The subspecialty I plan on focusing my career around is medication therapy management (MTM), whether I work in a retail setting or not. Pharmacy informatics will be important to me, as the programs I use to fill prescriptions will also monitor the possible interactions, duplicative therapies, contraindications, etc. of the medications my patients will be receiving. This system will be my resource to ascertain which patients are in need of MTM and why, and by combining the information contained in
The subspecialty in pharmacy I choose is hospital pharmacy. As a current employee at the University of Utah inpatient pharmacy, I see the implementation of the concepts of pharmacy informatics discussed in class. Pharmacy informatics enables me to practice pharmacy quickly, safely, and in the best interests of the patient. The computerized physician order entry allows for less error and requires less interpretation by the pharmacy staff. This saves the pharmacists time which they can allocate
Preventing Medication Errors with the Six Rights of Medication Administration Medication errors are among the most common mistakes made in the health care industry. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) defines a medication error as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. The magnitude of medication
THE JOINT COMMISSION Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward
Alarm Fatigue a Sentinel Event It’s hard to leave a loved one in a hospital bed when night falls. Family members leave with a sense of responsibility, guilt, and sadness. They leave relying on the nurse to watch and care for their sick family member. Therefore, it is heart breaking to find out the next morning your loved one has suffered great brain damage due to nurses failing to check on alarm sounds. Now, the family is put on the spot to continue life support or disconnect their family member
Chasing Zero is a documentary which was meant to both educate the viewer on the prevalence of medical harm as well as to enlighten both the public and health care providers on the preventability of these events (Discovery, 2010). The documentary expounded on the fact each year more people die each year from a preventable medical error than die due to breast cancer, motor vehicle accidents or AIDS (Institute of Medicine, 1999). Medical harm can result from adverse drug events, surgical injuries
It’s very difficult to blame someone when mistakes occur in an environment in which we hope learning and improvement will take place. But eventually someone has to take blame for the mistake. Errors can occur anywhere but when it comes to the healthcare field there are more possibilities.It would include acute care, ambulatory care, outpatient clinics, pharmacies, and patient homes. Many people assume that medical errors involve only wrong medications administered or the wrong surgery performed (Dovey
It is a fact; the older adult population is living longer. While many older adults are fit and healthy, others are frail and weak requiring necessary medication. It is more important than ever for all of the healthcare community to be conscious of safe prescribing and the proper use of medicine when taking care of older adults. Analysis and Risks As we age, the use of medication is often increased in an effort to treat illness and disease. In older adults this frequently results in the administration
Fundamental care Practice of the intensive nurse in the treatment of pressure ulcers Introduction. The objectives of the study were to analyze the nursing quality of work and performance in the intensive therapy unit on the subject of pressure ulcer treatment. The occurrence of pressure ulcers in a hospital setting is common and considered a complication. Pressure ulcers occur when a region of skin and the tissues below that region receive an impaired blood supply due to being placed under prolonged
Emerging Technology Administration of medication is a vital part of the clinical nursing practice however in turn has great potential in producing medication errors (Athanasakis 2012). It has been reported that over 7,000 deaths have occur per year related to medications errors within the US (Flynn, Liang, Dickson, Xie, & Suh, 2012). A patient in the hospital may be exposed to at least one error a day that could have been prevented (Flynn, Liang, Dickson, Xie, & Suh, 2012). Working in a professional
Prevention of Ulcers Currently health care facilities use individual, multi-component interventions, or series of interventions to prevent pressure ulcers. Either health care staff is not implementing these strategies into their patient’s care or some changes obviously need to be made. Interventions to prevent pressure ulcers consist of using the Braden Scale for initial and repeated skin assessments to determine the patient’s risks for pressure ulcers, specialized support mattresses, heel supports
Pressure ulcer is also known as bedsore. There is a skin lesion, which is caused by number of factors, that include friction and unrelieved pressure. Body that can be affected; bony or cartilaginous areas such as elbows, knees and ankles are commonly affected. The bedridden patient for extended period are more prone to get pressure ulcer. Bedsore is one of the most common complication in elderly group and due to increase in rapid population, there is high prevalence of pressure ulcer which can lead
The mind is a powerful tool. It can be used to heal or harm the body. The body does not have to be physically treated with medicines and treatment, or be physically harmed because the mental power of the mind can make physical changes within the body on its own. The placebo effect is a beneficial effect that can make physical changes inside of the body solely based on the power of the mind and the belief that you are going to get better. The adverse effect that also uses the strength of the mind
Nurses Overworked Nurses. They are such a vital part of any hospital and in any medical offices. Their main focus is on the care of individuals, families, and communities so they can recover to perfect health. But with the constant demand, shortage staff and need for nursing, help or hurting them. During my research, I found that some people agree that overworking nurses is okay because the hospital still thrives and that an overworked is just collateral damage. Other think that overworking nurses
In the case study identify the incident and explain the problem that might trigger a root cause analysis. In this case study, a patient admitted to the intensive care unit (ICU) with septic shock requiring vasopressors that suffered an MI in the course of his treatment due to vasopressin overdose as the incident. The problem that triggered a root cause analysis was likely related to a log increase in the dose of vasopressin because of a prescribing error, pharmacy issues also figured prominently
The Side-Effect Effect There are side effects to almost every action people take. Getting rid of insects in a home can cause harm to the environment, or even poison pets within the household. Studying for a test can cause lack of sleep, and ultimately poorer health. Throwing away the remains of an unfinished dinner plate discards what could have been valuable nutrients for starving children in Africa. How one determines intentionality of an action has been a controversial topic for many. Joshua Knobe
Has anyone ever been to a hospital, whereas, she or he calls for the nurse and the nurse did not come in time? Many patients or their family members encounter this situation, because of the low nursing ratio. Throughout the years, nurses have argued that performing safe and quality care depends on the amount of patients in which nurses take care of daily. Moreover, nurses at the bedside feel that having an appropriate nurse patient ratio can increase a patient’s chance of having a positive hospital
Implementing technology in a clinical setting is not easy and cannot be successful without a well-organized system. It is important that healthcare providers understand the electronic medication administration record (eMAR) and its role in improving patient safety. One of the most significant aspects of healthcare is the safety of our patients. Medication errors account for 44,000-98,000 deaths per year, more deaths than those caused by highway accidents or breast cancer. Several health information
Introduction Root cause analysis is a tool used by many businesses to determine why an event happened. This process is still rather new to the health care sector. In health care, root cause analysis can be helpful in several ways but there are limitations to its usefulness as well. The process for conducting a root cause analysis is not lengthy in terms of steps; however, it can take time to find all of the mitigating factors involved with the incident. The case study provided is a classic example
In the hospital setting, accountability issues can occur from a variety of issues such as not following orders, to medication errors, and not overseeing delegation of tasks. In every workplace there will be employees being held accountable for their lack of maintaining interpersonal boundaries. These issues can include discrimination, inappropriate sexual advances, and personal conversation that are not work appropriate. Ability to recognize and honor the interpersonal boundaries Boundaries are