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Medication errors in nursing
Medication errors in nursing
Medication errors in nursing
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Abstract
Safety is the main concern in Health Care. Medication error is another aspect. It can be a preventable one. According to the National Coordinating Council for Medication error reporting and Prevention who states “A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient or consumer” (2018). The purpose of this paper is to show how different organizations identify, analyze different types of medication error, use evidence
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Its intent is to hold the industry fully responsible for pre and post-marketing products. Meaning marketing the wrong information in terms of design, labeling and safety container. Companies that bring certain medication to the public that may easily cause medication error and can be harmful. Meds that are display as candy, meds that should be chewable but cannot be chewed, dosage strength that’s incorrect, products that look-a-like and sound-a-like that are different and unclear information on packaging. On the other hand, Journal of Nursing Care Quality and the British Journal are both articles based on two peer reviews studies claiming the same med error occur through medication acquisition, transportation, and bedside delivery. The geriatric population is also known as poly-pharmacy,that are elders who use multiple medications in facilities are affected the most. This medical problem can derive from wrong acquisition due to overworked nurses, bed-side delivery when interrupted and distracted during medication pass. It could also be from an incompetent nurse or lack of communication among the health care professional …show more content…
Avoid abbreviation, symbols, acronyms, labels, and container should be different, Pre-Screening for marketing, no misleading marketing or no sound-a-like, look-a-like products and Meds error Surveillance. Using pharmaceutical companies, Med Watch, Institute for Safe Medication Practices Communication, Division of Drug Information and available literature to watch over the industry for errors. The Journal of Nursing Care Quality and the British Journal suggest less interruption to practice the rights of med administration, prioritizing interruption during med pass and delegating the task, educate nurses on adverse effect and patient teaching, monitoring of meds and systematic approach to facilitate communication between health-care professional will all minimize med error. In Reference to my personal experience, the correction approach I suggested was for that new grad to consult with her proctor as far as nursing protocol about telephone orders and seek the second opinion of the veteran nurse. Mayo Clinic and the American Journal of Health-System Pharmacy solutions to approach med error
For my research paper, I will be discussing the impact of medication errors on vulnerable populations, specifically the elderly. Technology offers ways to reduce medication errors using electronic bar-coding medication administration (BCMA) systems. However, skilled nursing facilities (SNFs) are not using these systems. Medication is still administered with a paper or electronic medication administration record (eMAR), without barcode scanning. In contrast, every hospital I have been in: as a patient, nursing student, and nurse uses BCMA systems. The healthcare system is neglecting the elderly. Nursing homes should use BCMAs to reduce the incidents of medication errors.
Medication errors in children alone are alarming, but throw an ambulatory care setting into the mix and it spells disaster. When it comes to children and medication in the ambulatory care setting, the dosage range is drastically out of range compared to those that are treated in the hospital setting (Hoyle, J., Davis, A., Putman, K., Trytko, J., Fales, W. , 2011). Children are at a greater risk for dosage errors because each medication has to be calculated individually, and this can lead to more human error. The errors that are occurring are due to lack of training, dosage calculation errors, and lack of safety systems. Medication errors in children who are receiving ambulatory care can avoided by ensuring correct dosage calculation, more in-depth training of personal and safety systems in place.
Many medication errors occur due to abbreviated words symbols, and dosage that cant be read and become misunderstood. These mistakes can cause harm if no one notices it. Many patients end up with a life threatening problem due to a medical error. A nurse might give the patient the wrong dose because of the handwritten abbreviation the doctor wrote is not clear. Many abbreviations are similar and this can cause complication. If abbreviations are similar the best thing to do is write the abbreviation completely out and always ask if not sure. Providing unabbreviated prescriptions, communication, and writing all abbreviations out can reduce errors in the healthcare setting. Another consideration would be to make sure in the healthcare setting written policies are mentioned and used.
Unver, V., Tastan, S., & Akbayrak, N. (2012). Medication errors: Perspectives of newly graduated and experienced nurses. International Journal Of Nursing Practice, 18(4), 317-324. doi:10.1111/j.1440-172X.2012.02052.x
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
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).
Agyemang, REO, and A While. "Medication errors: types, causes and impact on nursing practice." British Journal of Nursing (BJN) 19.6 (2010): 380-385. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
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.
The main quality initiative affected by this workaround is patient safety. The hospital switched to computer medication administration as opposed to paper medication administration documentation because it is supposed to be safer. So, when the nurse gets the “wrong medication” message the computer thinks something is wrong, this is a safety net that is built into the computer system. If the nurse were just to administer the medication without any further checks, he or she would be putting patient safety on the line. The policy involved that pertains to this workaround is the “8 rights of medication administration”, which are: right patient, right medication, right dose, right route, right time, right documentation, right reason, and right response (LippincottNursingCenter®, 2011). Each nurse it taught these eight rights of medication administration in nursing school, therefore it is a nursing policy. When this workaround occurs the nurse should use his/her judgment before “scan overriding” and ensure these eight checks before administering the
What classifies as a Medication errors? An error can occur any time during the medication administration process. A medication error can be explained 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 healthcare professional, patient, or consumer” (National Coordinating Council for Medication Error Reporting and Prevention, 2014, para 1). Rather it is at prescribing, transcribing, dispensing or at the time of administration all these areas are equally substantial in producing possible errors that could potentially harm the patient (Flynn, Liang...
When doctors prescribe medication for their patients, a local retail pharmacy is most likely to be utilized to fill the order. However, there is a growing population of older Americans that are no longer able to live independently and must reside in nursing homes or assisted living facilities. In order for this vulnerable population to receive their medications, a different kind of pharmacy is needed, these are known as LTC, long term care pharmacies. Within these specialized pharmacies there are highly trained employees called CPhTs, certified pharmacy technicians who are overseen by state licensed RPHs, otherwise known as pharmacists.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
O’Shea, E (1999) Factors contributing to medication errors: a literature review. Journal of Clinical Nursing. 8, 5,496-503.
Baccalaureate nurses are responsible for providing and ensure our patients safety. The knowledge from others mistakes can help informs nurses of extra precautions that we can take to ensure our patient’s safety. Risk Analysis and Implication for practice course helped me understand the steps I as a nurse can take as well as the facilities I work for to help reduce the number of medication errors that occur. Interviewing the pharmacist help me get a better insight to what facilities already have in place to help prevent medication errors. However like most things you have to have educated and compassionate caring staff to enforce and follow the guidelines set in place.
For almost 15 more years. Because of what he did, the trust between physician-pharmacist-patient relationships has been shaken. Pharmacists have taken actions to tighten the rules concerning pharmacies and the dispensing of prescription drugs, have had better communication to ensure that this doesn’t happen again. Legislators in Missouri and Kansas have suggested measures to increase regulation of pharmacies and penalties for tampering prescription drugs. Now has resulted in a creation of a tamper-proof product to ensure quality. Additionally, in January 2006, the Pharmacy Compounding Accreditation Board or PCAB was established. This focuses to standardized practices of compounding prescription drugs. Moreover, pharmacy professional organizations including the Academy of Compounding Pharmacists (IACP), the American Pharmacists Association (APhA), the National Community Pharmacists Association (NCPA) and the United States Pharmacopeia or USP work together with the state authorities to ensure safe and legal practices of pharmacy compounding and dispensing of prescription drugs. (Pharmacy Organizations,