Use special procedure for the use of high-risk medications using a multi-disciplinary approach, including written guidelines, checklists, pre-printed orders, double-checks, special packaging, special labeling, and education. (Institute of Medicine (IoM) Strategies Regarding Medication Practices, 2005).
There are many factors that contribute to medication errors resulting in consequences to both patient and nurse. Factors that can contribute to errors include illegible handwritten drug orders, confusing drug names, and the use of nonstandard or unclear abbreviations (Neal, 2006). For the patient, the effect of drug errors can range from no side effects to death. For the nurse who commits a medication error the consequences can range from additional training and supervision to lawsuits and revocation of licensure. Medication errors can occur at any stage in the process of delivering medications to patients, from the originating prescriber to the pharmacy, but the majority of medication errors occur during administration.
Medication reconciliation is defined as “ the formal process of obtaining, verifying, and documenting an accurate list of a patient’s current medicines on admission and comparing this list to the admission, transfer, and discharge orders, to identify and resolve discrepancies (Duguid, 2012). This is very important process for all parties involved. If we think about the admission process (let us assume that this patient is able to talk), there are many stressors that our patient is exposed at that time and sometimes that person is not able to verbalize and give us the list of all medications that he/she is taking. We also cannot rely on their family members as a source of such important information.
It seems each year that the automobile accidents increase, and there are a high number of death and injuries that follow. Records show that nearly 1.3 million people die in road crashes and 20-50 million are injured. More than half of all traffic death occur among young adults 15-44 years of age( ). Accidents can happen at any time and can be caused by many reasons such as rain, speeding, drug, or alcohol. An automobile accident is what brought the 16-year-old boy to the emergency to be care for by the medical staff there. The patient was seen by the ER staff for several hours, and he was admitted later in the inpatient unit for observation. The next morning when staff tried waking the patient he was died.
Drug courts have historically been the preferred way to treat drug users/offenders. What are the requirements for an offender who participates in drug court? How does this differ from the LEAD program?
As the brand manager for Allround cold medicine, there were many decisions regarding product formulation, strategy, line extensions and product launches over the company’s last 10 periods. The brand was focused on remaining a profitable, mature product family within the cold medicine category, but also maintaining a premium brand image.
The probation officer explained to the observer that these individuals come in individually because the details of their case are more private than the others on Drug Court. In a very similar fashion, the Drug Court proceeded by the Judge asking for input from the probation officers as well as the service agency representatives. The observer noticed the main theme of Drug Court is for Judge Barrasse to verify the time spent in sobriety from each person. Upon hearing the answer, the entire room would respond with an applause. Unlike MHC, Drug Court consists of a series of four phases in which one graduates from in order to complete the entire program. The individual moves through the stages at the recommendation of the probation officer and in agreement with the treatment providers.
When developing drug court programs, drug courts should combine alcohol and other drug treatment services with the criminal justice system. The two complement each other and ensures success when participants are willing.
Since no drug court follow an uniform standard model, each state addressed the issue depending on their own jurisdiction model or code with slight variation of the six requirements under Morrissey (Oram & Gleckker, 2006). In State v. Cassill-Skilton (2004), Washington state statute authorized the creation of drug courts but failed to provide the provisions for operating the treatment program. The notice requirement became the center focus of the case where the defendant was admitted into a drug treatment program but violated the terms of conditions when the defendant was charged with another offense during the course of the treatment (State v. Cassill-Skilton, 94 P.3d 407, 2004). The court terminated the defendant from the treatment program
I have chosen the research topic of medication non-compliance, specifically regarding high blood pressure medication. I see patients very often at my job who do not take their medication because they say they feel fine or they forgot. I do teach my patients that they need to take their medication every day and suggest to take it at the same time as something they already do daily such as eating breakfast but my words seem to fall on deaf ears. Some patients don’t like the way the medication makes them feel so they just stop taking it instead of going back to their doctor. I believe that more visual aids in teaching such as videos that show what is happening inside your body when your pressure is high in addition to meeting stroke patients
HCS Med 360 is a software solution used to support medication reconciliation. This technology allows the consulting pharmacists to rapidly query over a dozen national databases and see the patient's prescription fill history as well as gaps in the fill history. Experience to date shows that this robust system captures all prescription medications in Hawai‘i except those filled at Kaiser or the VA and those paid 100% self pay. The consulting pharmacist then completes the reconciliation process and produces a current medication list, including OTC medications, herbals, and supplements. The fill history and complete medication list are being built so that this information can be included in the patient's HHIE Community Health Record. The HHIE
The medication error involved an 85 year old female. She was discharged from the hospital after an open reduction and internal fixation surgery for a fractured hip. Upon her arrival to the nursing home facility, there were multiple opportunities to prevent the medication errors that eventually lead to her fatal cardiac arrest. There was a lack in communication between the patient’s medical team. After the patient was discharged there was no follow up from the hospital nor a nursing care plan at the patients’ nursing home. The individuals did not use any critical thinking skills in going beyond the five rights of medication administration. There may have been a lack of knowledge of the medication. Since the patient had a history of
Introduction Medication safety is a significant patient safety issue. It is estimated more than 1.5 million Australians suffer an adverse event from medicines each year (). An adverse drug event is defined as an incident which caused harm or injury to a patient (Australian Commission on Safety and Quality in Health Care, 2011). Using 2011e12 Australian