The aim of this essay is to provide a critique of two articles. The first article is, “Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience” conducted in Australia by Johanna Westbrook, Marilyn Rob, Amanda Woods and Dave Parry published on the 20th of June 2011. The second article is “Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study”, conducted in the United Kingdom by Richard N Keers Steven D Williams Jonathan Cooke Darren M Ashcroft and published on the 13th of March 2015. In this critique the two articles will be analysed and there will be a comparison and contrast of the two. To begin of the …show more content…
The critical incident technique is a reliable tool to gather data, which increases the internal validity of the study and making the results more transferable (Andersson and Nilsson, 2006). The benefits of using a semi-structured interview is that it allows the researcher to gain focused information from the participant, it also allows the provision of reliable comparable qualitative data as the participants are asked the same questions (Resources.hwb.wales.gov.uk, 2017). In this study it was useful as it allowed the researchers to assess the causes of inter-venous medication administration errors, allowing the study to achieve its aim, again increasing its measurement validity (Socialresearchmethods.net, 2017). The disadvantages of this study design are that it doesn’t provide a detailed understanding of a topic (Resources.hwb.wales.gov.uk, 2017). In comparison, both studies have high measurement validity and each study design utilised has its own strengths and weaknesses as discussed. The 2011 study’s sample consisted of 107 nurses in two different hospitals in Australia. This is a small sample size decreasing its internal validity (Kukull and Ganguli, 2012), in addition 107 nurses in two hospitals limits the participants to those location decreasing the generalizability of the results as 107 nurses in two hospitals is not an
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According to a cross-sectional study involving 237 nurses, approximately 65% of the nurses have made medication error. Only 31% of the participants reported medication errors. According to the study the most common type of reported errors were wrong dosage and infusion rate. The most common causes were using abbreviations of the drugs and similar names of the drugs. However, the study did not find any relationship between medication years and years of experience, age, and working shift. Yet study found association between intravenous injection and gender (Cheragi at al
Nurses are responsible for multiple patients on any given day making medication errors a potential problem in the nursing field. Medication administration not only encompasses passing medication to the patients yet begins with the physician prescribing the medication, pharmacy filling the correct prescription and ending with the nurse administering and monitoring the patient for any adverse effect from the medication. According to the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP), ‘A medication error refers to any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional,
In Australian hospitals medication administration errors make up 9% or 1 in10 of all medication administrations. These errors include wrong doses, wrong intravenous infusion rates and errors made by prescribing doctors. Errors on discharge of patients were increasingly higher with up to 2 errors per patient related to doctors transcribing discharge medications (Roughead, Semple, & Rosenfeld, 2016).
Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of
This article will look at two articles and focus on aspects of safety medication administration in nursing practice by the staff nurses. This is interesting area because the previous report on the medication administration error in the UK shows that approximately 5.6% of doses administered to adult hospital patients and it has been estimated that 0.6-1.2% of medication administration errors may lead to severe harm even death (Mcleod et al, 2013). Leape et al (1995) indicated that nurses were responsible for 86% of all medication error interception, regardless of the original errors. The nurses play the important role in identifying the causes of medication errors and preventing medication administration errors in nursing practice in order to provide safe care toward the service users (Henneman et al, 2010). The Medicines and Healthcare Products Regulatory Agency (MHRA 2004) documented that the health professionals need to effectively and safely use medicines to ensure patients get the maximum benefit from the medicine; meanwhile minimizing the potential harm. This article will be critiqued on the different types of evidence which explored safety medication administration in the nursing practice toward service user. Using evidence is important in nursing practice because it can help nurses in addressing questions related to best possible care and improve patients’ outcome. It is embedded within the code the nurses are expected to use best possible evidence in the nursing
As clinical site co-ordinator with many years of clinical experience I feel competent in the drug administration via a variety of routes. Generally the patients I attend have become acutely unwell with most prescriptions not having the third eye of a pharmacist and most drugs being delivered intravenously. It is imperative therefore that the prescription and drugs always be thoroughly checked which relies on good communication throughout. Furthermore, most emergency drugs have a protocol for administration developed by the hospital. However within this situation the nurse is generally the last defence before any medication error actually occurs, therefore it is the nurses responsibility to ensure the prescription is correct and to challenge prescription written
b) I choose this topic because during my experiences in clinical area as well my experience in Hospital where I worked, I have came across different types of medication errors which involve patients and this could be a cause for serious problems to patients and in some cases will lead to death. It is a serious matter. Also drug error can have bad effect on nurses, both personally and professionally.
Errors made while administering medications is one of the most common health care errors reported. It is estimated that 7,000 hospitals deaths yearly are attributed to medication administration errors.
For many patients the scariest part of being in the hospital is having to rely on other people to control your life changing decisions. One large part of this is the medications one is given while in our care. I can only imagine what it must be like for patients to have a stranger to come in and start administering drugs to me. This would be especially scary if I did not know what these medications did, or what negative effects could be caused by taking them. Unfortunately, the fear of medication errors that many patients have are not unfounded. Estimates range from 1.5 to 66 million patients a year have medication errors occur while they are in the care of health care professionals. Considering all of the technology we have at our
The results of this study was that the percentage of medication errors decreased following the implementation of eMARs. Although medication errors were decreased, the authors found that the eMAR system decreased efficiency and disturbed workflow. The authors state that factors such as missing medications, preparing medication at the bedside, and distractions contributed to this and are factors that can be improved. The author’s identified the presence of several limitation in the study. The use of one individual to collect data created a possibility of bias and the observation of nurses may have affected the behaviors of the nurse. Also, the authors state that the study was not a cause and effect study and was only conducted on one unit which decreased the generalizability of the study. According the hierarchy of evidence for intervention studies, this
The study involved eleven consenting registered nurses in an acute medical/surgical setting in Australia. Popescu, the primary researcher observed the nurses over a three month period in 2007. Popescu observed the nurses during the medication administration process and their social interactions. The study reported, nurses tend to deviate from best-practice guideline when medications are kept in a communal medication room, where frequent distraction can occur. Analysis of the data discovered three chief factors that influenced the safety and quality of medication administration were ward design, therapeutic relationships, and deviations in best practice
Medication errors are one of the leading causes within a patient care setting thatcan jeopardize the client’s safety, and can even potentially be fatal. The six patient rights,right dose, time, route, medication, patient and documentation, all help prevent errors andpromote patient safety. The nurse needs to check off each patient right in order tosuccessfully pass medications. One of the leading causes for missing one of these patientrights is interruptions in the process of medication administration prep, or when activelygiving the medication to the patient. This paper will discuss why interruptions duringmedication administration can cause errors, and interventions the nurse can do to avoidputting the patient in
In today’s current fast-paced and demanding field of heath care, medication administration has become complex and time-consuming task. Approximately one-third of the nurses’ time is used in medication administration. There is much potential for error because of the complexity of the medication administration process. Since nurses are the last ones to actually administer the medication to the patient therefore they become responsible for medication administration errors (MAE). Reasons for MAE may include individual factors, organizational factors or system factors. This paper will discuss the root causes analysis of MAE and strategies to prevent them.
Medication error is one of the biggest problems in the healthcare field. Patients are dying due to wrong drug or dosage. Medication error is any preventable incident that leads to inappropriate medication use or harms the patient while the medication is in the control of the health care professional,or patient (U.S. Food and Drug Administration, 2015). It is estimated about 44,000 inpatients die each year in the United States due to medication errors which were indeed preventable (Mahmood, Chaudhury, Gaumont & Rust, 2012). There are many factors that contribute to medication error. However, the most common that factors are human factors, right patient information, miscommunication of abbreviations, wrong dosage. Healthcare providers do not intend to make medication errors, but they happen anyways. Therefore, nursing should play a tremendous role to reduce medication error
The topic of reflection is a potential drug error made whilst on my clinical practise placement. The area of drug administration is an important role for nurses and therefore I will incorporate research evidence, policies and guidelines surrounding drug administration, discuss how the area can be developed and applied in professional practise.