Myriam Jaam
Qatar University
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Publication
Featured researches published by Myriam Jaam.
International Journal of Clinical Pharmacy | 2017
Shane Ashley Pawluk; Myriam Jaam; Fatima Hazi; Moza Al Hail; Wessam El Kassem; Hanan Khalifa; Binny Thomas; Pallivalappila Abdul Rouf
Background Patients in the Neonatal Intensive Care Unit (NICU) are at an increased risk for medication errors. Objective The objective of this study is to describe the nature and setting of medication errors occurring in patients admitted to an NICU in Qatar based on a standard electronic system reported by pharmacists. Setting Neonatal intensive care unit, Doha, Qatar. Method This was a retrospective cross-sectional study on medication errors reported electronically by pharmacists in the NICU between January 1, 2014 and April 30, 2015. Main outcome measure Data collected included patient information, and incident details including error category, medications involved, and follow-up completed. Results A total of 201 NICU pharmacists-reported medication errors were submitted during the study period. All reported errors did not reach the patient and did not cause harm. Of the errors reported, 98.5% occurred in the prescribing phase of the medication process with 58.7% being due to calculation errors. Overall, 53 different medications were documented in error reports with the anti-infective agents being the most frequently cited. The majority of incidents indicated that the primary prescriber was contacted and the error was resolved before reaching the next phase of the medication process. Conclusion Medication errors reported by pharmacists occur most frequently in the prescribing phase of the medication process. Our data suggest that error reporting systems need to be specific to the population involved. Special attention should be paid to frequently used medications in the NICU as these were responsible for the greatest numbers of medication errors.
Research in Social & Administrative Pharmacy | 2017
Myriam Jaam; Ahmed Awaisu; Mohamed Izham Mohamed Ibrahim; Nadir Kheir
Background: Nonadherence to medications in patients with diabetes, which results in poor treatment outcomes and increased healthcare costs, is commonly reported globally. Factors associated with medication adherence have also been widely studied. However, a clear and comprehensive, disease‐specific conceptual framework model that captures all possible factors has not been established. Objective: This study aimed to develop a conceptual framework that addresses the complex network of barriers to medication adherence in patients with diabetes. Methods: Fourteen databases and grey literature sources were systematically searched for systematic reviews reporting barriers to medication adherence in patients with diabetes. A thematic approach was used to categorize all identified barriers from the reviews and to create a matrix representing the complex network and relations of the different barriers. Results: Eighteen systematic reviews were identified and used for the development of the conceptual framework. Overall, six major themes emerged: patient–, medication–, disease–, provider–, system–, and societal–related factors. Each of these themes was further classified into different sub‐categories. It was noted that most interactions were identified to be within the patient‐related factors, which not only interact with other themes but also within the same theme. Patients demographics as well as cultural beliefs were the most notable factors in terms of interactions with other categories and themes. Conclusions: The intricate network and interaction of factors identified between different themes and within individual themes indicate the complexity of the problem of adherence. This framework will potentially enhance the understanding of the complex relation between different barriers for medication adherence in diabetes and will facilitate design of more effective interventions. Future interventions for enhancing medication adherence should look at the overall factors and target multiple themes of barriers to improve patient outcomes.
Value in health regional issues | 2017
Myriam Jaam; Ahmed Awaisu; Mohamed Izham Mohamed Ibrahim; Nadir Kheir
BACKGROUND Nonadherence to medications is a common phenomenon in patients with diabetes. Several studies and systematic reviews have investigated the barriers to medication adherence in diabetes. However, no study has evaluated the quality of the existing literature and synthesized the plethora of evidence with a goal to design holistic conceptual frameworks and interventions. OBJECTIVES The aims of this review were to systematically evaluate existing systematic reviews focusing on factors associated with medication adherence in diabetes in an effort to synthesize the evidence, determine their methodological quality, and identify the gaps in the current literature. METHODS Fourteen databases and gray literature sources were systematically searched through June 2016. Systematic reviews reporting factors associated with medication adherence (barriers and facilitators) in patients with diabetes were selected on the basis of predetermined criteria. Studies were appraised for quality using AMSTAR (A Measurement Tool to Assess Systematic Reviews). RESULTS Seventeen systematic reviews including 542 primary studies, most of which were cross-sectional quantitative studies, were included. All the reviews were rated as moderate to low quality and exhibited common methodological pitfalls. Factors influencing medication adherence identified were categorized as patient-, medication-, disease-, health care provider-, health care system-, and social-related factors. CONCLUSIONS Factors influencing medication adherence are multifactorial with remarkably consistent findings across the existing reviews; yet, most reviews were judged to be of low to moderate quality. Further comprehensive and well-conducted original studies and systematic reviews on this topic shall be conducted taking into consideration the drawbacks of existing ones.
Public health action | 2016
Myriam Jaam; W. Al-Marridi; H. Fares; M. Izham; Nadir Kheir; Ahmed Awaisu
OBJECTIVE To evaluate the perceptions and attitudes of waterpipe (shisha) smokers in Qatar regarding the health risks associated with addiction and to determine their intentions to quit. METHODS A cross-sectional survey was conducted among 181 self-reported waterpipe smokers. Participants were approached in public places as well as in shisha cafes in Qatar. The questionnaire included items related to perception, attitude and intention to quit. Both descriptive and inferential statistics were performed for data analyses, with P ≤ 0.05 considered statistically significant. RESULTS About 44% of the respondents believed that waterpipe smoking was safer than cigarette smoking, and more than 70% would not mind if their children became involved in waterpipe smoking. More than half of the current smokers wanted to quit smoking shisha at some point, and 17% identified health concerns as the main motivating factor for their intention to quit. CONCLUSION A large proportion of shisha smokers viewed shisha as a safer alternative to cigarettes, yet they admitted to intending to quit. These findings underscore the need to design educational interventions and awareness campaigns as well as impose stringent laws on waterpipe smoking in public places in Qatar.
Diabetes Research and Clinical Practice | 2017
Myriam Jaam; Mohamed Izham Mohamed Ibrahim; Nadir Kheir; Ahmed Awaisu
Primary Care Diabetes | 2017
Myriam Jaam; Mohamed Izham Mohamed Ibrahim; Nadir Kheir; Muhammad Abdul Hadi; Mohammad Diab; Ahmed Awaisu
Patient Preference and Adherence | 2018
Myriam Jaam; Muhammad Abdul Hadi; Nadir Kheir; Mohamed Izham Mohamed Ibrahim; Mohammad Diab; Samya Al-Abdulla; Ahmed Awaisu
Value in Health | 2017
Ahmed Awaisu; Myriam Jaam; Mohamed Izham Mohamed Ibrahim; Nadir Kheir; Mohammad Diab; Muhammad Abdul Hadi
Value in Health | 2017
M El Hajj; Myriam Jaam; Ahmed Awaisu
Value in Health | 2016
Myriam Jaam; Mohamed Izham Mohamed Ibrahim; Nadir Kheir; Ahmed Awaisu