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Impact of medication error
Medication error risks
Impact of medication error
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Recommended: Impact of medication error
Applications of the Concept to the Current Job
The medication use process components includes:
- Prescribing
- Procurement
- Preparation
- Dispensing
- Administration
- Monitoring
The institute of medicine report revealed that errors in medical care are responsible for many deaths because many health care providers are not aware of their responsibilities. 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,
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There is better collaboration and sharing of patient information with other health care providers.
4. Nurses perform better assessments and monitoring of patients diseases and ailments.
5. Helps nurses utilize research to provide evidence
A new role, filled primarily by independent nurse practitioners, is that of “telemedicine presenter.” This is an adaptation of primary care skills where the focus of the activity is to acquire the necessary elements of the medical history and clinical findings so that they can be presented in a telemedicine consultation session with a consultant specialist. The telemedicine presenter is both the patient advocate in the consultation session and the hands of the distant consultant for doing procedures such as placing a stethoscope on the chest or positioning a video camera for a close-up view of a rash.
In support of all of these telemedicine activities, there will be business opportunities for telemedicine process consultants, who advise health professionals on the technologies, methods, and personal communication skills necessary to transform a local practice into a telemedicine-enabled practice. Whether such consultants would need to be credentialed and accredited is yet to be determined.
10.4 Usefulness of the Concept to the Current
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• Nursing informatics impacts quality and cost of healthcare.
• Optimizes information management and communication among health care providers
According to Denis (2012) the future and present benefits of scientific influences on the care of patient include:
- Improved communication between providers, and between providers and patient. In many countries, the flow of information has grown exponentially.
- In a number of countries, the implication of IT among various professions has created momentum for working in teams. The electronic health records has been a catalyst for accelerating this key element of health care innovation widely supported at the policy level throughout the world.
- Patient empowerment: Increasingly, people have access to their electronic health record. They can review information such as laboratory results and prescriptions to improve self-care. Particularly important for chronic disease management. They can see which providers have viewed their records, which allows them to monitor privacy.
- Improved adherence to preventive measures. The literature suggests that electronically generated reminders for screening and follow-up increases adherences by 10% to
Hebda, T. & Czar, P. (2013). Handbook of Informatics for Nurses & Healthcare Professionals. (5th Edition). Upper Saddle River. : N.J: Pearson Education
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.
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
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.
Among the main aims of health care reform and improvement is expanding healthcare access to different populations, which have been subjects to underserving for a long period. These include the poor, the previously uncovered, rural societies, and the minorities, to mention just a few. Great challenges definitely lie ahead, since several individuals start seeking access to the primary healthcare clinicians (Arnaert & Delesie, 2001). Telenursing assures to be a crucial tool to meet such needs. It refers to making use of the telehealth technology in conducting nursing practice and delivering nursing care. Because of the quick telemedicine technology adoption within the healthcare institutions, telenursing emerges as a fresh tool that provokes discussions
Health Affairs, 23(4), 202-212. Tang, F.I., Sheu, S.J., Yu, S., Wei, I.L., & Chen, C.H. (2007). The 'Secondary' of the 'Secondary'. Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing, 16(3), 447-457.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
Medication errors are among the most common mistakes made in the health care industry. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) defines a medication error 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. The magnitude of medication administered contributes to the risk of medication errors. These errors have a vast financial and human impact on the U.S. healthcare system. Medication errors lead to more than 7,000 deaths annually in the United States, as well as an increase
Keers, R. N., Williams, S. D., Cooke, J., & Ashcroft, D. M. (2013). Prevalence and nature of medication administration errors in health care settings: A systematic review of direct observational evidence. Annals of Pharmacotherapy, 47(2), 237-256. Makary, M. A., Daniel, M., & Michael, D. (2016). medical error—the third leading cause of death in the U.S. BMJ, 353,
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
Nursing Informatics is a nursing field that involves record keeping and focuses on finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care. This field is primarily administrative but plays a part in patient care and quality of health care. There are other types of nurses, but many people focus on the nurses who perform the medical treatments with the doctors. This is evident in many films, TV shows, and in other popular media outlets. However, many people do not know what nursing informatics is nor pay attention to that side of nursing which involves the documentation of records and other miscellaneous items, use of advances in technology to improve
Telehealth nurses use the nursing process to provide care for individual patients or defined patient populations over a telecommunication device” (Stokowski, 2008). Computer technology allows for nurses to facilitate care at a distance and although still in its transitioning phases, telehealth and telenursing will hopefully rectify the problem of the nation’s nursing shortage. The term ‘telenursing’ is not completely new. What was once the more popular ‘advice nurse’ or phone ‘triage nurse’, is now the new and improved telenurse. Telenursing allows for a nurse have real-time 2-way interaction with the patient.
In other words, ICT basically promotes professionalism and reduce human effort as well as reducing the chances of erring. Healthcare simply means preventing, diagnosing and curing ailments that terminate life and reduce lifespan of human and all living things. In other words, the prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical and allied health professions. Information and Communications Technology (ICT) play a vital role in improving health care for humanity. It is efficient in providing, communicating and storing certain information about users and uses. ICT helps in bridging the gap created in health sector and may be used to enhance efficient relationships between the healthcare providers and health researchers. In other words, through the development of databases and other applications, ICT enhances health research and; this provides the capacity to improve health system efficiencies and prevent medical errors. The use of ICT can never be evaluated without