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Advantages and disadvantages of reporting medication errors
Medication error in clinical setting
Medication error in clinical setting
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Identification of the Evidenced Based Problem
The evidenced based problem that was identified for this research assignment, was that nurses were causing multiple medication errors in a clinical and practice setting. According to the authors Wolf, Hicks, and Serembus (2006), a medication error is defined 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 health care professional, patient, or consumer. It is very important for experienced nurses and nursing professors to identify medication errors to prevent them from harming the patient. Some of the errors that were identified were not reported because registered nurses didn’t want their peers to think they were irresponsible (Unver, Tastan, & Akbayrak, 2012). Nurse shaming did not help increase positive outcomes of reporting errors among nursing students and registered nurses (Harding & Petrick, 2008). When medication errors were reported they were not being reported properly, and the consequences for improper reporting were not taken seriously.
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...
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... T, (2008). Nursing student medication errors: A retrospective review. Journal of Nursing Education, 47(1), 43-7. Retrieved from http://0-search.proquest.com.topcat.switchinc.org/docview/203966993?accountid=10249
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
Watson, J. (2001). Jean Watson: Theory of human caring. In M.E. Parker (Ed.), Nursing theories and nursing practice (pp. 343-354). Philadelphia: Davis.
Wolf, Z., Hicks, R., & Serembus, J. (2006). Characteristics of medication errors made by students during the administration phase: a descriptive study. Journal of Professional Nursing, 22(1). Retrieved from http://0-www.sciencedirect.com.topcat.switchinc.org/science/article/pii/S8755722305001936
In conclusion the study showed a decrease in reported medication errors by 20% (Truitt et al. (2016). The introduction of these systems has greatly changed the delivery of medication in hospitals. Medication administration errors in hospitals put the patient in danger and cause great harm, depending on the severity. It is so important that medication errors do not happen in the hospital. It may not be possible to eliminate all errors, but reducing the amount of errors would benefit
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...
Watson conceived her Theory of Human Caring while she was teaching at the University of Colorado in 1975 to 1979 (Conway et al, 2011). It evolved from her personal views on nursing and merged with her learning and experience from her doctoral studies in education, clinical and social psychology. With the publication of her first book, Jean Watson developed the initial ideas of her theory and came up with 10 “carative” factors. Her actual theory was published in 1985, after which she further developed the corresponding nursing curriculum. In those years, Watson also extensively traveled in Asia and Australia while practiced. The prevailing influences in the nursing field at the time were those of Carl Rogers, Florence Nightingale and Leininger. Main psy...
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.
Watson first published her theory of caring in 1979 in a book titled, Nursing: Human Science and Caring. Watson and other researchers have built upon this theory and caring theory should continually be evolving as the delivery of patient care evolves. This theory focuses on care between the nurse and the patient. This interaction is defined as setting mutual tasks, how a spiritual force may help the interaction and when caring in the moment of true healing may occur. When the nurse and patient are on the same level spiritually self-awareness and self-discovery occur. There are ten themes identified in this article essential to caring in
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...
Jean Watson’s Theory of Caring. Since its establishment as a profession more than a century ago, nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore, it is in a constant process of being redefined.
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.
Dr. Watson’s caring theory was known as her Caritas Model, it was the intervention that framed it all. For Watson, the practice of caring is the central to nursing and is its unifying focus. It was originally purposed for her human caring interventions carative factors and later changed to the caritas processes (Nelms and Jones, 2011). The caritas was to restore love, compassion, and heart-centeredness; adopted by many hospitals in the United States. These practices focus was benefit of the patient and their
One must have the full desire to help and care for people in order to have an enjoyable career as a nurse. Nurses are known for the care and compassion shown to the patients and this is comforting for both patients and their families. Caring for a patient can raise their spirits and can inspire a better outlook on their situation. As a nurse, I want to care for all my patients with the hope of improving their health and outlook on their life. I chose Jean Watson because she understands that caring is the core of nursing and believes caring promotes a better health than only performing medical care. She was the first grand theorist that focused on the aspect of caring for the patient while also caring for yourself as the nurse. Watson’s theory
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.
Medication administration is an essential nursing skill that involves careful planning, numerous checks, and continuing supervision. This is because medication administration is one of the most common and recurrent mistakes that can occur in the healthcare setting (Australian Commission of Safety and Quality in Health Care, 2013). This then necessitates reflection through the description, evaluating, analysis, and planning to improve nursing practice (Gibbs, 1988).
Medication administration errors can ultimately be prevented with numerous interventions that have been proven to minimize such error. Therefore, the nurse must know what a medication error is and the causes that lead up to them in order to learn interventions
It is one of a nurse’s duty in the medical field to administer medications, this means that one nurse is in charge of keeping track of multiple patient’s medication. Due to the amount of medication administered by nurses, medication errors occur more often than we would like, especially with younger patients. I chose this topic because medications are given to practically every patient that enters a hospital and ensuring that they are administered properly is important to keeping the patients safe. A study was done in a pediatric intensive care unit at a hospital in Zurich to “determine the number and type of medication prescription errors” (Glanzmann, Frey, Meier, & Vonbach, 2015, p. 1) that typically happen in this unit of the hospital. The goals of the study were to learn about the rate of medication errors, the most common drugs involved in the errors and how severely they affected the patient.