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The role of the nurse in quality and patient safety essay
The role of the nurse in quality and patient safety essay
Nurse and patient safety
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Imagine going into the hospital for yourself or a loved one for treatment and instead coming out with more harm than you went in with. Patient safety and security is a huge aspect of the nursing field. When a patient is not feeling well it is the nurse’s job to make sure that the patient is as comfortable as possible despite the situation and most of all it is of even higher priority for the nurse to guarantee patient safety. Hospital time and stays can be very difficult and even upsetting to some patients. The idea of being in unfamiliar surroundings being care for by strangers may add to client’s bad feelings for, but it is still the healthcare team’s responsibility to make sure the patient’s main outcome is to feel better by time of discharge. …show more content…
To make this possible nurses have countless responsibilities and tasks that involve a great deal of risk, including medication administration which carries one of the leading risks. Some patients suffer irreversible damage due to medication errors while others suffer fatalities. Nurses have traditionally followed the five rights of medication administration which include Right patient, Right medication, Right dose, Right route, Right time, and recently added Right documentation and Right for refusal. The five rights offer simple and practical guidance for nurses to use during drug preparation, delivery, and administration, and focus on individual performance (Adams, M., Holland, N., & Urban, C.2014). Even with these rights in place “medication errors remain one of the most common causes of unintended harm to patients. They contribute to adverse events that compromise patient safety and result in a large financial burden to the health service (Cloete, L. …show more content…
Medication errors contribute to 7000 inpatient deaths in the United States per year (Bourbonnais, F., & Caswell, W. 2014). Since the nursing field is so highly integrated in medication administration, nurses ultimately play a significant role in patient safety related to medications. Medication errors not only cause patient death and family despair but they also have a large impact on the healthcare financial system that may include longer hospital stays, paying for additional medical costs and rehabilitations that may occur from the error and even medication cost. In 2008, medical errors cost the United States $19.5 billion and that Medication errors were estimated to account for more than 7,000 deaths annually (Hughes, R. G. n.d.). These high cost are in large due to such preventable errors and since medication administration is one of the highest risk task for a nurse to perform, regulations and policies such as implementation of the seven rights are placed in process to aid in preventing administration errors from occurring and providing high quality
...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...
Medication Errors one of the biggest issues happening in an acute care setting today . Although, Medications are given based on the five rights principles: the right patient, right medication, right route, right dose, and right time. Even with the five rights principles medication errors are still happening. However, some of the errors that are occurring are due to poor order transcriptions and documentation, drug interactions, proper drug name and not paying enough attention and environment factors.
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.
US’s pharmacists have their hands tied and are demanding every patient to receive the precise medication prescription they have written up for. On the other hand, being a pharmacist is more than that, it is about building your patients’ knowledge on the risks and potential hazards on certain medications they are prescribed to. With that being said, this means that a pharmacist’s job is directly providing for patient in order to help them live a long healthy life within their scope of practice. Pharmacists cannot afford for any errors to occur and taking the time to make sure the accurate bottle of medication falls into the right patient’s hands is a huge responsibility for 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.
Patients Safety is the most crucial about healthcare sector around the world. It is defined as ‘the prevention of patients harm’ (Kohn et al. 2000). Even thou patient safety is shared among organization members, Nurses play a key role, as they are liable for direct and continuous patients care. Nurses should be capable of recognizing the risk of patients and address it to the other multi disciplinary on time.
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.
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
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).
Patient safety is caused by several factors in healthcare organizations. One factor is organization, which includes the organization culture, regulations, organizational policies and procedures. Environmental factor would be second. This includes workforce, resources, etc. The third is the human factor.
How dose informatics enhance or hinder safety for patients? If informatics is used correctly in the nursing process it can create a work environment where there is little to no patient complications. When informatics is used as a workaround, patient safety can be at risk. Informatics in the health care industry can provide cohesive and effective patient charting. Effective patient charting includes the patient’s history, medical problems, medications, and assessments done by each nurse.
To successfully provide care to a patient the nurse must administer many different types of medications. Medication errors are one of the leading causes of avoidable harm to patients. There are many medications that have serious consequences if an incorrect dose is delivered. Administering some medications simultaneously can also cause serious reactions. Facilities attempt different initiatives to decrease these errors. Ultimately, it is up to the nurse to be educated on the medications they will be administering and ensure that the medication is administered correctly and accurately.