The For Nursing And Allied Health Literature ( Cinahl )

Patient centered care and patient safety are the most important roles in nursing. “Serious medication errors are common in hospitals and often occur during order transcription or administration of medication” (Poon et al., 2010. p. 1). One important aspect of nursing is drug administration. It is a multidisciplinary task including doctors, pharmacist and nurses. This paper will show evidence that using electronic medication systems instead of paper based systems to administer medication will reduce medication errors.

This article will look at two articles and focus on aspects of safety medication administration in nursing practice by the staff nurses. This is interesting area because the previous report on the medication administration error in the UK shows that approximately 5.6% of doses administered to adult hospital patients and it has been estimated that 0.6-1.2% of medication administration errors may lead to severe harm even death (Mcleod et al, 2013). Leape et al (1995) indicated that nurses were responsible for 86% of all medication error interception, regardless of the original errors. The nurses play the important role in identifying the causes of medication errors and preventing medication administration errors in nursing practice in order to provide safe care toward the service users (Henneman et al, 2010). The Medicines and Healthcare Products Regulatory Agency (MHRA 2004) documented that the health professionals need to effectively and safely use medicines to ensure patients get the maximum benefit from the medicine; meanwhile minimizing the potential harm. This article will be critiqued on the different types of evidence which explored safety medication administration in the nursing practice toward service user. Using evidence is important in nursing practice because it can help nurses in addressing questions related to best possible care and improve patients’ outcome. It is embedded within the code the nurses are expected to use best possible evidence in the nursing

The pharmacy, nursing, and informatics department were required to be involved in implementing the bar-code-assisted medication administration (BCMA) patient safety initiative. The involvement of the informatics department was required for planning and coordination of the electronic medication administration record and the scanning devices. The nurses were administering the medications so they were required to undergo training on BCMA methods and the importance of BCMA implementation. Pharmacists were needed to assist nurses in case if a scanning error occurred. Pharmacy, nursing, and informatics staff members were responsible for evaluation of the BCMA system upon implementation.

Medication administration record is a system put in place to document the administration of medications order verbally or written by the patient’s physician to prove and organize that a medication was given properly to a patient. Other information documented is allergies and is the responsibility of the registered nurse (RN) or Licensed practical nurse (LPN) (Wager,

Medication errors are among the most significant cause of patient injury in all types of medical errors (Johnson, Carlson, Tucker, & Willette, n.d). In the nursing profession, medication administration errors occur 34% of the time, second only to physician ordering errors (Gooder, 2011). The introduction of information technology, such as the Bar Code Medication Administration (BCMA), offers new opportunities for reducing medication administration errors. BCMA was developed by the Veteran’s Affairs Medical Center in 1998 to help improve the documentation of medication administration, decrease medication errors and provide

The following articles were reviewed for the purpose of addressing bar code scanning in medication administration. Nursing requires the critical skill of accurate medication administration. The use of electronic medication administration has brought about many changes in the healthcare field. The article,” What Determines Successful Implementation of Inpatient Information Technology Systems” (Spetz et al 2012), was reviewed to address the above question. Computerized patients records and bar-code medication systems continue to gain favor in healthcare. This idea spread across the nation in all VA sites (Spetz et al., 2012, p. 157), providing a safer environment for patient care.

Encourage the use of computer-generated or electronic medication administration records. Plan for the implementation of computerized prescriber order entry systems. Consider the use of machine-readable code (i.e., bar coding) in the medication administration process. Use computerized drug profiling in the pharmacy. Be a demanding customer of pharmacy system software; encourage vendors to incorporate and assist in implementing an adequate standardized set of checks into computerized hospital pharmacy systems (e.g., screening for duplicate drug therapies, patient allergies, potential drug interactions, drug/lab interactions, dose ranges, etc.)”. (Association,

The project will be presented in detail and the importance of the need for a change in our current practice. The future objective will be providing this information to the South Carolina Labor and Licensing Board for review and possible inception. The power point presentation would provide information about medication errors, the on-going issues, the failure to keep medication administration safe and the purpose to standardize appropriate practices that will be made aware to all non-licensed facilities under the Lutheran Homes of South Carolina umbrella. The MED Tech training will be made available to current med techs and new hires that are Certified Nursing Assistants or Medical assistants with at least a year of patient care skills on our Health Care Academy websites where the staff has unlimited access. This will health, promote the knowledge, understanding and importance of medication administration in the correct manner while maintain safety for all

Medication reconciliation is defined as a “formal process of obtaining a complete and accurate list of each patient’s current home medications – including name, dosage, frequency, and route – comparing the physician’s admission, transfer, and discharge orders to the list.” (Meguerditchian N, Krotneva, Reidel, Huang, & Tamblyn, 2013). There have been several studies performed across the world to try to comprise a system that will successfully accomplish medication reconciliation. Some of these studies have been successful and others have failed to find a solution. There have been studies that have utilized a pharmacy technician in the emergency department to facilitate the input of patient’s medication reconciliation prior to admission. Other studies have relied on the pharmacist to obtain the information. Most studies involved the primary nurse providing care to the patient to obtain the medication reconciliation information. There have been several forms of documentation tried on trial bases. These forms of documentation range from a paper medication administration record (MAR) to an electronic medication administration record (EMAR) that utilizes today’s technology.

The profession of nursing includes: promoting health, preventing illness, as well as providing care. NUR 102 teaches student nurses, like myself, a wide range of information and knowledge needed in order to become a successful nurse and also aids in the preparation for clinical placement. Nonetheless, this course teaches essay writing, critical thinking, nursing theories, as well as the roles and responsibilities that I will have as a nurse.

The results of this study was that the percentage of medication errors decreased following the implementation of eMARs. Although medication errors were decreased, the authors found that the eMAR system decreased efficiency and disturbed workflow. The authors state that factors such as missing medications, preparing medication at the bedside, and distractions contributed to this and are factors that can be improved. The author’s identified the presence of several limitation in the study. The use of one individual to collect data created a possibility of bias and the observation of nurses may have affected the behaviors of the nurse. Also, the authors state that the study was not a cause and effect study and was only conducted on one unit which decreased the generalizability of the study. According the hierarchy of evidence for intervention studies, this

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

A Registered Nurse is a person who has graduated from a nursing program and met

Nursing in today?s society involves more than technical skills, critical thinking, and compassion. It also is changing to add the ability to not only understand but be able to utilize technology to impact a patient?s health. There are many technological changes employed in healthcare practices, however, I have chosen to address bar-code medication administration or BCMA. According to an article in the Journal of Patient Safety, ?bar-code medication administration has been shown to be effective in reducing patient medical errors, yet is still only utilized in 5% of the country?s health care facilities? (Sands, Slebodnik, & Young, 2010). Medication errors are common in hospitals and often lead not only to patient harm, but also lengthy hospital stays and law suits. ?One study identified 6.5 adverse events related to medication use per 100 inpatient admissions, more than one fourth of these events were due to errors and were therefore preventable? (Bane, et. al., 2010).

CINAHL stands for the Cumulative index of Nursing and Allied Health Literature and is the largest and most in-depth nursing research data base. I entered my key word in subject box which is ventilator associated pneumonia. It brought a lot of topics concerning my search question. I used the years of publication to narrow my search. I was able to pick the topic that will be more relevant to my topic. Ventilator associated pneumonia is the most common nosocomial infection in critically ill patients. It remains an important drain on hospital resources.