We know that there is a large gap between the evidence of how medications should be used, and what happens in practice.
It is estimated that between 2 and 3% of hospital admissions in Australia are medication related.
What can we do about it?
In a study published this month in the MJA, Gillian Caughey and colleagues looked at the prevalence of suboptmal medication management in 164,000 patient admission over 5 years. They have developed evidence-based medication-related indicators of suboptimal processes of care before hospitalisation that are specific to the Australian health care setting.
Using these indicators, 25% of admissions were preceded by suboptimal medication management.
This paper recommends that routine prospective monitoring of these clinical indicators would provide a means for quality improvement in the management of common chronic conditions.
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text carrier and protective
books in ancient times was papyrus
only a few survived.
The most common form
then only a few have reached us
From many manuscripts of Antiquity
and 12 thousand Georgian manuscripts
elements (case, binding).
Manuscript is a collective name for texts
One of the most skilled calligraphers
consists of the book itself
consists of the book itself
“Julia’s Garland” (fr. Guirlande de Julie)
(palimpsests). In the XIII-XV centuries in
55 thousand Greek, 30 thousand Armenian
(palimpsests). In the XIII-XV centuries in
from lat. manus – “hand” and scribo – “I write”) ]
new texts were rewritten
Century to a kind of destruction:
Western Europe also formed
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