Medication Error Reporting

As a member of the health care system, part of the registered nurse’s day-to-day function is the administration of medications to patients. Bullock and Manias (2014) mentions that nurses give drugs directly to the patient, therefore, nurses are the last link in the medication administration cycle. It is the nurse’s responsibility to make sure that the six rights of medication administration are practiced for safe and adequate medication management. These six rights include Right patient, Right drug, Right dose, Right route, Right time and Right documentation (Tollefson & Hillman, 2012). The nurse can prevent medication error by observing the 6 “Rs” of medication

Through qualitative research, decreased medication errors can be measured using incident reports and the communication tool in the patient’s chart to track the information. The rationale for the importance to nursing is because current “research findings show that nursing handover is a point of vulnerability and on average, in nearly one-fifth of any handover, some sort of deviation from ‘accurate dosage’ of medication occurred” (Drach-Zahavy, 2015, pg.

Nurses are in charge of administering medications, often more than one medication, and most of the time they have multiple patients. Being in charge medication passes pose a massive threat to errors (Huges,

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.

The issues addressed are Findings 1 and 3: Finding 1 is patient medication errors are up and there is a perception of shady hiring practices and playing favorites. All employees are responsible for compliance. Policies and professional standards exist for the medical profession. The challenges will be reintroducing employees to Federal and state law that govern the profession. For hiring practices and playing favorites the challenges faced are the lack of compliance reporting structure or training for understanding compliance. There is a perception that work rules are not being enforced. Finding 3 is high job turnover and low employee morale. The challenges faced will be building communication strategies, building confidence in leadership,

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 (

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.

The administration of medication can be associated with a significant risk with it is recognized as a central feature of the nursing role. It should continue in order to avoid a possible medical malpractice continuous care. Nursing staff have a unique role usually given to patients to manage their medication and responsibilities, then they can report these identified medication errors. Some of the most distinguishable events can be related to errors in professional practice, prescribing, dispensing, distribution, and education or monitoring. Since medication errors can arise at any state of the administration process, it is essential for nursing staff to be attentive of the most commonly encountered errors. For the most part, the common of the perceptible aspects related with medication errors are due to minimal awareness about hospital policies, inappropriate implementation or latent conditions (Farinde, n.d).

The purpose of this paper is to address the problem of medication errors in health care facilities. According to Williams and Ashrcoft (2013) “ An estimated median of 19.1 % of total opportunities for error in hospitals.” Although not all medication errors occur during transition it is the time most prevalent for these errors to occur. As per Johnson, Guirguis, and Grace (2015) “An estimated 60% of all medication errors occur during transition of care. The National Transitions of Care Coalition defines a transition of care as the movement of patients between healthcare locations, providers, or different levels of care within the same location as their conditions and care needs change, [and] frequently involves multiple persons, including the patient, the family member or other caregiver(s), nurse(s), social worker(s), case manager(s), pharmacist(s), physician(s), and other providers.”

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.

This following article will look at two articles and focus on aspects of safety medication administration in nursing practice by the staff nurses. This area is interesting because the previous report showed approximately 5.6% of Non-intravenous doses administered to adult hospital patients, and it has been estimated that 0.6-1.2% of medication administration errors may led to severe harm even dearth (Mcleod et al, 2013). Leape et al (1995) indicated that nurses were responsibility for 86% of all medication error interception, regardless of the original errors. The nurses play the important role to identify the causes of medication errors and prevent medication administration errors in nursing practice in order to provide safe care toward the service users (Henneman et al, 2010). The Medicines and Healthcare Products Regulatory Agency (MHRA 2004) clarify that all the clinical, cost effective and safe use of medicines to ensure patients get the maximum benefit from the medicine they need and the same time minimizing the potential harm. This article will be critiqued on the different types of evidence which explored safety medication administration in the nursing practice toward service user. Using evidence is important in nursing practice because it can helps nurses in addressing questions related to best possible care and improve patients’ outcome.It is embedded with code the nurses are expected to use best possible evidence in the nursing practice in order to provide the

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

As a result medication errors are costly and seem to be relative to the staffing of nurses. Given that nurses make up such a large segment of the staff population, it is important to identify with the factors behind these medication errors.

Nurses are the backbone of the healthcare system and the last line of defense in ensure safe medication administration. It is the responsibility of the nurse to practice safe patient care and have responsible knowledge of medications. All too often, however, medication errors do occur. Over 733 nurses surveyed in a study by Urima University of Medical Sciences, have exposed the occurrences of medication errors, the reasons that these errors transpired, and how they feel they could have been prevented. Along with making the actual errors, reporting them is also a major barrier to safe, honest nursing care. The importance of patient safety and accurate reporting is a cornerstone of nursing practice.

“The medication error reporting project (MERP) estimates that confusion surrounding drugs with similar names accounts for up to 25 percent of medication errors.”(www.jcaho.org). The Food and Drug Administration (FDA) says that” about 10 percent of all medication errors reported result from drug name confusion. A patient taking the wrong drug is an impact to the safety goal.”(www.fda.gov)