The FDA Adverse Event Reporting System

An error is one of the vital parts of human life. Hospitals are areas with very chaotic systems and as health care is growing more steadily, it is becoming complex in nature and more sophisticated technologically. Therefore, medical errors are bound to happen. Administrators, physicians, and nurses, are advocates of patient safety and safety is one of the highest priorities during the provision of care. A report from Institute of Medicine (IOM) claims that between 44,000 and 98,000 die annually due to medical errors (Alexander, Cheryl Ann 2014). Medication errors can lead to adverse outcomes such as increased mortality, extended period of hospitalization, and amplified medical expenses. Although the health care team can cause medication errors, nursing medication errors are the most common. Moreover the workload of the nurses combined with more prescription

Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency

One of the standards that has been implemented is Standard 4: Medication Safety. The Australian Commission implemented this standard with the intention of ensuring that competent clinicians safely prescribe, dispense and administer appropriate medicines to informed patients and monitor the effect. (Australian Commission on Safety and Quality in Health Care, 2012) In healthcare, one of the most common treatments is medication. As a result of this, there are many incidences of error, many more than any other healthcare interventions. According to the Patient Safety Network (PS Network, 2015) medication errors account for nearly 700,000 emergency department visits and 100,000 hospitalizations each year. Medication errors are often a result of the unsafe and poor quality practice of healthcare professionals or system errors. Medication errors are costly and many are avoidable. For this standard

There are 440,000 people a year that die from a preventable variety of mistakes that are made in hospitals, which comes out to a little over 1,000 deaths a day, and is the number three cause of death behind cancer, and heart disease (hospitalsafetyscore). According to a group that rates hospitals named The Leapfrog Group a nonprofit watchdog group that grades hospitals for safety, (leapfrog) a majority of these deaths are very avoidable and are most of the time simple mistakes. Errors in Hospitals are a broad issue that gets hundreds of thousands of people killed every year; for the most part, they are preventable and are caused by overtesting, overdiagnosis, overtreatment, non-reporting, and lack of oversight, though there are ways to prevent

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.

Medicine is an always evolving field, and continues to grow in the pursuit of people health benefit. As time has passed better research studies, discoveries, treatments and improvement of patient outcomes has been the pride of the medical field. However; despite all the improvements in medical advancement, preventable medical errors have become a major problem in the field. About a decade ago, the Institute of Medicine (IOM) investigated and created the report To Err Is Human: Building a Safer Health System, in that report the IOM came to the conclusion that approximately 98,000 people has died yearly in the United States as a consequence of an preventable medical error (RWJF, 2011). Some of these errors are caused

In 2011, over 3,800 of these “never events” where reported to the Joint Commission (psnet, n.d.). Being an Administrator in a hospital setting, it is import to know what SRE’s mostly occur. Many of the SRE’s reported in 2011 were linked to surgical events such as wrong-site surgery, air embolism, death or disability due to medication errors, patient suicide and environmental events such as fires, which can harm anyone in the facility (psnet, n.d.). 8.2% of the serious reportable events reported to the joint commission where medication errors, nearly 600 reports are medication errors. This happens when a patient dies or is seriously injured due to a medication error such as being administered the wrong drug or the wrong dose, it was given to the wrong patient, at the wrong time or wrong rate or had the wrong preparation, or wrong route of administration (psnet, n.d.). Mediation errors are the most important or relevant to hospital setting

Synergy Model for Care is considered a high middle range theory as it includes concepts, self-transcendence, resilience and growth and development (McEwen & Wills, 2014 p. 239). Middle range theories were mostly derived from grand theories in order to develop a bridge to clinical practice. A high middle range theory is generalized with fewer concepts than a grand theory and applicable across specialties and different clinical settings. With high middle range theories propositions are clearly defined with testable hypothesis (McEwen & Wills, 2014, p. 74).

New research estimates up to 440,000 Americans are dying annually from preventable hospital errors. This puts medical errors as the third leading cause of death in the United States, underscoring the need for patients to protect themselves and their families from harm, and for hospitals to make patient safety a priority (Hospital Errors are the Third Leading Cause of Death in United States (n.d). This is a staggering statistic and shows the need for immediate changes in the administration of medications.

Medications are used as one of the interventional strategies in the prevention and management of various ailments. Although medications are useful to patients, when used inappropriately, they are not only harmful to patients but also impair the reputation of physicians. Medication Errors (MEs) are known to occur in the healthcare setting. According to National Coordination Council for Medication Error Reporting and Prevention (NCCMERP) medication errors are defined as “Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of a healthcare professional, patient or consumer”. Medication errors occur when a healthcare professional performs an act that

Safety is what we all live for and one important thing that keeps us safe are drug treatments. These medications treatments can also be fatal if it is not given the right way. These medications are usually prescript by our physician or any legal specialist. “Five of the top 10 patient safety concerns have ties to some part of the medication process” (Patient Safety Monitor Journal, 2015, P.1).Medication errors can occur during prescription, dispensing and administer.

Patient safety is a major concern for all health care providers. Two areas of safety that are relevant to my practice in an outpatient surgical center are medication errors and the electronic error reporting. The Association of periOperative Registered Nurses (AORN) is the organization that was used to support my project. The Quality and Safety Education for Nurses (QSEN) Initiative competency that was chosen for my indirect clinical project (ICP) was safety. Everyone in the health care environment wants to be kept safe. A discussion on how medication errors and the electronic error reporting affects everyone from the staff to the community will be discussed. Safety is an integral part of health care. Considering the Joint Commission (2015) believes patient safety is so important that it has dedicated and entire chapter on the subject and made it free to view. Throughout this paper safety related to medication errors and electronic error reporting will be discussed. Along with the topic of medication errors and electronic reporting will be two plans to reduce safety related events. Overall the paper will cover medication errors and their prevention with how electronic error reporting can help prevent frequent errors from occurring.

Medication errors are one of the most costly errors for a hospital to encounter. According to the Institute of Medicine (IOM), there is an estimate of over 90,000 people who dies annually as a result of hospital mistakes arising from medication errors. The IOM estimates that medical errors alone cost the U.S. over $37 billion each year. In resents studies, it has been revealed that preventable adverse events (PAEs) lead to 350,000 patients who seek care in hospitals. The CDC reports that these figures make medication error to be the third leading cause of death second to heart disease and cancer. The purpose of this case study is to bring awareness to staff and educate them about the seriousness of this matter. Sentinel outcomes within the hospital settings are preventable with better patient’s outcomes projected. The Chief Nursing Officer (CNO) must remain knowledgeable and direct change that will promote a Healthy Reliability Organization that is supported and guided by the practice of evidenced-based medicine. The CNO can address leaders within the organization to tackle such an issue now before further damage is done. This will allow the organization to incorporate a more comprehensive approach to improving care within the hospital with better quality outcomes implemented. Hospitals by adopting the TeamSTEPPS principles can promote high-quality patient care that is supported by evidence-based practices (Crane & Crane, 2006; Kohn,

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

Medication safety is a general term used to describe any event related to the patient's safety upon using medications. In order to ensure the safety of the patients, the term medication error was developed. Medication error is “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of a HCP, patient or consumer,” as defined by WHO. Medication error can occur at any level of the medication use process, which involves prescribing, dispensing, preparation, labeling, administering or monitoring the medication. Therefore, determining and resolving medication errors are significant parts of the pharmacist role.