Hi Daisy, Excellent example with medication error. Medication Administration is a huge part of nursing and must be done accurately. I feel like nowadays nurses do a great job on preventing medications errors and that there has been many other steps added on to so that a medication error could be avoided. For example, the nurses I work with at Medical City Dallas, call their pharmacists on whether or not this medication is compatible or not.
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,
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).
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.
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
Medication mishandle—of licit and unlawful medications alike—is a major medicinal and social issue and draws in a considerable measure of research consideration. In any case, the most alluring and most effectively fundable research points are not generally those with the most to add to enhanced social results. In the event that the logical exertion gave careful consideration to the significant open doors for enhanced strategies, its commitment to people in general welfare may be more prominent. The ebb and flow look into motivation around tranquilize strategy focuses on the science, brain science, and humanism of drugtaking and on the current collection of medication control intercessions. Be that as it may, that collection has just
Safety is a priority to delivering healthcare, however, medication errors have been identified as a safety issue in healthcare. The Institute of Medicine (IOM) has released two landmark reports that identify adverse outcomes that occur yearly from medication errors (Kohn, Corrigan, Donaldson, 2000; Institute of Medicine [IOM], 2001). Because nurses are intimately involved in providing patient care and medications, as a result of these reports attention was directed at the nursing profession to improve the mathematical competence of nurses. Therefore, it is imperative that nursing students are competent in converting between measurement systems, identifying common pharmacological abbreviations, methods of medication administration, reading medication labels, and calculating medication dosages in order to provide safe care. In the article, Teaching the Culture of Safety, the American Nurses Association (ANA) affirms that pre-licensure programs should include education on patient safety and system vulnerabilities that is expanded on throughout all nursing education and practice to promote a culture of safety (Barnsteiner, 2011). Therefore, the implementation of early medication calculation in a nursing program helps establish fundamental nursing mathematical skills to help nursing students become competent in medication calculation skills and combat medication errors and promote the delivery of safe nursing care (Newton, Harris, Pittilgio, & Moore, 2009).
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 per our conversation, I’m submitting the documentation in support of the alleged allegations of client abuse (Michelle Rivera and Robin Jiles aka Davis) and medication errors (Andre Manley and numerous errors in discontinued documentation of medications in MAR) that have occurred and are occurring at our facility. In reference to the medication error, I would like to point out the discrepancy in the documents I mentioned, two medications arrive at the same time for A. Manley, as can be verified by the arrival sheet with a date of 4/10/15, however, they have a start date of 4/09/15 on the
If a product does not comply with Health Canada's legislation or it is not safe for patients, that product is recalled. When we receive a recall from the manufacturer/ importer/ distributor I need to ensure that all products recalled are identified. I need to determine if other brands, lot numbers or sizes/ strengths are affected by this letter and then put everything away from the distribution to public. Also, I check to see if any of that product were given to our patients and then let them know about it. Then those products are either returned to the manufacturer or destroyed in an environmental manner.
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
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.
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
Great pharmacy starts when you are a student. They talk about pharmacy students' knowledge and comfort in collaborating, supervision, and avoiding medication errors. They used cross-sectional design, a survey instrument was giving to fifth-year pharmacy students. Both open- and close-ended questions was giving in the survey to describe and examine reasons related with information and comfort in communication of medication mistakes. The survey was done by 93 students (90% response rate). Approximately 80% informed not having received training in communicating medication errors. The observation of having extra adequate training was associated to greater knowledge in the communication of medication mistakes (p ≤ 0.001). Having the knowledge was