April 2, 2017

Hospital Culture of Safety

Over a decade ago, the Institute of Medicine (IOM) urged health care organizations to adopt proven organizational models and strategies from other high-risk industries to minimize error and reduce harm to patients. To promote a culture of safety and ensure safer systems of care, the IOM emphasized the importance of developing clear, highly visible patient safety programs that focus organizational attention on safety; use non-punitive systems for reporting and analyzing errors; incorporate well-established safety principles such as standardized and simplified equipment, supplies, and work processes; and establish proven interdisciplinary team training programs for providers.
April 2, 2017


Phenytoin is used for generalized tonic-clonic seizures, complex partial seizures, mixed seizures, and seizure prophylaxis in neurologic procedures. Its mechanism by improving sodium efflux from neurons of the motor cortex to stabilize the threshold against hyperexcitability.
April 2, 2017

Classification of Epilepsy

Epileptic seizures are divided into:
March 30, 2017

What quality activities are going on in your hospital or department?

Each department has department quality indicators to measure the quality and help us improving the services (Ask about our department indicator from your Department QI Officer).
March 30, 2017

What is Root Cause Analysis (RCA)?

[caption id="attachment_42" align="alignleft" width="300"] Swiss cheese model of accident causation[/caption]
March 30, 2017

What is a Sentinel Event?

March 30, 2017

Hospital Quality Improvement and Patient Safety

QPS processes provide the framework for the organization and its leaders to achieve a commitment to provide quality patient care in a safe, well-managed environment and reduce risk to patients, staff and visitors.
March 30, 2017

Does a single atom cast a shadow?

[caption id="attachment_34" align="alignleft" width="300"] Does a single atom cast a shadow[/caption]
March 29, 2017

Abdominal Adhesions

What is the abdominal cavity?
Abdominal Adhesions
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ADR Questions

ADR Questions

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1. Which one of the following drugs is least likely to cause drug induced blood dyscrasia or agranulocytosis?

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2. Antidote for chlorpromazine overdose is:

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3. Following are characteristics of toxic shock syndrome, EXCEPT:

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4. Blood tests are carried out on patients who take carbimazole, which one below is a FALSE statement?

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5. Which of the following is the main danger caused by acetaminophen (Paracetamol, Tylenol) overdose?

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6. Which of the following is the antidote for the toxin Lead?

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7. A child has ingested an unknown substance and has evidence of respiratory depression. This symptom is usually found with poisoning due to:

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8. Which of the following drug should not be taken on empty stomach?

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9. Acetaminophen (Tylenol) overdose is treated with:

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10. Which of the following are Type IV hypersensitivity reactions?

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11. Opiate intoxication is characterized by which of the following?

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12. A baby swallowed the contents of a 15g tube of nystatin. What should you do to remedy the over dosage?

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13. Reversible Oligospermia is assoicated with which of the following drugs?

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14. Some asthmatic patients exhibit aspirin sensitivity (and sensitivity to other NSAIDS). Daily administration of aspirin causes desensitization not only to aspirin also to other NSAIDS. This phenomenon is:

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15. Which of the following counselling points would NOT be appropriate when talking to a patient about their azathioprine tablets?

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16. A doctor and nurse start frantically looking for naloxone for a female patient is suspected of overdosing of IV narcotics. What basic principle in the treatment of poisoning are they overlooking?

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17. A woman phoned you whilst running a busy afternoon clinic. She told you that her husband has swallowed 30 tablets of acetaminophen/paracetamol 325mg. What is the proper advice?

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18. A patient complains of headache and his blood pressure is 120/80. His medications include hydrochlorothiazide and hydralazine. Which of the following would seem most likely?

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19. Grey baby syndrome occurs with which of the following drugs?

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20. Adverse effects of beta-2 adrenergic bronchodilators include all of the following EXCEPT:

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21. Adverse effect(s) of laxatives:

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22. Antidote for amitriptyline (Elavil) overdose is:

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23. Nitroglycerin is used for the treatment of angina. A specific concern related to the long term use of this drug is which of the following?

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