Omni Cell Medication Error

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The use of an Omni Cell, which stores medication administered to patient in a central location in every unit or floor, is used to obtain medication ordered for each patient. The system is used to prevent medication errors that may cause or lead to inappropriate medication use. Another factor that may result in a medication error can be similar packaging of medication or names (Hughes & Blegen, 2008). The respiratory medication Spiriva, which comes in a pill from and administered using a special handihaler, was mistakenly given by nurses as a pill to swallow Prescribing Information - Boehringer Ingelheim, n.d.). Education was providing to nursing staff yet the problem continued. The medication was made to resemble a capsule that could be
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