Medication Cabinet Instrument

contribute to the costly effect include the fact that nurses have, increased incidence of nurse burnout and patients have poorer outcomes increasing both mortality and readmission rates. Nurses are a large component to keeping readmission rates down through spending time with a patient and educating and empowering patients on self-care through helping patients understand importance of medication regimen adherence, importance of diet adherence, ways to reduce infection and various other skills to care for self at home" (Problem Memorandum Assignment, 2015) The documents exigence is crucial the audience to better the outcome of patients and that of the health

Administration of medication to a patient is an interdisciplinary concern. When dealing with medication, nurses are held with as much accountability as other members within the medical team. To uphold this standard, it is important for nurses to stay informed with new research to help provide better care to their patients. The nursing community also adheres to the “nursing process,” a guide that nurses utilize to achieve well-rounded care. Nurses can relate the nursing process not only to their plan of care, but also to different subjects to systematically analyze information. Applying the nursing process to this research created a connection that allows awareness of the

Patient satisfaction is an important phenomenon that affects hospital ratings and reimbursements. Hospitals across nation are seeking measures to improve patient satisfaction, decrease patient falls and call light usage. A medical surgical clinical nurse specialist (CNS) at a northeast hospital collected data on the rate of patient falls, patient satisfaction for a period of 15 months and usage of call light for 4 weeks, which showed that this is a crucial problem that the hospital is facing and there is a lot of opportunity for improvement. The CNS assembled a team to identify measures to improve the current situation and decided to replicate the study on rounding conducted by Meade and colleagues (2006).

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

Nurses should be full partners, with physicians and other health professionals, in regarding health care in the United States(Institute of Medicine, 2011).Nurses should be full partners because who knows nursing and what nurses need better than a nurses themselves? In care environments, being a full partner involves taking responsibility for identifying problems and areas of waste, devising and implementing a plan for improvement, tracking improvement over time, and making necessary adjustments to realize established goals (Institute of Medicine, 2011).The expense of certain supplies and equipment could be decreased over time if nurses had more say in their environment and resources. On many floors in hospitals, certain supplies are not needed

System failures and poor communication has led to decreased patient safety and satisfaction within the hospital. Three critical areas that need immediate solutions are the drug administration system, hand washing protocols and follow ups and communication between patients and clinicians. Dosage issues whether it is frequency of a drug given or if the patient has even received their medication have occurred because there is no standard system for drug administration . Also, there is little adherence and enforcement to handwashing when interacting with patients. Lastly, there is no protocol when following up with patients leaving them feeling frustrated with the negligence of the clinicians.

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 (

Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the

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.

Nursing in today?s society involves more than technical skills, critical thinking, and compassion. It also is changing to add the ability to not only understand but be able to utilize technology to impact a patient?s health. There are many technological changes employed in healthcare practices, however, I have chosen to address bar-code medication administration or BCMA. According to an article in the Journal of Patient Safety, ?bar-code medication administration has been shown to be effective in reducing patient medical errors, yet is still only utilized in 5% of the country?s health care facilities? (Sands, Slebodnik, & Young, 2010). Medication errors are common in hospitals and often lead not only to patient harm, but also lengthy hospital stays and law suits. ?One study identified 6.5 adverse events related to medication use per 100 inpatient admissions, more than one fourth of these events were due to errors and were therefore preventable? (Bane, et. al., 2010).

Patient satisfaction is considered an important element of the quality of healthcare, a leading indicator of patient outcomes and a top priority for hospitals and providers. There is an increased need to improve quality in the delivery of healthcare services, partly due to the Centers for Medicare and Medicaid Services pay-for-performance reimbursement methods. Adjustments increasing to 2% in 2017 will affect more than 3000 acute nursing facilities nationwide. The Centers for Medicare and Medicaid Services uses the Hospital Consumer Assessment of Healthcare Providers and Systems survey that measures ten specific aspects of a patient 's care, and results are reported publicly. There has been a great deal of discussion for and against the survey on all levels of healthcare. Research indicates that a customer service approach is the leading indicator of patient satisfaction. A better customer service approach is the product of satisfied employees. Nurses play a significant role in the customer service approach, including advanced practice nurses.

Of the 360 nurses that participated in the study only 113 of them were used. This stratified random sample group consisted of nurses from medical and surgical units from each hospital to ensure that there was an equal representation. After the observation and the focus groups survey were completed the researchers started to integrate the qualitative and quantitative research (The Authors, 2010). This mix method to the research gave a better picture to why interruptions caused negative effects on patient safety (The Authors, 2010). The interruptions that were noted caused medications errors and delay in treatment (The Authors, 2010). Most notably it was other healthcare personnel that caused the most interruptions on the medical units. The surgical units the interruptions were usually caused by the nurse themselves. Using the observation and focus groups gave the researchers a p value= 0.00 (The Authors, 2010). When the research was completed it was noted that the nurses had 13025 interruptions during the two-week period (The Authors, 2010). The medical and surgical units were pretty evenly spilt when it came to which one had more interruptions than the

We put patients first and nurses and nurse managers support delivery of excellence. Customer satisfaction is measured by direct feedback from patients and families as well as surveys. Opportunities to improve are reviewed continually by monitoring patient feedback and each department keeps up on results in order to prioritize patient experience improvement objectives. Satisfaction is typically high and maintained by employees engaging in customer service training, using practical tools, and having standards of behavior for all interactions with patients and families.

The pharmacy is essential to the treatment of disease, since the pharmacy is the site where both intravenous and pill medications such as chemotherapy and antibiotics are made and dispensed according to what patient needs. At the hospital, the pharmacy takes care of both inpatients and outpatients for both prescriptions and over the counter medications. Those who work at the pharmacy also educated patients and healthcare workers about the side effects of medications, which medications can be mixed and, especially for stronger medications, the known risks of taking them. These educational measures are performed to prevent overdose, the inappropriate use of medications, such as antibiotics, and to give the patients as to what is normal and to be expected from taking a medication and what symptoms should raise a cause of concern. One way this duty is performed is by rounds. A round is where the pharmacist along with other doctors such as a dietitian, social worker, physical therapist, speech therapist, the attending nurse, and the primary physician, as well as any other specialist whose expertise may be in need, get together to discuss a group of patients and what is being done about their care and how it can be improved. Anyone