Currently, more responsibilities are being given to the pharmacy technician that were traditionally performed by pharmacists, such as clarifying prescriptions and entering orders. With these additional responsibilities for the pharmacy technician, this will allow the pharmacist to spend additional time with patients. However, with these additional responsibilities enables more opportunities for error. In 2008, a study was performed at Wentworth-Douglass Hospital, a 178 bed acute care facility
Medication errors are a reoccurring issue that has plagued the medical field since the beginning of drug administration. In order to understand how to handle medication errors, one must first understand what a medication error is. The concept of medication error can be defined as: “any preventable event that may cause or lead to inappropriate medication use or harm to a patient” (Kee, 2012, 125). Examples of medication errors include: misreading a patient’s medical file, not clarifying illegible prescriptions, an incomplete patient assessment, confusing look-alike and sound-alike medications, and lack of better understanding if a medication can be crushed or split. To better understand medication errors and medication safety one must understand the impact it can have on the medical community and patient care, ways to prevent medication errors, and what should be done in a situation where a medication error has occurred.
In the UK, there are more than 1 billion scripts prescribed and dispensed every year (HSCIC, 2013). There are over 12,000 pharmacies in the UK, and approximately 1.6 million people visit a pharmacy every day (HSCIC, 2013). It is therefore natural to assume that between these 1 billion prescriptions, an error or mistake will be made. Current studies suggest that of all the dispensed medicines, there are approximately 0.01-3.32% errors made in community pharmacy and 0.02-2.7% in hospital pharmacy (James et all, 2009).
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
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.
Medication errors are a major issue affecting patient safety in hospitals, which can create deadly consequences for patients. It is crucial to identify and analyzed medication errors so healthcare professionals can pinpoint why medication errors occur and provide insight into how to prevent or reduce them.
The hospital should consider implementing “electronic prescribing through “computerized provider order entry systems” ( Radley, Wasserman, Olsho, Shoemaker, Spranca, & Bradshaw, 2013, p. 470). This system is an effective way to reduce patient harm associated with medication errors (Radley et al, 2013). In fact, The Institute of Medicine (IOM) recommends the use of the “electronic prescribing (e-prescribing) through a computerized provider order entry (CPOE) system” as an effective method to address such issues (Radley et al, 2013, p. 470). Medication errors are often a result of misinterpreted handwriting or poor handwriting (Radley et al., 2013). The use of electronic prescribing reduces medication errors associated with those reasons (Radley et al., 2013, p. 470). Studies prove CPOE reduces medical errors (Radley et al, 2013, p. 473). However, there were some mediation errors associated with electronic prescribing as the study also pointed out. The study found that users or
Medication Errors Caused By Interrupting Administration4As for environmental interruptions, an overview of what is causing the distractionwithin the workplace needs to be determined first. A solution to a noisy room may be the use of floor or ceiling materials or even wall covers to muffle sounds (Mahmood,Chaudhury, Valente. 2011, p. 229).Personal fearI personally fear I will give the patient too much medication and create an even more critical situation for myself as a nurse than I had before. In clinical, I take my time with the process of passing medications and review with the nurse prior to going into the patient's room. I always make sure to go through the six patient rights verbally, as well with my nurse, to make sure we are on the
Mary is a critical care nurse at a busy urban hospital, who is trying to catch up on her morning medication administrations. Her patient had required several procedures that morning, due to an alteration in his condition, and now Mary is behind schedule. The patient is intubated and has a nasogastric tube, so she decides to crush the pills, and administer them through the tube. The patient’s medication is already late, but in her dash to give the medication as quickly as possible, she doesn’t notice the “Do Not Crush” warning on the electronic medication
This integrative review sought to identify and understand the impact of information technology in on medication errors. The review of 14 papers shows that the implementation of medication management systems, which include CPOE, BCMA and automated dispensing machines has successfully reduced medication errors and adverse medication events significantly, particularly the two most susceptible stages of prescription and administration of drugs (Armada et al., 2014).
As a student pharmacist, I am interested in medication errors and initiatives for their prevention. In response to the IOM’s report, the Food and Drug Administration (FDA) agency enhanced its error reduction strategies by implementing a new division dedicated to medication errors.3
In most organizations, a review of the most recent medication errors will likely uncover some aspect of an ineffective double-check process. Take the time to evaluate the procedures for which you require a double check, monitor compliance, assess how often the checks are conducted as designed, and then make the necessary revisions to promote effectiveness. When employed judiciously, conducted properly, and bundled with other strategies, manual independent double checks can be part of a valuable defense to prevent potentially harmful errors from reaching patients
There are many rules and precautions taken to ensure that medication errors do not happen. In nursing school students in the RNs and BSN program are both taught ways to not make medication errors. A study done by Margret Harris, Laura Pittiglio, Sarah Newton, and Gary Moore was done to see if simulation can be used to improve medication administration to reduce medical errors.