A national e-Delphi towards the measurement of safe medication practices in Portuguese hospitals

Objectives To determine the face and content validity of items for measuring safe medication practices in Portuguese hospitals. Methods 128 items were drafted from content analysis of existing questionnaires and the literature, employing preferred terms of the WHO International Classification for Patient Safety (Portuguese version). A two-round e-Delphi was convened, using a purposive multidisciplinary panel. Hospital-based experts were asked to rate the relevance of items on a 7-point Likert scale and to comment on their clarity and completeness. Results The response rate was similar in both rounds (70.3% and 73.4%, respectively). In the first round 91/128 (71.1%) items reached the predefined level of positive consensus. In the second round 23 additional items reached positive consensus, as well as seven items newly derived by the panel. Conclusions Most items have face and content validity, indicating relevance and clarity, and can be included in a future questionnaire for measuring safe medication practices in Portuguese hospitals.

Virtual car accidents of epilepsy patients, interictal epileptic activity, and medication.

OBJECTIVE To investigate effects of interictal epileptic activity (IEA) and antiepileptic drugs (AEDs) on reactivity and aspects of the fitness to drive for epilepsy patients. METHODS Forty-six adult patients with demonstration of focal or generalized bursts of IEA in electroencephalography (EEG) readings within 1 year prior to inclusion irrespective of medication performed a car driving computer test or a single light flash test (39 patients performed both). Reaction times (RTs), virtual crashes, or lapses (RT ≥ 1 s in the car or flash test) were measured in an IEA burst-triggered fashion during IEA and compared with RT-measurements during unremarkable EEG findings in the same session. RESULTS IEA prolonged RTs both in the flash and car test (p < 0.001) in individual patients up to 200 ms. Generalized IEA with spike/waves (s/w) had the largest effect on RT prolongation (p < 0.001, both tests), whereas mean RT during normal EEG, age, gender, and number of AEDs had no effect. The car test was better than the flash test in detecting RT prolongations (p = 0.030). IEA increased crashes/lapses >26% in sessions with generalized IEA with s/w. The frequency of IEA-associated RT >1 s exceeded predictions (p < 0.001) based on simple RT shift, suggesting functional impairment beyond progressive RT prolongation by IEA. The number of AEDs correlated with prolonged RTs during normal EEG (p < 0.021) but not with IEA-associated RT prolongation or crashes/lapses. SIGNIFICANCE IEA prolonged RTs to varying extents, dependent on IEA type. IEA-associated RTs >1 s were more frequent than predicted, suggesting beginning cerebral decompensation of visual stimulus processing. AEDs somewhat reduced psychomotor speed, but it was mainly the IEA that contributed to an excess of virtual accidents.

The ministry of reconciliation, its authority and responsibility : the primary charge delivered to the clergy of Indiana, delivered in St. Paul's Church, New Albany, at the opening of the Annual Diocesan Convention, on Thursday, May 11, 1854 /

Mode of access: Internet.

Guide for training enumerators : APOC reconciliation - 1988 prelist : 1990 census, 21st decennial census.

"D-614."

The reconciliation guide for direct loans.

"April 1995."

The gospel of reconciliation, or at-one-ment,

Mode of access: Internet.

The handbook of feedstuffs; production, formulation, medication,

Includes bibliographies.

The 1990 Farm Act and the 1990 Budget Reconciliation Act : how U.S. farm policy mechanisms will work under the new legislation : includes description of target prices, loan rates, deficiency payments, and new planting flexibility provisions.

Mode of access: Internet.

USSR, toward a reconciliation of Marxist and Western measures of national income : a research paper.

Mode of access: Internet.

Nicarbazin. Pt. 2, The development of immunity to coccidiosis during preventive medication with nicarbazin.

Mode of access: Internet.

Help with your medication /

Description based on: 1995 ; title from cover.

Recommended guidelines for medication administration in schools /

Mode of access: Internet.

Status report to the Governor and the General Assembly pursuant to Public Act 86-922, Federal Omnibus Budget Reconciliation Act of 1987.

Description based on: January 1989 - January 1990; title from cover.

What is the Community Services Block Grant Program?

The Community Services Block Grant (CSBG) Program was created by the federal Omnibus Budget Reconciliation Act of 1981. The CSBG Program provides a range of services which assist low-income people to attain the skills, knowledge and motivation necessary to achieve self-sufficiency. The program also may offer low-income people immediate life necessities such as food, shelter, medication, etc.