Cultura

Public Health In Contemporary Society: Nursing And Pharmacy Perspectives On Medication Management And Patient Safety

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Fatimah Hussain Almarri, Amal Jobran Mobark Alqhtani, Maram Mohammed Alqoser, Hameed Ahmd Al Kharmani, Ruba Alhumaidi Alrasasimah
Najla Alhumaidi Alrasasimah, Ibtihal Mohammed Alsumaylah, Mohammed Suliman Alkhamash, Fatimah Mana Aldhafeeri, Ibtisam Mohammed Manqal Alanezi

Abstract

Medication management and patient safety have emerged as critical public health priorities in contemporary society, reflecting the growing complexity of healthcare systems and the increasing burden of medication-related harm. This study explores medication management through a public health lens, focusing on the complementary perspectives of nursing and pharmacy as key contributors to patient safety and health system performance. Drawing on international frameworks, policy-oriented literature, and evidence from interprofessional practice, the study highlights how collaborative nursing–pharmacy roles reduce medication errors, enhance patient safety, and support effective healthcare delivery. The analysis demonstrates that medication safety is not solely a clinical responsibility but a systemic and societal issue shaped by organizational culture, professional collaboration, and health governance. Integrating nursing and pharmacy perspectives strengthens safety culture, improves medication use processes, and aligns healthcare practice with global public health objectives. The study concludes that interprofessional collaboration between nursing and pharmacy represents a public health imperative essential to advancing patient safety and building resilient, sustainable healthcare systems.                                                                       

Keywords : Public Health, Nursing, Pharmacy, Medication Management, Patient Safety, Interprofessional Collaboration.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty