There are fore main reason for Medication Error. First, patient knowledge deficiency such as allergy information. Second, medication knowledge deficiency such as drug compatibility. Third, non-adherence to policies and procedures. For example, order the drug in non-verbal or abbreviation ways so that led to error. Before administer the drug, the nurse did not check the name. The health giver did not follow the nursing, pharmacy or treatment policy Forth, miscellaneous for example: the caregiver forget to administrate the drug, or equipment failure. There are many drugs names look alike or sound alike another, so that make the caregiver confuse between them. The top ten drugs that involved in the errors are: insulin 8% Next, the Morphine 2.3%
b) I choose this topic because during my experiences in clinical area as well my experience in Hospital where I worked, I have came across different types of medication errors which involve patients and this could be a cause for serious problems to patients and in some cases will lead to death. It is a serious matter. Also drug error can have bad effect on nurses, both personally and professionally.
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.
Excellent outline for your quality improvement initiative that addresses medication errors. I like how you describe the closed-loop medication administration process that includes all members of the interprofessional team. Your references are also well researched and current. From the outline, it is unclear what the barriers and implementation strategy are to reduce medication errors. One suggestion I would make is to look at the grading rubric. There are four main points that the rubric requires to complete the objectives for the paper. I usually create headings that align with the rubric, this helps me organize my thoughts and to meet the objectives of the assignment.
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,
Medication error is defined as the following by the National Coordinating Council for Medication Error Reporting and Prevention: “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling; packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use” (Anthony, Wiencek, Bauer, Daly, & Anthony, 2010). Medication errors cause increased length of patient hospitalization and morbidity and mortality (Pape
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
Medication errors commonly occur in healthcare facilities. According to the Joint Commission, these medication errors are believed to be the most common type of medical error and are a significant cause of preventable adverse events (The Joint Commission, 2008). Many experts agree with the research that medication errors have the potential to cause harm within the pediatric population about three times as higher than in the adult population. This is due to medication dosing errors that are weight-based dosing calculations, fractional dosing, and misplacement of the decimal point that can lead to overdosing or under dosing (The Joint Commission, 2008). Children are at greater risk than adults for medication errors because they have an immature physiology as well as developmental limitations that affect their ability to communicate and self-administer medications (The Joint Commission, 2008). Another important factor is that the great majority of medications are developed in concentrations appropriate for adults; therefore, pediatric indications and dosage guidelines often aren 't included with a medication, necessitating weight-based dosing or dilution (The Joint Commission, 2008). The need to alter the original medication dosage requires a series of pediatric-specific calculations and tasks, each significantly increasing the possibility of error (The Joint Commission, 2008). Additionally, an observation of safety regulations and practices by Nemours Children’s
A medication error is any preventable event that could cause patients harm while the medication is in the control of the health care professional, patient, or consumer. Some common cause for medication errors include ineligible handwriting, similar packaging design, similar names, or similar characteristics. These include drug strengths, dosage forms, and dosage intervals. The (DMEPA) Division of Medication Error Prevention and Analysis main priority is the premarket review of proposed proprietary medication names, labeling, and packaging, and Human Factor Studies in order to prevent medication errors. They also provide guidance and advise industries on the development of drugs and considerations from a medication error perspective. Fully writing
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.
Medication administration errors are a big problem in the nursing field. However, with the infusion platform, this prevents medication errors from happening. The infusion platform allows nurses to program the prescription ordered for the patient and blocks any low or high medication doses to enter the patient. With this new profound technology, it provides patient safety to the fullest.
Objective: A high percentage of medication errors are happening that involves the nursing staff. In this study, I examined some potential reason why medication errors occur due to lack of education, competency skills, feeling rushed, giving too much drugs, and drugs with similar names. I sought to determine whether nurses are being properly educate or are just not satisfied enough with their work
There are a lof ways to prevent medication errors for example ISMP is something being used to prevent those medication errors, and it stands for the Institute for Safe Medication Practices and it is based on suburban Philadelphia. ISMP started about 35 years ago and it has always been the foundation of its medication error prevention efforts a volunteer practitioner will use error reporting-program to learn about all the errors that happen across the nation part of their job is to understand all the causes and share all the lessons that will help the healthcare community, and they are also responsible for reviewing all the medication error reports submitted by healthcare facilities to the Commonwealth of Pennsylvania Patient Safety Authority.
The population that is affected by medication errors are everyday people. They are vulnerable patients who reside in assisted or residential facilities, while relying on non-licensed staff members to administer their medication or provide care. While the clients are vulnerable, the rely solely the fate of others for medication administration as well as care assistance.
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