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Medical Errors The serrated edge of a blade cuts deeply into the unsuspecting victim. She lay unconsciousness while blood flowed into her abdomen. This was not part of the plan however. Unable to feel anything she gained consciousness and began to feel a strong pain in her stomach. She was unaware of the lethal puncture that was killing her with every breath she took. While she lay there, her stomach began to expand and her blood pressure plummeted. Just fourteen hours after the artery in Andrea’s spine was pierced, she died from internal bleeding.(hall) Got confused here While imagining Andrea Green’s situation did you envision a hospital? Oddly enough this was in a hospital, and the lethal laceration was a mistake made by English surgeon …show more content…
To help with the recovery, physicians looked at the issue as part of their profession and recovery as part of their spiritual and moral commitment to the medical field. . (Plews-Ogan et al. 237) Medical mistakes are often associated with a lack of knowledge or inexperience. This negative association causes a push for the doctor to become as familiar with their specialization as possible in hopes of creating a greater sense of expertise. Education and experience are two words that are customary to medical providers. Commonly degrees take around eight years to obtain. Following graduate school doctors must obtain a license through an application process, and can expect three years of residency and fellowship. Completing your fellowship allows you the option to finally begin your individual practice. Each year, while in practice a doctor must complete CME (Continuing Medical Education) credits that meet annual requirements for maintaining a license. (American Medical Association). Credentials are a large part of what allows physicians to attempt to successfully move on from so many stressful scenarios. After a physician becomes comfortable with the amount of knowledge obtained often physicians work on the prevention of medical mistakes. Often this prevention is led by spreading the awareness of adverse events with coworkers and patients. The methods of recovery used on the sixty-three physicians in allowed for at least a partial recovery. With appropriate methods physicians are able to turn this awful moment into a pigment of the past. Allowing for them to proceed into the future with a new knowledge and perspective of medical mistakes. Personally I feel that the subject of medical errors is one of the utmost
The Institute of Medicine (IOM) reported in 1999 that between 44,000 and 98,000 people die each year in the United States due to a preventable medical error. A report written by the National Quality Forum (NQF) found that over a decade after the IOM report the prevalence of medical errors remains very high (2010). In fact a study done by the Hearst Corporation found that the number of deaths due to medical error and post surgical infections has increased since the IOM first highlighted the problem and recommended actions to reduce the number of events (Dyess, 2009).
“When Doctors Make Mistakes” narrates an event where the author Atul Gawande, a doctor, made a mistake that cost a women her life. He relates that it is hard to talk about the mistakes that occurred with the patient's family lest it be brought up in court. In that instance the family and doctor are either wrong or right, there is no middle ground in a “black-and-white mortality case”(658). Even the most educated doctors make simple mistakes that hold immense consequences but can only speak about them with fellow doctors during a Morbidity and Mortality Conference.
In the essay “When Doctors Make Mistakes” written by Atul Gawande, he writes a first-hand account of mistakes made by himself and his colleagues. The essay is divided into five parts, each named to the narrative and emotions of the story he would tell. In each story he tells, he uses such vivid language that we as readers feel as if we are one of his colleagues. Each section has its own importance to the whole point he was trying to get across, ““All doctors make terrible mistakes” (657).
I have been aware of medical errors for some time now. While in nursing school I have heard many stories from classmates and instructors of instances where people they knew, or loved ones had been either harmed or died because of a medical error. I have had experiences with medical errors. When I was in the hospital for the birth of my first child, the nurse that came to change out my IV bag did not check the
The Power of Mistakes Atul Gawande is not only our resident surgeon; he’s also a patient himself. He’s anxious before performing surgery, he dwells on mistakes, and he has emotions: he’s human and he understands us. However, he does not appear to share concerns with his patients initially. Gawande experiences a long, drawn-out development from a young medical student to the doctor he is today. This process of identifying with patients is evident in his anthology of essays, Complications: A Surgeon’s Notes on an Imperfect Science.
Surgical errors are seen in every hospital; however, hospitals are not required to report such incidents. Unintended retained foreign objects, often abbreviated as URFOs, are among those events that are often not reported.
Medical error occurs more than most people realize and when a doctor is found negligent the patient has the right to sue for compensation of their losses. Debates and issues arise when malpractice lawsuits are claimed. If a patient is filing for a medical malpractice case, the l...
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
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.
Every day there is a constant trust adhered to many different people in the profession of Nursing—the decision of what will help patients in terms of medicine, and the confidence to make these decisions. One false act or one slight misdiagnoses of medication to a patient could be the prime factor in whether the patient lives or dies. Nurses in hospitals across the country are spread thin, and thus makes the probability of mistakes higher. If a medicinal dose is off by even one decimal a patient could die, so the only real answer is for nurses to not be afraid to ask for assistance, always follow procedure and voice opinion is they feel something is wrong.
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
In saying 1.5 million Americans have witnessed hospital errors in the care of the medical center or even 40,000-100,000 deaths is a ridiculous amount of faults. Errors should be minimized, especially when dealing with people’s lives. The number of deaths is so high hospitals should take notice and really pinpoint where their facility is miscalculating and create in-service training to all employees and not just the ones that are making the errors but all employees. This will decrease the chances of errors made in the hospital. With continuous training every month there can be a huge change in the number of mistakes. The fact that these inaccuracies are even causing deaths really highlight the importance of the need for a change. Families
“ Then, I placed the blade next to the skin on my palm. A tingle arced across my scalp. The floor tipped up at me and my body spiraled away. Then I was on the ceiling looking down, waiting to see what would happen next. (pg.
The coroner identified that the wound was created by an overhand stab, which only
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).