“Patient safety is a top priority for all healthcare providers. Yet medical errors are ranked the eighth leading cause of death. Medication administration errors often result from multiple environmental and individual factors” (Yoder, Schadewald, & Dietrich, 2015, p. 140). Nurses are faced with several interruptions including other health care professionals, patients, and family members. Environmental factors such as: phone calls, call lights, alarms, malfunctioning equipment, and emergency situations can distract the nurse and prevent the nurse from administrating medications successfully. Research has shown that the most interruptions were from conversations with other personnel or stopping to do another patient care task (Yoder et al., 2015). The purpose of our paper is to discuss how collaboration, effective communication, and conflict management can improve the nursing medication administration process by both the intraprofessional and the interprofessional teams. The intraprofessional team is comprised of nurses that work on the unit and nurses who work on other units who may try to communicate with the nurse who is administering medications. The interprofessional team is made up of patient care technicians, the unit secretary, physicians, and other disciplines such as physical therapy, social work, pharmacy, and case management. The interprofessional team can also distract or disrupt the nurse trying to administer medications by asking about another patient being
As it is mentioned earlier, medication administration includes various steps and an interdisciplinary team. Undoubtedly, nurses play a vital role in the medication administration process. Since patient safety is the priority to all health care professionals, it is important for the nurses to effectively communicate and collaborate with an interdisciplinary team if he or she is unsure about any medication prescription to prevent any adverse events. In addition, patient education is another component of safe administration. A patient must be educated on medications they are taking, the reason for taking them, the dosage, a route, potential side effects, and interactions. Nurses should perform “six rights” of the medication each time. Before administering
Interprofessional team collaboration for professional nurses is viewed as a method to improve the care and safety for patients. However, interprofessional team collaboration presents both advantages and challenges for nurses and other team members. One of the advantages is the coordination of care for the patient and the sharing of knowledge to improve the outcomes for the patient. Challenges for interprofessional team collaboration is: poor role-definition, miscommunication, conflict, lack of accountability for assignment of responsibilities and tasks (Reeves, 2012). This paper will discussion the role of a nurse on an interprofessional team and the challenges, why interprofessional teams promote patient safety, and strategies to promote success interprofessional teams.
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
Breeding, et al. (2013) states that there are a number of published documents addressing the quality, safety, and explicitly medication safety within ICUs worldwide. A large proportion of these studies focused on specific interventions such as: (1) creating “No interruption zones”; (2) addressing drug incompatibilities; (3) implementing automatic drug dispensing systems or electronic prescription of medications; or (4) implementing an ICU pharmacist role (Breeding, et al., 2013, p. 59). It is essential for multidisciplinary teams to be formed for medication safety promotion within this population. These teams would include physicians, pharmacists, and nurses (to also include advanced practicing nurses [APRN], such as nurse practitioners [NPs] or clinical nurse specialists
Medication administration is one of the first key elements you learn in nursing school. The standard is held high as the clinical instructors ask you to validate why you are giving a medication, what exactly it does, and to make sure that your patient meets the criteria to receive a medication. They watch you check the medication three times before it gets to a patient’s body, ensuring it is correct. However, medication errors stand as the third leading cause of death in the United States. There are endless reasons as to why this is the case, but Brian R. Malone keys in on the idea of “Intimidating Behavior Jeopardizing Medication Safety” How does the demeanor of medication providers effect those administering it? The purpose of this paper is to summarize the thoughts and ideas Malone discusses about the behavior, actions, and words that lead nurses and pharmacists to administer medications that cause adverse events and jeopardize patient safety.
In healthcare today, when hospitals are judged upon patient safety standards, it is critical to prevent errors involving medication administration. Distractions while preparing and administering medications, has been report as one of the leading causes of medication errors. Distractions while nurses are administering medications can lead to poor patient outcomes and even sentinel events. Nurses and nurse managers are responsible for maintaining a unit with minimal distractions. When distractions are minimized throughout medication administration process, a decrease in medication errors will occur and lead to increased patient outcomes.
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
As a leader in the workplace, medication errors mostly occur when the workplace is understaffed with a patient load of full nursing cares that require more attention and care than patients who are independent. Due to being understaffed with a patient load of 13 to 2 nurses, medication errors occur more often as nurses are being rushed to finish all cares within their work timeframe. To decrease medication errors it is important to implement more staff during medication rounds, thus giving nurses additional time to concentrate and assure that the correct medication and dose is being given to the right patient ( ). The 6 medication rights are important to implement into every workplace as it decreases the chances of administrating medication to the wrong patients ( ). The medication right include; ______________________________________________________________ ( ). Medication errors have important implications for patient safety and in improving clinical practice errors to prevent any adverse events (
Simple to intricate tasks are performed simultaneously, which involves significant attention and critical thinking (Williams, King, Thompson, & Champagne, 2014). Interruptions or distraction during medication preparation and administration may lead to human error and affect patient outcomes (Williams et al.). System deficits are often the root cause for errors and interruptions during medication preparations (Anthony, Wiencek, Bauer, Daly, & Anthony, 2010). It has been found 17% of the nurses’ time is spent on administrating medication; and in one single shift, each nurse has an average of 30 interruptions (Anthony et al.). Examples of interruptions are: prescribed medications not available, patient activities and needs during time of medication administration, and interruptions from phone calls or colleagues (Stamp & Willis, 2009). As interruptions play a significant factor in regarding patient safety, there have been many strategies and initiatives to reduce the number of interruptions nurses experience during preparation and administration of medications (Stamp & Willis). This rapid review will discuss interruptions, the various strategies and initiatives, and limitations to reduce interruptions related to medication errors in nursing
There are many different variables that go into a scenario of a medication error. Nurses carry a huge role with ensuring patient safety during a medication administration. According to Härkänen, Ahonen, Kervinen, Turunen and Vehviläinen-Julkunen (2015), the study that was performed on a medical surgical floor yielded information that allows administration to examine plausible reason behind the medical errors. The area within nursing that need to have an improvement is reducing patient medical errors due to patient to nurse ratio in combination with reducing distraction and acuity. The study that performed by Härkänen et al. (2015), observed that patients had medications of upwards to 20 regular medications, and giving them 3 times minimally. Nurses encounter many types of distractions during the times that they are administering medication. The first issue with this is that the patient has high acuity
Organizational behavior plays a vital role in the success of an institution. It is essential for a leader to be knowledgeable on organizational behavior and how to manage conflict. Often times, conflict arises from the absence of or poor communication. Social media has become one of the leading means of communication.
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.
Conflict is a fact of life - for individuals, organizations, and societies. The costs of conflict are well-documented - high turnover, grievances and lawsuits, absenteeism, divorce, dysfunctional families, prejudice, fear. What many people don't realize is that well-managed conflict can actually be a force for positive change.
The third form of Conflict management is Accommodation. When the task at hand is more important than the conflict that has arisen and when relationships may be damaged putting the entire project in jeopardy. With this method a team member may minimize the conflict in order to protect the relationship and ultimately the project. Some of the negative aspects in using this
In trying to resolve the conflict between Reece and Patel, Edwards used an avoidance strategy. Instead of speaking directly about the root causes, or sources, of the conflict, Edwards focused on the behaviors and treated Reece and Patel like children. Edwards scolded them, and sent them off without bothering to find out what was bothering the two. Of course, this type of conflict resolution is ineffective because it fails to address the underlying issues. As Anderson (n.d.) points out, addressing the problem is key to conflict resolution. "When a conflict does happen, a manager needs to focus the conflicting parties on the issue and have them leave out any personal problems they may be having," (Anderson, n.d.).