Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
A study to assess the causes of medication error
A study to assess the causes of medication error
A study to assess the causes of medication error
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: A study to assess the causes of medication error
For many patients the scariest part of being in the hospital is having to rely on other people to control their life changing decisions. There are multiple causes of patient harm, one of the major contributors are medication errors made by health care professional. Medication errors are inappropriate dispensing and administration of drugs which cause harmful effects such liver damage and excessive bleeding. Most cases of medication errors in hospitals occur as a result of wrong diagnosis by the doctors leading administration of inappropriate drug, poor communication between doctors and nurses and between patients and nurses who issue the drugs. However in an article by the International Journal of Nursing practice, in Australia many occurrences …show more content…
The purpose of the research was to explore what factors influence the practice the practice of medication administration for nursing students when in the off campus clinical setting. Students in the final year of a Bachelor of Nursing program from one university in Queensland were target for participation. Students who wanted to participate were sent a questionnaire and a consent …show more content…
Of the 28 participants interviewed, nine reported making a medication error or experiencing a ‘near miss’ with particular focus on the level of supervision that was provided. A ‘near miss’ refers to a time when a student makes an error in the preparation of medication for a patient (Reid -Searl, 2010). The error had the potential to cause harm but no harm was initiated because it was corrected before administering it to the patient. Most of the participants who stated causing an actual error described receiving no supervision from a registered nurse at the time. One participant even stated that when realizing he made an error he went straight to the nurse to confess and she told him to not tell anyone and brush it under the rug. The results of the study suggest that errors are more likely to be made when required supervision levels are not provided by the registered nurse. The study concluded with results that recommend all nursing students to be supervised in the clinical setting. Undergraduate nursing student are at risk of making errors when administering medications to patients in hospitals. Adequate supervision assisted avoiding errors which indicates that supervision is an essential component for safe medication administration by nursing students. Educators for the nursing
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.
Clinical Supervision is the life wire of any health are professional. It is the on the job teaching that takes place between the supervisor and supervisee. It is a lifelong learning used for personal and professional development which is useful both in nursing education and clinical practice. Its benefit cannot be overemphasized as it is known to improve job satisfaction and prevention of stress /burnout. Supervision is important because it allows the novice to gain knowledge, skill and commitment.
...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...
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.
This paper will explore some ways facilities are trying to improve on safe medication administration. Many new system safe safeguards are being implemented and reducing the amount of medication errors. Another area facilities are improving is with better medication reconciliation. This collaborated effort may seem lengthy in the beginning but it is a crucial factor in reducing many mistakes. Extra safety measures taken with new graduate nurses with medication administration also may play a key role in reducing errors. In conclusion of the paper I will discuss what I feel about how I prevent making medication errors. In addition, how I care for myself on days that I am not working. Having a clear
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.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
With the help of Dock’s textbook, students were more easily able to learn and more effectively utilize the necessary drugs of nursing. Along with the knowledge about the drugs students also learned the necessary observations that they would need to make (Bradford-Burnam,
• The nurse may undergo a drug administration course, which deals with different aspects of
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, Kuzel, Phillips, and Woolf, 2004). However, there are many other types of errors such as wrong diagnosis, equipment failure; sometimes patients are given the wrong blood (Dovey, Kuzel, Phillips, and Woolf, 2004). As much as the healthcare employees try to prevent medical errors, they still can happen. It is necessary to recognize the medical error in order to provide proper care to the patient, report the error and then take an action to prevent the error from happening again (Dovey, Kuzel, Phillips, and Woolf, 2004).
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.
Firstly, nurses are expected to practice evidence-based health care hence a mastery of information about the essential and safe dose of drugs for a patient is very important for a nurse. Consequently, it could be the determinant between the life and the death of the patient. Pharmacology is a discipline which is mandatory for the nurse to excel in to be efficient in discharging his/her duties. Understanding which drug to use, the right dosage, the expected side effects which may occur and the contra-indications of the various drugs are key in the preservation of
This simple curriculum for registered nurses on “patient medication programme” contains curriculum elements that are universal such as the vision, mission, philosophy, aim, goal and program design and structure. The three (3) modules that were selected to develop the curriculum which is a comprehensive review of literature was done to ensure the material placed in the content, the experiences, and the learning environment would be sufficient to produce specialist practitioners on patient medication administration on the completion of this