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What is the impact on nurses of their medication errors
Problem with medication errors
Problem with medication errors
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Methods Utilized To Prevent Medication Errors
Liana Rodriguez
Florida International University
Methods Utilized to Prevent Medication Errors
Introduction
The goal of any medication practice and dispension is to improve the quality of life of the patients while minimizing the medication risk to the patient. Patients are always subject to errors and risk during the medication period. Medication errors include among others prescription errors, dispensing errors, medication administration errors, omission of ordered drugs, timing, and even patient compliance errors (Goldspiel et al., 2015). Health care organizations are centers for care and rescue for patients suffering from different health issues. Therefore, it is the duty of the health care managers and providers to ensure that patients do not develop further health issues and complication due to the medical errors.
Cause of Medication Errors
A number of factors have been associated with medication errors in most health care organizations. Some of these factors include workload, staffing ratios, burnout, etc. Patient related factors that could trigger medication errors include age, non-adherence to medication, inadequacy of medication information, miscommunication between nurses, pharmacists and physician (Goldspiel et al., 2015).
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The abbreviations used in the hospital should be the ones approved for use in the medical ordering by such a body. Also, P & T establishes standard drug administration time guided by relevant information from nursing and pharmacy departments (Goldspiel et al., 2015). Also, hospitals have developed standard drug concentrations as well as dosage charts to reduce the need for the dosage circulation by
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.
Eliminating abbreviations can reduce errors in the healthcare profession when it comes to medication errors, patients dealing with a life threatening medical error, and similar abbreviations.
Precision of a patient’s intravenous medication is essential; it must be safe from. contamination, toxicity, and side effects. Most people believe these medications are compounded or mixed by a trained and licensed individual. However, this is inaccurate because the pharmacy technician actually compounds a large percentage of a patient’s medications. Compounding involves a technician’s math skills, aseptic technique, and professional ethics.... ...
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.
In the article JCAHO Forbidden Abbreviations it discussed how JCAHO National Patient Safety goals are to verify an order if a forbidden abbreviation is used and to improve effectiveness and efficiency of the caregivers. The reason for verify ensures the safety of the patient and covers and issues for the pharmacies and the care givers. In the article I think the recommendations made by the JCAHO to verify forbidden terms will help in the long run. In the end it will correct errors that will be made without verification. Even symbols that can be mistaken for numerals and even letters will be clarified so a patient does not receive the wrong prescription or dosage. It is also a good thing that facilities can add to the list of forbidden abbreviations since medicine is always advancing and changing.
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.
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...
A newly employed critical care nurse was just about to finish a 12 hour night shift when she realized she had one more patient to administer medication to. It was the busiest Friday night shift she has ever worked due to poor nurse-patient ratio, and the workload felt impossible. She gave her last patient the properly prescribed medication, but failed to notice that the physician hastily wrote an updated dosage for a high risk medication, Digoxin. The patient’s heart rate began to slow down and life-saving procedures had to be activated. Medication errors are “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
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
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
When it comes to eliminating the abbreviations in the medical field, this could greatly reduce some of the errors that occur on patient charts and in other types of important paperwork as well. Many of the medical abbreviations are quite similar and can cause a bit of confusion among some of the personnel. A great deal of errors involving abbreviations can occur when medical staff are trying to rush while they are writing d...
Pharmacology Assignment One Administering medications is an important and common task done by Nurses. It is crucial that Nurses know how to do so in an appropriate manner to promote the safety of both themselves and their patients. The United States Food and Drug Administration (FDA) website offers current information on safety that can support the professional practice of a Nurse. Question One
O’Shea, E (1999) Factors contributing to medication errors: a literature review. Journal of Clinical Nursing. 8, 5,496-503.
In recent years has been a lot of focus by hospital managers to improve health care facilities since medication errors in hospitals are a serious threat to patient safety. Several studies (Carroll, 2003; Dennison, 2007; DeYoung, Vanderkooi, & Barletta, 2009) indicated that the rates of fatalities associated with medication errors in the United States were greater than 7000 deaths annually, and affected three to five percent of in-hospital patients. The ramifications of medication errors affect all healthcare organizations, resulting in consumer mistrust, increased healthcare costs, and patient injury or death (Carroll, 2003). Medication errors can occur at any stage of the dispensing and administration process but only an estimated five percent are noted in nursing documentation, suggesting that many errors that have not led to serious results are unreported (Wilkins & Shields, 2008).