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Nursing fundamentals patient safety
Impact of medication error
A study to assess the causes of medication error
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Recommended: Nursing fundamentals patient safety
Homecare is a short term, acute care setting in which patients need additional support, assistance, and/ or education. There are many benefits of homecare, including a personalized care setting, a decreased risk of exposure to infections, and is a cost-effective alternative to hospital care. Homecare patients need to meet eligibility requirements, to have service in their home, which includes having skilled needs. The overall goal for homecare is to improve the patient’s ability to self-manage their disease or illness, and to prevent unnecessary harm.
Introduction: Problem One problem, in the homecare setting, is the occurrence of medication errors resulting in harm or re-hospitalization of patients. It is important to explore, in detail,
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In terms of health, the patient must have a condition that requires medication, to be a potential victim of a medication error. The patient plays a big role in the manifestation of a medication error. Some factors include, non-adherence, health literacy, financial barriers, comorbid conditions, cognitive status, and anxiety. If a nurse does not practice safe medication reconciliation, does not validate that education provided was successful, is rushing, or has a lack of knowledge then the likelihood a medication error will occur increases. Antecedents related to the environment include miscommunication due to multiple communication methods, conflicting provider schedules, and lack of understanding of the electronic medical record.
The consequences of medication errors to the patient include a loss of trust in the healthcare system, re-hospitalization, short or long term side effects, and possible death. Due to patient injury, caregivers may need to take on more active roles as primary caretakers. Clinicians and providers may carry a sense of guilt or failure to prevent patient harm. These consequences are also costly in terms of the care that needs to be provided, re-education of staff for prevention, and hospital reimbursement
It is very disturbing at the number of errors that occur in children who receive medication in the ambulatory care setting. According to Medication Dosage Error...
The quality of the home care must meet the essentials of the patients or service seekers. But it never means to fulfil the basic needs or requirements of the individuals who are seeking the service. On the other hand, if the home care is not able to meet the basic needs of the patients then this is important to analyse the certain reasons behind this (Janamian, et. al., 2014).
Nurses were the professional group who most often reported medication errors and older patients were those most often affected in the medication errors reports analyzed for this study (Friend, 2011). Medication error type’s revealed omitted medicine or dose, wrong dose, strength or frequency and wrong documentation were the most common problems at Site A where the traditional pen and paper methods of prescription were used; and wrong documentation and omission were the most common problems associated with medication errors at Site B where the electronic MMS was introduced (Friend, 2011). Reports of problems such as wrong drug, wrong dose, strength or frequency, quantity, wrong route, wrong drug and omitted dose were less frequent at Site B (Friend, 2011). The reduced incidence of omission errors at Site B supports suggestions that an advantage of the MMS is easy identification of patient requirements at each drug round time slot. Despite the finding of less omission errors at site B where the MMS had been introduced, there was a relatively high frequency in the incident reports of medication errors related to both omission and wrong dose, strength and frequency at both sites (Friend, 2011).
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.
The purpose of this paper is to show most of medication errors occur on the night shifts and the weekend shifts in pediatric care, Bar Code Medication Administration System’s success on extremely low medication errors in pediatric care, and tenfold medication errors in pediatric care.
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.
Furthermore, short staffing affects the quality direct care each patient receives. The National Coordinating Council for Medication Error Reporting and Prevention (2012) states an estimated 98,000 individuals die every year from medical errors in the United States. One out of many significant tasks nurses do within their scope of practice is medication administration. Research shows a relationship between short staffing on medication errors: the longer the hours nurses work, the higher the chances of medication errors (Garnett, 2008). (include definition of medication error) Administering medications requires knowledge of patient rights, pharmacological information on the drug, adverse effects, proper dosage calculations, and hospital protocols. When nurses are assigned more patients, they are pressured to give due medications on time. Sometimes due to hunger or fatigue, nurses give the wrong medication to the wrong patient (Frith, Anderson, Tseng, & Fong, 2012).
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.
Proposed Solution Medication administration is a common procedure practice in an assisted living/residential community in which the staff members are not licensed; in settings such as this staff members are often lay people who administers medication and provide care. It is facilities such as these where it has been found many medication errors occurs due to non-medical people administering medications, people who are unfamiliar the medications being administered, communication barriers, medication orders, the packaging, and the wrong medication doses at the wrong times. The list of errors are endless, yet troublesome (MacDonald, I., 2013).
Provider related factors contributing to medication errors include clinical practices associated with prescribing, transcription, dispensing, and administration and monitoring (8). In the aspect of medication safety, medication administration, storage and management of medications, and managing adverse events are regarded as crucial domains .When nurses perform mal-behavior on medication administration, it is said to be non-compliance, in turn, neglect of conduct, resulting in medication administration errors (MAE )probably. Therefore, studying nurse’s behaviour of medication administration is very important
The Institute of Medicine (IOM) in 1999 released a report called To Err is Human: Building a Safer Health System, describing how medication errors were the leading cause of death and disabilities in the United States with 44,000 – 98,000 people die each year. A recent analysis published in 2016 cited that medication error death are likely the third most common cause of death in the United States. Errors are defined as “the failure to complete a planned action as intended or the use of wrong to achieve an aim.” Errors can be contributed to delays in diagnosis or treatment, communication or equipment failures, failures in diagnosis, treatment, or surgical procedures, selection or doses of medication (Young & Kroth, 2018). Errors occur in every health care setting, not only hospitals; clinics, physicians’ offices, pharmacies, homes, and nursing homes.