Awareness and knowledge among internal medicine house-staff for dose adjustment of commonly used medications in patients with CKD
Autor: | Sikander P. Surana, Kenar D. Jhaveri, Gurwinder Sidhu, Sofia Rubinstein, Hitesh H. Shah, Deepa A. Malieckal, Neeru Kumar, Amita Vasudeva, Gulvahid Shaikh, Joshua Fogel |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male Nephrology medicine.medical_specialty Internship and residency Analgesic 030232 urology & nephrology Renal function 03 medical and health sciences 0302 clinical medicine Gastrointestinal Agents Dose adjustment Surveys and Questionnaires Chronic kidney disease Internal medicine Anti-Allergic Agents Internal Medicine Medical Staff Hospital medicine Humans Hypoglycemic Agents Endocrine system In patient 030212 general & internal medicine Dosing Renal Insufficiency Chronic Intensive care medicine Analgesics Psychotropic Drugs Dosing errors business.industry Cardiovascular Agents Medication dose adjustment medicine.disease Cross-Sectional Studies Pharmaceutical Preparations Antirheumatic Agents Female Clinical Competence business Research Article Kidney disease |
Zdroj: | BMC Nephrology |
ISSN: | 1471-2369 |
Popis: | Background Drug dosing errors result in adverse patient outcomes and are more common in patients with chronic kidney disease (CKD). As internists treat the majority of patients with CKD, we study if Internal Medicine house-staff have awareness and knowledge about the correct dosage of commonly used medications for those with CKD. Methods A cross-sectional survey was performed and included 341 participants. The outcomes were the awareness of whether a medication needs dose adjustment in patients with CKD and whether there was knowledge for the level of glomerular filtration rate (GFR) a medication needs to be adjusted. Results The overall pattern for all post-graduate year (PGY) groups in all medication classes was a lack of awareness and knowledge. For awareness, there were statistically significant increased mean differences for PGY2 and PGY3 as compared to PGY1 for allergy, endocrine, gastrointestinal, and rheumatologic medication classes but not for analgesic, cardiovascular, and neuropsychotropic medication classes. For knowledge, there were statistically significant increased mean differences for PGY2 and PGY3 as compared to PGY1 for allergy, cardiovascular, endocrine, and gastrointestinal, medication classes but not for analgesic, neuropsychotropic, and rheumatologic medication classes. Conclusions Internal Medicine house-staff across all levels of training demonstrated poor awareness and knowledge for many medication classes in CKD patients. Internal Medicine house-staff should receive more nephrology exposure and formal didactic educational training during residency to better manage complex treatment regimens and prevent medication dosing errors. |
Databáze: | OpenAIRE |
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