The “Problems to Problem Solving” that exist in this case are a closed mind, dealing with symptoms instead of the problem, vested interests, and the decision maker lacking all information required to solve the problem. Firstly, Smith made his decision with a closed mind because he assumed that if he were to publicly disclose the problem with the machines and the possibility of cross contamination having occurred that it would consequently have negative effects on both his reputation as well as the hospital’s reputation, and that he could lose funding for the hospital. Secondly, Smith was more concerned with the possibility of cross contamination having occurred and how that would affect him and the hospital than finding out how the cross contamination …show more content…
The more accurate inventory records ended up saving the pharmacy quite a bit of money since it reduced the incidences of unnecessarily ordering too many medications from suppliers. Thus, the small decision of double counting prescriptions made the pharmacy more cost efficient. The decision might have been handled differently so that the Manager may have been more aware of the impact by identifying and assessing the issue of excess inventory. If the Manager had been more aware of excess inventory, then she might have realized that the pharmacy was not being cost efficient. All medications have expiry dates and when the medications are near their expiry date, they need to be immediately removed from the shelf and disposed. She should have considered why so many medications were being …show more content…
The pharmacy assistant was experiencing severe stomach pains and asked the rest of the staff if she would able to leave early due to her worsening condition. Considering how she could barely stand, the pharmacist agreed that it would be best for her to go home. The only other staff present at that time was one pharmacy assistant and two pharmacists. One of the pharmacists was busy with travel consultations and injections, so only one pharmacy assistant and one pharmacist were actually able to attend to customers after the ill pharmacy assistant went home. What the staff did not realize that there would be a sudden influx of customers. While the pharmacist continued to take in new prescriptions and refills, the pharmacy assistant was dealing with customers coming in to pick up their prescriptions as well as customers calling in with questions and requests. As customers continued to come in for both ordering and pick ups, the wait time increased from fifteen minute to over forty minutes. The longer wait times resulted in frustrated customers and overwhelmed staff. Therefore, the major impact from sending one of the pharmacy assistants home was an overwhelmed pharmacy
Prescription sales, which accounted for 66.2 percent of sales in the quarter, climbed 10.0 percent, while prescription sales in comparable stores increased 6.1 percent. The company's number of prescriptions filled increased 12.0 percent over last year's first quarter, including a benefit of 0.7 percentage points due to more patients filling 90-day prescriptions. The company exceeded by 5.5 percentage points the industry-wide prescription growth rate, excluding Walgreens, during the same period as reported by IMS Health (Walgreens, n.d., p. 1).
...ll help the company in selling generic drugs and provide affordable medications to its customer base.
The other problems are the modalities that the hospital should employ so as to resolve the issue. While experts are in agreement over the need to find a lasting solution to the problem, they are, however, far from getting a standard stand on how to approach the matter. The implication is that even if the management is to find a ground, it is likely to be a partially binding since some people will oppose it while others will support it. That is a variable that serves to complicate an already complicated
Nurses were the professional group who most often reported medication errors and older patients were those most often affected in the medication errors reports analyzed for this study (Friend, 2011). Medication error type’s revealed omitted medicine or dose, wrong dose, strength or frequency and wrong documentation were the most common problems at Site A where the traditional pen and paper methods of prescription were used; and wrong documentation and omission were the most common problems associated with medication errors at Site B where the electronic MMS was introduced (Friend, 2011). Reports of problems such as wrong drug, wrong dose, strength or frequency, quantity, wrong route, wrong drug and omitted dose were less frequent at Site B (Friend, 2011). The reduced incidence of omission errors at Site B supports suggestions that an advantage of the MMS is easy identification of patient requirements at each drug round time slot. Despite the finding of less omission errors at site B where the MMS had been introduced, there was a relatively high frequency in the incident reports of medication errors related to both omission and wrong dose, strength and frequency at both sites (Friend, 2011).
... for every pharmacist. This ratio dictates that pharmacists can not oversee every aspect of technicians’ jobs. It is this singular fact that very few people realize. The pharmacy technician who receives no formal training is responsible for not just the delivery of a patient’s medication, but also for their bill, their confidential information, and their life. The question now is, how can an uneducated individual be given so much responsibility? Technicians are granted these responsibilities because a pharmacist can not do the job alone. Pharmacists strive to mold each new technician into an employee that will realize what technicians really do. Pharmacists and technicians provide patients with safe and accurate medication in a timely manner. This is not a task for pharmacists or technicians alone; it is task that requires both personnel in order to be accomplished.
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.
Responsibility and accountability become important when medical staff gives or doses patients with medication. The chance for making a medication error presents itself at all times. Those passing medications must follow established policies and procedures developed and laid forth by t...
The main quality initiative affected by this workaround is patient safety. The hospital switched to computer medication administration as opposed to paper medication administration documentation because it is supposed to be safer. So, when the nurse gets the “wrong medication” message the computer thinks something is wrong, this is a safety net that is built into the computer system. If the nurse were just to administer the medication without any further checks, he or she would be putting patient safety on the line. The policy involved that pertains to this workaround is the “8 rights of medication administration”, which are: right patient, right medication, right dose, right route, right time, right documentation, right reason, and right response (LippincottNursingCenter®, 2011). Each nurse it taught these eight rights of medication administration in nursing school, therefore it is a nursing policy. When this workaround occurs the nurse should use his/her judgment before “scan overriding” and ensure these eight checks before administering the
A charge nurse working the night shift overhears loud talking coming from a nearby room within the unit. Upon locating the room where the noise is coming from, she recognizes that it is a patient with dementia who is becoming increasingly confused, agitated, and combative. The family member at bedside who is also the primary caregiver is trying to keep the patient in bed, and also appears quite frustrated. The primary nurse is in the room, but seems to be struggling with what to do. The charge nurse instructs the primary nurse to review the patient’s medications, and obtain the one used for agitation. The charge nurse then explains to the family member about using the medication, and suggests they take a break while other alternative methods are attempted. The charge nurse then dims some of the lighting within the room, begins to play relaxing music, and purposefully speaks in a very soft tone to the patient. The charge nurse continues to try to redirect the patient, but also understands that you must not argue the reality with dementia patients. The charge nurse proceeds with light massage to the hands, and feet of the patient, all while ensuring the patient that they are safe. The patient is showing less agitation, and the nurse soon arrives with the proper medication. The patient is calm and resting by the time the family member returns. Both the primary nurse and the family
Studies have shown that patients fail to adhere and comply with medicines because of lack of understanding. [1] Gordon et al (2007) conducted a study which aimed to identify medication related problems and identify approaches to support patients to manage their medication. Problems with access to and the organisation of services was one of the findings highlighted from the study. Pharmacy can address the issues associated with organisation of services, patient education and engaging patients in decision making about their medicines in the home during consultation.
...d has cut down the illegal distribution of prescription drugs. It cuts down on medical costs for the patient by allowing the physician to view what insurance coverage the patient carries for certain medications and. providing lists of similar generic drugs. E-prescribing is just one part of U.S. government’s goal to gradually adopting standards facilitating the shift to all electronic medical records for citizens. Although it has only been available for a short time, electronic-prescribing has already made an impressively large impact on the medical field.
Chantale may hold indirect responsibility for what could happen if some of the medical waste was to threaten public safety say by polluting a local water source. Another trap that goes along with indirect responsibility would be faceless victims, in were the company does not see one specific person or group of persons being affected rather as the trap states a faceless person were no feelings of guilt or remorse are attached. Competition, tyranny of goals and money are three more traps violated in this case. Competition has more to do with the company rather than Chantale the person. Chantale can empathize why her superiors’ want to ignore the situation, because they are a smaller company and in competing against larger companies, they would not be able to m... ...
Tracking the purpose of each prescriptions allows you to watch and ensure that each drug is doing what it's supposed to. If you see that a medication is not working to treat symptoms, you can then go back to the doctor and ask for a different dosage or medication.
But for me I would 50% questioned that in my brain because if it is that almost all nurses do leave medications unattended in the patient room is a problem and need to be solved to prevent the same issue from happing again. Furthermore, there were another staff issue. There was a miscommunication between two staff during shift report at the morning. a patient has asked for pain medication, so that the night shift nurse brought the medication form the pharmacy and asked the morning shift nurse to come with him to patient room to give the patient the medication and at the same time to make the report at the bedside. The morning shift was not willing to have the report at the bedside, so that she asked the night shift nurse to go and give patient
1. Hematal's cash flow problem limits Hematal's decision on giving further credit to the boy's family or not. It has been proved in the case that the family is very poor and won't be able to pay right away and most probably won't be able to pay anymore considering also the increasing hospitalization bills. This fact is important because Hematal will already have to consider writing off of the family's debt, which further affects the company's cash position in the future when she gives additional credit. The boy needs at least 20 more vials yet, Hematal has less than 20 vials left on stock. With this fact, I have assumed that Dr. Rini's decision should be an "all or nothing" kind of decision because anything less will not make any difference in the boy's condition considering also the fact that he needed more than 40 vials during his initial surgery, thus I conclude that the boy will die if less than 20 vials were provided. Therefore, Hematal will have to order more vials from Gamma Corp. to fill the 20 vial requirement.