Medication Errors In Personnel Report

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.

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

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,

The hospital should consider implementing “electronic prescribing through “computerized provider order entry systems” ( Radley, Wasserman, Olsho, Shoemaker, Spranca, & Bradshaw, 2013, p. 470). This system is an effective way to reduce patient harm associated with medication errors (Radley et al, 2013). In fact, The Institute of Medicine (IOM) recommends the use of the “electronic prescribing (e-prescribing) through a computerized provider order entry (CPOE) system” as an effective method to address such issues (Radley et al, 2013, p. 470). Medication errors are often a result of misinterpreted handwriting or poor handwriting (Radley et al., 2013). The use of electronic prescribing reduces medication errors associated with those reasons (Radley et al., 2013, p. 470). Studies prove CPOE reduces medical errors (Radley et al, 2013, p. 473). However, there were some mediation errors associated with electronic prescribing as the study also pointed out. The study found that users or

The medication error involved an 85 year old female. She was discharged from the hospital after an open reduction and internal fixation surgery for a fractured hip. Upon her arrival to the nursing home facility, there were multiple opportunities to prevent the medication errors that eventually lead to her fatal cardiac arrest. There was a lack in communication between the patient’s medical team. After the patient was discharged there was no follow up from the hospital nor a nursing care plan at the patients’ nursing home. The individuals did not use any critical thinking skills in going beyond the five rights of medication administration. There may have been a lack of knowledge of the medication. Since the patient had a history of

Medication errors are among the most common medical errors, harming and costing millions of patients in the world very year. Prevention of medication errors is, therefore, a high priority worldwide. Nowadays, various information technology (IT) systems are widely used to prevent and reduce medication errors. Computerized physician order entry (CPOE) with patient-specific decision support is one of the most powerful IT systems used by physicians to improve patient safety in various healthcare settings. As an example, application of CPOE systems has significantly reduced errors related to dosing of psychoactive medications. Pharmacy dispensing systems, including drug-dispensing

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

Nursing medication errors were examined by having nurses take surveys based on their perception of why medication errors are occurring as well as visiting their work setting and observing any errors. Nurses are encouraged to take precaution when administering medications to ensure that the correct medication as well as the dose, is given to the correct patient. It is imperative for hospitals to enforce medication stipulations to ensure that nurses are double checking medication labels. Studies show that causes of medication errors are due to nurse’s not understanding protocol, administration errors related to overworked weary

Medication errors are a big deal because you are at risk of ending someone's life by a simple mistake because you didn't recheck the medication you are administering to the patient. In 2007, a nine year old named Alyssa Hemmelgarn became sick and she kept taking medicine but wasn't getting any better. She was sick with swollen glands and cold sores. When Alyssa and her mother went to the doctors , the doctor diagnosed her with leukemia. A week passed by and she was getting treatment. Seems like she was getting better with all the medication she has been taking until one day she started receiving the symptoms and soon after passed away in the hospital. It turns out that the doctor noted her as “anxious” so they medicated her with ativan. 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.

Over past decade, several investigator groups have attempted to create, validate, and implement screening tools to detect prescription errors, and listing the drugs that carry a high risk of inappropriate in elderly patients. Screening tools including USA Beers Criteria [6], Medication Appropriate Index (MAI) [7] and the European Screening Tool of Older Person's Potentially Inappropriate Prescriptions (STOPP) and Screening Tool to Alert doctors to the Right Treatment (START) [8] are the most widely used criteria for the detection of prescription errors. Explicit criteria of STOPP/START criteria contains specific clinical and drug recommendations that can reduce PIP in older patients and was considered ‘most promising’ compared to other existing

Drug names, labels and packaging contribute to medication errors. Drug product characteristics as well as processes at the facility can contribute to medication errors. Organizations should systematically evaluate each high-risk medication. The names of several medications are strikingly similar looking or similar sound. The potential for errors caused by lookalike, sound-alike medications may be reduced by using type size that can read easily, prescribing where to write clearly, storage using TALL man lettering, increasing knowledge of patient education if changes in medications appearance, procurement of medicine, placing warning labels on stock bins, and storing high-risk medications in nonadjacent areas. Nurses, especially

With regard to reporting drug errors, (Webster and Anderson 2002) found that several areas of concern emerged, including nurses ' confusion regarding the definition of drug errors and the appropriate actions to take when they occurred. Nurses also reported their fear of disciplinary action and the loss of their clinical

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