Evaluation Of Prescription Errors

Each year, roughly 1.5 million adverse drug events (ADEs) occur in acute and long-term care settings across America (Institute of Medicine [IOM], 2006). An ADE is succinctly defined as actual or potential patient harm resulting from a medication error. To expound further, while ADEs may result from oversights related to prescribing or dispensing, 26-32% of all erroneous drug interventions occur during the nursing administration and monitoring phases (Anderson & Townsend, 2010). These mollifiable mishaps not only create a formidable financial burden for health care systems, they also carry the potential of imposing irreversible physiological impairment to patients and their families. In an effort to ameliorate cost inflation, undue detriment, and the potential for litigation, a multifactorial approach must be taken to improve patient outcomes. Key components in allaying drug-related errors from a nursing perspective include: implementing safety and quality measures, understanding the roles and responsibilities of the nurse, embracing technological safeguards, incorporating interdisciplinary collaborative efforts, and continued emphasis upon quality control.

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,

According to the Food and Drug Administration (FDA 2009), the wrong route of administrating medication accounts for 1.3 million injuries each year. An article published in September issue of the Journal of Patient Safety estimates there are between 210,000 and 400,000 deaths per year associated with medical errors. This makes medical errors the third leading cause of deaths in the United States, behind that comes heart disease and cancer. To prevent medical errors always follow the Three Checks and most importantly the Rights of Medication Administration. The “Rights of Medication Administration” helps to ensure accuracy when administering medication to a patient. When administering medication the administer should ensure they have the Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Route, Right Reason, and Right Documentation. Also remember the patient has the right to refuse, assess patient for pain, and always assess the patient for signs of effects.

Outcome measures assess whether the interventions to improve medication safety practice will be successful. During the interview of the new employee, competency evaluation related to medication administration will be applied first. In addition, during the orientation for these new employees, adequate training will be provided to ensure the importance of preventing medication errors. They will be given a list of similar and look-alike medications and will focus on medications that cause the most adverse reactions when errors may occur. Then, after training and when staff start working, they will be supervised during their first few months. When they are not supervised, they will be assessed and evaluated for any errors. During this process,

Improve the safety of using medications. The findings were that often medication error were made because medications and other solutions were removed from their original

Excellent outline for your quality improvement initiative that addresses medication errors. I like how you describe the closed-loop medication administration process that includes all members of the interprofessional team. Your references are also well researched and current. From the outline, it is unclear what the barriers and implementation strategy are to reduce medication errors. One suggestion I would make is to look at the grading rubric. There are four main points that the rubric requires to complete the objectives for the paper. I usually create headings that align with the rubric, this helps me organize my thoughts and to meet the objectives of the assignment.

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 use of information technology can reduce errors in different ways, harmful events and medication errors may be prevented before they can occur, the time needed to resolve the cause of adverse measures can be decreased, thus avoiding reoccurrence; and (3) trends can be tracked and pertinent feedback about medication errors and adverse drug events then can be

some real changes within the month in hopes to keep his job, however, as we have

Limitations of dispensing without counseling and how it leads to medication error The main aim counseling is to ensure safe and the right use of medication by patients so that they can obtain the required therapeutic benefit from the medication. If this is not done, the patient might not use the medication efficiently which can cause a medication error. Here are some problems of dispensing without counseling that can lead to medication error; How to use the medication and what it is The proper way to dispense a medication is to enlighten the patient on how to use it, which includes how to take (With or without food) and administer.

It is revealed that more mistakes are made in prescription and these mistakes associated with adverse drug reaction (ADR). To avoid prescription mistakes, in some health care settings pharmacist take that responsibility of correcting medication errors related with wrong drug, wrong dose, and prescription of allergic

Giving a wrong medicine and the overdose one of the reasons that lead to medical errors, so giving the write medication is nurses' and doctors' duties. Both the culture and the organizational structure of any hospital or clinic could influence prescription drug error rates. Having a lot of patients per day, more prescriptions per patient, and being cared for in a rural clinic were all actually related with medical errors. Thus, having a bad case manager program is strongly related to increased medical errors rates. The culture of hospitals, and clinics clearly impact errors rates. providing care with cohesive cultures have lower error rates but, cultures that value physician autonomy and individuality also have lower error rates than those

Before this module, I never really thought of inappropriate medication prescribing by a physician as a medication error, or the inappropriate use of a medication. I agree with you that as patient you need to tell your doctors all of the different types of medication that you are on, in order to help prevent any type of medication errors. My grandma is on a lot of medication, but when she goes to her doctors’ appointments, she makes sure she brings all of her medication with her. I find this to be helpful for herself and for her other doctors. Even though a patient may bring her list of medications or bring her medications with them, as a doctor you should still ask about her medication and if there are any that she may of forgotten. If a physician

Practice development is a process of providing care to the patient that leads to direct measurable improvement in care by identifying an issue providing effective care of service and creating a scenario for feedback of previous interventions. It is more focused on patient centered care. In this case study, I am going to explore an issue medication error which is one of the hindrance for practice development. While defining medication errors, it is the unwanted event carried out by health professional or patient providing the wrong medicine for the use which my harm and become hazardous for health. In hospital settings, it is frequently occurring because of patient identification error.

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