Cultura

Closed-Loop Medication Safety In Saudi Moh Hospitals: A Technical Architecture Linking Pharmacy Technicians, Health Assistants, Nursing Specialists, Nursing Technicians, Medical Secretary Technicians, And Health Management Specialists—A Scoping Review

VOLUME 21, 2024

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

VOLUME 6, 2023

Mousa Ghafil Aldhafiri, Abdullah Qasem Aldhafeeri, Saud Farhan Aldhafeeri, Khalid Ibrahim Abeer Aldhafeeri, Manaa Fahhad M Aldhafeeri, Badr Mohammed Mane AlDhafeeri, Fahad Mofareh Mohammed Almutairi
Mohammed Bander Mohammed Almaraghah, Mishal Dhaifallah Al-Dhafeeri, Abdulaziz Alhumaidi Alanazi, Hind Sabih Hassan AlKhaldi, Fawzah Sabih AlKhaldi¹, Meshael Fudheyl Alageel, Zaben Rafeh Salman Al-Shammari, Ghazi Mualla Yahya Al-Harbi

Abstract

Medication errors remain a significant threat to patient safety in healthcare systems worldwide, including Saudi Arabia's Ministry of Health hospitals. Closed-loop medication management systems integrate health information technologies across the medication use process, connecting prescribing, dispensing, administration, and monitoring phases through computerized physician order entry, barcode medication administration, electronic medication administration records, automated dispensing cabinets, and smart infusion pumps. This scoping review examines the technical architecture of closed-loop medication safety systems within Saudi Ministry of Health hospitals, emphasizing the interprofessional contributions of pharmacy technicians, health assistants, nursing specialists, nursing technicians, medical secretary technicians, and health management specialists. A comprehensive search of peer-reviewed literature was conducted across PubMed, Scopus, and Web of Science databases. Results demonstrate that closed-loop systems significantly reduce medication errors when implemented with adequate training, workflow integration, and interprofessional collaboration. Pharmacy technicians play critical roles in medication preparation and barcode verification, while nursing professionals ensure accurate administration and real-time documentation. Health assistants support medication logistics, and health management specialists oversee system implementation and quality monitoring. Barriers to successful implementation in Saudi hospitals include technological infrastructure limitations, resistance to workflow changes, and insufficient training programs. Recommendations include standardized training protocols, enhanced interprofessional communication frameworks, and context-specific adaptation of closed-loop technologies to Saudi healthcare settings.

Keywords : closed-loop medication safety, barcode medication administration, pharmacy technicians, interprofessional collaboration, Saudi Arabia healthcare.
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