According to Cloete (2015), medication errors continue to be one of the leading causes of harm to patients in the healthcare settings. A medication error is considered an avoidable incident linked to medication that fails in the treatment process but leads to or has the possibility of creating a serious negative effect on the patient’s health. A study conducted by Ebrahimpour, Ghodousi and Shahrokki (2013), reported that according to the Institute of Medicine, medication errors created in the United States ranges between 44,000-98,000 deaths a year. The cost also involved compensation for patients affected in errors resulting to adverse effects was $6 – 29 billion yearly. Research conducted by Hemingway, McCann, Baxter, et al. (2015) …show more content…
Environment Interruptions This was conducted among 70 % (n=49) of registered nurses and 59% (n=24) of students nurses reported that environmental interruptions caused a limitation to safe administration of medication. Environmental distractions were identified through noises of people moving around, phones ringing, beeping sounds of pagers and poor environmental lighting. This was identified through the qualitative analysis. Work-related Pressure Work related pressure was testified by 59% of registered nurses (n=41) and 61% of student nurses (n=25) as a key dormant issue other issues were identified in a qualitative review that could contribute errors were inadequate amount of experience staff present on shift. This created extra pressure for the qualified staff due to the work overload making room for errors. Poor Medication Knowledge Another causative issue to medication error was poor staff knowledge about medications. 46% (n=32) of registered nurses and 37% (n=15) of student nurses stated that not having enough knowledge about medications increases the risk for creating an error. It is essential for the person passing meds to identify potential side effects, the drug type, contraindication and it interactions to reduce the patient may encounter for taking the medication. The qualitative review of registered nurses reinforced this issue. Poor Documentation Many registered nurses (47%, n =33) compare
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,
When it comes to medication errors several things may occur such as adverse drug event, unexpected deterioration, and even death in severe cases. AHRQ (2015) states, “an adverse drug event (ADE) is defined as harm experienced by a patient as a result of exposure to a medication, and ADEs account for nearly 700,000 emergency department visits 100,000 hospitalizations each year.” There are many ways that errors may occur such as dispensary errors, prescription errors
In Australian hospitals medication administration errors make up 9% or 1 in10 of all medication administrations. These errors include wrong doses, wrong intravenous infusion rates and errors made by prescribing doctors. Errors on discharge of patients were increasingly higher with up to 2 errors per patient related to doctors transcribing discharge medications (Roughead, Semple, & Rosenfeld, 2016).
Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of
Medication errors are focused on: terms and definitions; incidence of and harm; risk factors; avoidance; disclosure, legalities & consequences (Wittich, Burkle & Lanier, 2014). Medication errors categories have been developed by the American Society of Health-System Pharmacists (ASHP). Examples of these categories are based on prescribing, omitting drugs not administered, timing, unauthorized drug, wrong dosage, wrong preparation, expired drug, not using laboratory data to monitor toxicity (Wittich, Burkle & Lanier, 2014). Additionally, this article examines in depth common causes leading to medication errors, drug nomenclature, similar sounding drugs, unapproved abbreviations and handwriting, medical staff shortages and manufacturer medication shortages. Even though this article provides an informative overview for physicians, other allied health personnel may benefit too. This is valuable knowledge for the health care professional not just physicians in order to provide safe care for their
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.
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 error is and how it can have an impact on the nursing team or organizations was
The words medication error elicit fear in every nurse. According to Stefanacci and Riddle (2016), preventable medication errors are responsible for third reason of death apart from heart disease and cancer in the United States. As a nurse, it is important to obtain skills and knowledge to prevent them as these errors could result in extended hospitalisation of patients, simultaneously a burden of health care cost. These errors could be reduced by identifying the problems which lead to medication errors and following certain protocols in a coordinated environment.
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.
Worldwide billions of dollars are being spent in managing the medication errors. It is reported that MEs cost Americans $37.6 billion each year and about $17 billion is associated with preventable errors.
Medication errors occur more often than they should. It is recorded that medication errors occur in children every eight minutes or in every 25 out of 1900 children. Adults older than age of 65 are seven times at a greater risk of being victim of medication errors than those adults under the of age 65. What is a medication error? A medication error is a event that may cause or lead to inappropriate medication use or patient harm while the medication is in control of the healthcare professional, patient, or a consumer. The patient has to actually receive the drug in order for it to be considered a medication error. Detrimental patient outcomes are associated with medication errors. A few of the many harmful effects include medication overdose, stroke, heart attack, organ damage, harm to fetus, paralysis, and death. The numbers of occurring medication errors are staggering but they can be prevented. There a precautions to take in order to safely administer and prevent medication errors, which requires following the “six rights of medication administration”. These six rights are as followed, right patient, right drug, right dose, right route, right time & date, and the right documentation.
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
The National Patient Safety Agency (NPSA 2010), defines a drug error as ‘any preventable event that may cause or lead to inappropriate use of patient harm. Although not all drug errors have lead to patient harm it is important to recognise that if a mistakes has been