Outline Trigger tools Medication Module Trigger Explanation Medication

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Outline �ความหมาย Trigger tools �Medication Module Trigger Explanation �คำถาม

Outline �ความหมาย Trigger tools �Medication Module Trigger Explanation �คำถาม

Medication Module Trigger Explanation

Medication Module Trigger Explanation

Ref: J D Rozich, C R Haraden, R K Resar. Adverse drug event trigger

Ref: J D Rozich, C R Haraden, R K Resar. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual Saf Health Care 2003; 12: 194– 200

3. Naloxane �เปน powerful narcotic antagonist �ถามการใชยาตวน มกจะพบการ ให narcotics เกนขนาด (overdosage of narcotics(

3. Naloxane �เปน powerful narcotic antagonist �ถามการใชยาตวน มกจะพบการ ให narcotics เกนขนาด (overdosage of narcotics( Ref: Institute for Healthcare Improvement (IHI): Global Trigger Tool Kit Version 6, January 2005.

4. Antidote �Acetylcysteine ◦ Paracetamol overdose �Flumazenil ◦ เนองจากเปนยาแกฤทธ benzodiazepine drugs ใหพจารณาเหตผลทมการใชยาตวน ถาม hypotension

4. Antidote �Acetylcysteine ◦ Paracetamol overdose �Flumazenil ◦ เนองจากเปนยาแกฤทธ benzodiazepine drugs ใหพจารณาเหตผลทมการใชยาตวน ถาม hypotension หรอ marked, prolonged sedation หลงจากการให benzodiazepine แสดงถงการม ADR เกดขน Ref: Institute for Healthcare Improvement (IHI): Global Trigger Tool Kit Version 6, January 2005.

7. Abrupt medication stop �Amlodipine ◦ ดอาการบวมทขาหรอไม �Warfarin ◦ ดวาม bleed หรอไม �ACEI ◦

7. Abrupt medication stop �Amlodipine ◦ ดอาการบวมทขาหรอไม �Warfarin ◦ ดวาม bleed หรอไม �ACEI ◦ ตดตามอาการไอ ◦ SCr > 3 หรอ SCr เพมขน ◦ K >5. 5 m. Eq > 30% Ref: Institute for Healthcare Improvement (IHI): Global Trigger Tool Kit Version 6, January 2005.

Thanks for Attention DICUSSION

Thanks for Attention DICUSSION

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