Medication Errors

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Medication Errors: A Literature Review your name here
Pharmacology 2 teachers name here
September 17 2008

The American Society of Hospital Pharmacists define a medication error as “episodes of drug misadventure that should be preventable through effective systems controls involving pharmacists, physicians and other prescribers, nurses, risk management personnel, legal counsel, administrators, patients and others in the organizational setting, as well as regulatory agencies and the pharmaceutical industry” (Armitage, G., & Knapman, H. 2003 ).This paper shall discuss the various causes of, and methods for the prevention of medical errors. In looking at this important and complex topic it is hoped that healthcare
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One patient required treatment with naloxone and the other required additional monitoring, ISMP Canada alerted the manufacturer who subsequently made changes in their packaging.” (Koczmara, C., Dueck, C., & Jelincic, V., 2006). Additionally from the preceding example we can see the positive effect of reporting medication errors. In that case it took only two reports to affect a change in the system towards preventing further errors from happening. Also from a liability standpoint up front reporting of medication errors is a good thing. “ ... the likelihood of being sued after such an error often depends on how the hospital responds when the error is discovered. If they revealed the error, and then made attempts to change the process that results in this error, that is always a good start.” (Kanjanarat, P., et al). These two examples highlight the importance of reporting medication errors and near misses. Nurses as the front-line healthcare providers shoulder a great burden of responsibility in the prevention of medication errors. “ Front-line health care practitioners are often safety nets preventing errors from reaching patients.” (Koczmara, C., Dueck, C., & Jelincic, V., 2006). It is because of this that every effort should be made with regard to implementing effective strategies to reduce the risk of medication errors. The five rights, right route, right
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