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Medication errors occur why
Medication errors occur why
Medication errors occur why
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Common errors: Reduction & prevention There are several different types of errors that could take place in the medical field. One of the more common errors is medication errors. This is preventable by having clear orders from the physician to the pharmacy. The pharmacy then needs to ensure that the correct medication is pulled from the shelf. The nursing staff needs to monitor what they are giving their patient and ensure that it matches the physician orders. Hospitals are making it easy for this to be prevented by having physicians order the medication via computer which gets sent straight to the pharmacy, the medications are then scanned out of the pharmacy and also scanned before being given to the patient. The medication and dose should …show more content…
Not ordering the proper test to determine what is wrong with a patient is a mistake that can be prevented. On a daily basis with treating patients you will come across those patients that need to have further imaging but the physician is not ordering it despite signs and symptoms. Misreading imaging and not acting on those issues that are found is a problem in the medical field and is considered a medical error. Nurses and therapists are only able to act on what the physician orders, sometimes if you know the physician well enough you can have a professional discussion with them about your findings and they may take it into consideration without being offended. Preventing errors is something that all clinicians can do. Making sure that medications coming from the pharmacy match what the physician ordered and that they are given to the correct patient. Making sure that the documentation matches the treatment to the patient. Surgical errors can be prevented by making sure that the surgeon is operating on the correct body part. Nursing will ensure that all instruments are accounted for before the surgery is complete. Making sure that as a clinician you are doing everything in your power to complete documentation and treat the patients according to their ability to prevent injury to the patient and yourself. Systems errors can be prevented by knowing what you need in order to document effectively and in a timely …show more content…
Medical errors can be life-changing for a patient and sometimes even fatal. Modifying software to help prevent errors is critical. Discussing changes that can be made to the system will improve patient care and prevent medical errors. Ensuring that staff has proper training of standards is important to prevent medical errors as well. Documenting the pertinent information in regards to patient history, medications, allergies and co-morbidities is important, especially if that patient requires emergency medical help while under your care. Making sure that a patient who is a high fall risk is monitored with the proper supervision at all times and is wearing a gait
Electronic health information systems prevent errors by involving everyone in a primary health care setting which mainly includes specialists office, emergency department to access the same
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
Most undergraduate nursing students are not being properly educated on proper medication administration. Clinical instructors and registered nurses need to be updated on medication administration reporting, so students do not develop bad habits when they become registered nurses. Registered nurses must also continue their education on med error prevention to prevent future errors. Another significant problem with registered nurses was that they did not have positive attitudes when reporting an error. Once these negative attitudes were changed, more errors were reported (Harding & Petrick, 2008). The three main problems that cause medication errors...
Hospital medical errors can involve medicines (e.g., wrong drug, wrong dose, bad combination), an inaccurate or incomplete diagnosis, equipment malfunction, surgical mistakes, or laboratory errors. High medical error rates with serious consequences occurs in intensive care units, operating rooms, and emergency departments; but, serious errors that harmed patients may have prevented or minimized. Understand the nature of the error
A medication error is any preventable event that may cause or lead to inappropriate medication use or harm to a patient (NCCMERP 2014). The death rate for medication errors averages around 7,000 deaths per year. Lawsuits for medication errors were mainly made against registered nurses because nurses are the last people to check a medication before it is administered. 426 medication error related lawsuits were made against registered nurses. (RightDiagnosis 2014).
Medication errors made by medical staff bring about consequences of epidemic proportions. Medical staff includes everyone from providers (medical doctors, nurse practitioners and physician assistants) to pharmacists to nurses (registered and practical). Medication errors account for almost 98,000 deaths in the United States yearly (Tzeng, Yin, & Schneider, 2013). This number only reflects the United States, a small percentage in actuality when looking at the whole world. Medical personnel must take responsibility for their actions and with this responsibility comes accountability in their duties of medication administration. Nurses play a major role in medication error prevention and education and this role distinguishes them as reporters of errors.
O’Shea, E (1999) Factors contributing to medication errors: a literature review. Journal of Clinical Nursing. 8, 5,496-503.
So, an organization needs to undergo before its use is fully utilized. Among the risks that an organization that uses electronic medical records is the complexity of the implementation of this type of system, which is often underestimated by technical personnel or systems of health system management. Where the greatest risk is to be far-sighted towards the importance of implementing Electronic Medical Records for public health benefits or overall health systems. Electronic Medical Records is a major project that should be systematically considered and should be in line with the National Health System. Additionally, further identified risks are Electronic Medical Records disorders that may result in medical consultation and identified additional risk is what typically occurs when attempting to compile an inefficient process, or a process that does not work properly assumes that the system will solve inefficiencies, trying to force their operation through the system.
Conclusion. All in all, the functions of healthcare organizations are important and what is most important is being able to provide the best care for the patients who seek medical help. Many times, sick individuals seek medical attention because they want to feel better and feel relieve of the pain they are feeling. Since patients expect healthcare staff to know what to do and how to perform health care services, whenever a medical error occurs, the risk management department is faced with consequences. In order to avoid medical errors health care staff, set themselves goals and guidelines that they have to abide by in order to reduce medical errors.
Regardless of efforts to decrease the occurrence of perioperative medication mistakes, however the errors remain an issue. There were examined done on 16 nurses who talked about medication errors in the perioperative environment and 11 other nurses who gave further information about perioperative mistakes, educating nursing staff, within that state. I have learned that the most frequently reported medication error was perioperative medication mistakes. There were other medication errors involved in intraoperative some examples are: medication administration, IV sedation, and "close call" events. Some of the reasons for medication errors are: making pressure, self-satisfaction, and failure to track established procedures. There was lack of
The health care is extremely important to society because without health care it would not be possible for individuals to remain healthy. The health care administers care, treats, and diagnoses millions of individual’s everyday from newborn to fatal illness patients. The health care consists of hospitals, outpatient care, doctors, employees, and nurses. Within the health care there are always changes occurring because of advance technology and without advance technology the health care would not be as successful as it is today. Technology has played a big role in the health care and will continue in the coming years with new methods and procedures of diagnosis and treatment to help safe lives of the American people. However, with plenty of advance technology the health care still manages to make an excessive amount of medical errors. Health care organizations face many issues and these issues have a negative impact on the health care system. There are different ways medical errors can occur within the health care. Medical errors are mistakes that are made by health care providers with no intention of harming patients. These errors rang from communication error, surgical error, manufacture error, diagnostic error, and wrong medication error. There are hundreds of thousands of patients that die every year due to medical error. With medical errors on the rise it has caused the United States to be the third leading cause of death. (Allen.M, 2013) Throughout the United States there are many issues the he...
Medical errors can happen in the healthcare system such as hospitals, outpatient clinics, operating rooms, doctor’s offices, pharmacies, patients’ homes and anywhere in the healthcare system where patients are being treated. These errors consist of diagnostic, treatment, medicine, surgical, equipment calibration, and lab report error. Furthermore, communication problems between doctors and patients, miscommunication among healthcare staff and complex health care systems are playing important role in medical errors. We need to look for a solution which starts changes from physicians, nurses, pharmacists, patients, hospitals, and government agencies. In this paper I will discuss how does the problem of medical errors affect our healthcare delivery system? Also how can these medical errors be prevented and reduced?
Unfortunately, mistakes cannot be completely eliminated so it will never be truly solved, but there are techniques that can be used to minimize the number of mistakes. One technique for preventing possible mistakes is through redundant operations. This is when multiple people will ask the same question, by getting more eyes and ears involved, there is a greater chance that someone notices an error. For example, a nurse may look over a prescription that a doctor wrote and notices that the doctor wrote grams instead of the intended milligrams; or a doctor could confuse the symptoms of two different patients and almost gives them both the a false diagnosis, but another doctor who has also spoken with both of the patients is there to correct the potential mistake. A more self-reliant tool physicians can use is a simple checklist, this provides a very structured, and easy to follow path for physicians, and it is a common tool in other professions that require the same precise and safety oriented setting that is present in the medical field.
According to a study by the journal of patient safety; between, 210,000 and 440,000 people each year who goes to the hospital for care suffer some type of preventable harm. Too many medical mistakes are being made by doctors and other health care professionals. There are changes that need to be made to lessen the number of preventable medical mistakes examples of such would be, making a checklist, double checking treatments and making a more effective system of patient charts and records. Making a checklist of things to do in the medical field can reduce the adverse side effects and outcomes. When they did a study the BJA or British Journal of Anesthesia they found that when a hospital made a checklist the infection rate dropped 11.3%.