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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
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).
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.
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.
Norbert, B., Bennett, L., Carnahan, L., Decker, V. B., Grady, B., & Holden, D. (2011). Evidenced-base Practice for Telemental Health. Telemedicine and e-health, 17(2), 131. doi:10.1089/tmj.2010.0158
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
In today’s current fast-paced and demanding field of heath care, medication administration has become complex and time-consuming task. Approximately one-third of the nurses’ time is used in medication administration. There is much potential for error because of the complexity of the medication administration process. Since nurses are the last ones to actually administer the medication to the patient therefore they become responsible for medication administration errors (MAE). Reasons for MAE may include individual factors, organizational factors or system factors. This paper will discuss the root causes analysis of MAE and strategies to prevent them.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
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...
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
I was also responsible for monitoring medication orders and reviewing patient profiles to ensure that the proper drugs and dosages were prescribed and that the pharmacy technician had prepared them properly. In many instances there were mistakes made in the preparation phase and sometimes even before, with incorrect dosages or drugs being prescribed and prepared, which could result in serious adverse effects for the patient. A clinical pharmacist’s role, however, is to make sure that these mistakes never reach the
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
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.