have negative impacts on women’s health overall, this is strictly what many feared.

“We actually have proven evidence of something we already knew — that abortion bans kill people,” said Mini Timmaraju, president of the abortion rights group Reproductive Freedom for All. Mother Jones on Thurman’s case. “This can’t go on.”

Meanwhile in Georgia, Dr. Krystal “KR” RedmanSPARK co-founder, told the outlet: “Amber’s case is just one example of the ongoing systemic neglect that continues to claim the lives of Black people.”

Redman added: “Reproductive justice is not just about access to abortion, but also about the broader right to high-quality, comprehensive, full-spectrum, culturally modest, life-saving health care for all of us.”

This article was originally published on : thegrio.com
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