Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
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
Don’t take our word for it - see why 10 million students trust us with their essay needs.
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.
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.
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.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
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.
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).
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.
Medication errors responsible for numerous adverse outcomes including death. This results in high cost (emotional and financial). This errors have shown to occur in the following orders: - Prescribing 39% - Transcribing 11% - Dispensing 12% - Administering 38% As a nurse I will help to avoid these errors by writing eligibly avoiding illegible prescriptions or orders, improper terminology,
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.
Keers (2013), conducted a systematic review which included 54 studies of English language publications and found evidence relating to the causes of medication administration errors within hospitals. Prescribing and administering drugs appeared to have the largest association with the greatest number of medication errors. Harm does not specifically have to be caused for medication errors to result. The most common type of unsafe medication error was found to be slips and lapses. Slips and lapses include misidentification of patient/medication, misreading labels, mental state, or forgetting to sign a medication order. The following were all other causes of medication administration errors found to complicate patient safety: knowledge and rule-based
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.
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).
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
Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of the nursing profession, taking up to forty percent of a nurse’s time in providing nursing care (Fowler). Consequently, nurses are commonly held accountable for medication errors. To improve the safety of a vital aspect of nursing care, bar code scanning was introduced to reduce errors in medication administration. Although bar code scanning has its advantageous aspects, there are also disadvantageous qualities.