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Medication error affect patient safety
An introduction to patient safety in hospitals
Medication error affect patient safety
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Strategies are methods or plans that solves a problem; strategies are essential to resolve issues to be able to prevent them from happening again and it helps to do a better job. Computerized physician’s order, electronic medication administration record with a barcode and reviewing the practice standards from CNO such as medication and documentation are the suggested strategies to inhibit the incidents and the breached ethical values from occurring again. Moreover, using information technology is the first strategy to impede medication error in the long-term care facility where an ethical value such as commitment to client was breached.
1. I interned in the operating room at Kaiser Permanente. The structural measure of quality that is obvious in OR is the infection precaution measures. Numerous chemical agents and physical methods such as sterilization which is used to stop the germs and inhibits their growth were used. The process measure of quality that I contributed was that prior to entering the OR, everyone including surgeons, staff members and I kept sepsis strict techniques.
It is estimated to cost 177.4 billion on the expenses associated with the 1.5 million people a year that suffer from medication errors. There is software that can and has reduced medication errors by half. The issues accompanying the resistance to implementation surround the doctor’s reluctance to change, and the initial facility costs associated with the system. After reviewing the video related to the deaths from prescription medication errors, I believe that E-Prescribing is a great way to reduce medication errors caused from poorly handwritten prescriptions and allowing the pharmacist to deliver the dose being prescribed accurately. Electronic prescribing gives the pharmacy secure access to the patient’s prescription history to alert
From the standpoints of the acute care hospital and the consumer of services, the desirable and undesirable aspects of this attention are as follows: For the acute care hospital provider Desirable • They have high prestige/status. Professionals want to be part of the “team” • Recruitment and retention are eased.
The Unionville General Hospital (UGH) needs to enhance effective nursing in order to meet the growing number of service pressures. The hospital needs to uphold effective nursing, which is guided by the philosophy that provides an accurate account on the qualities and responsibilities of doctors in the healthcare system. Since the hospital is experiencing financial problems to meet the required services of their clients. In this case, the three hospitals around UGH need to merge in order to share these costs. Through their merger, the three hospitals will hold the perceptions on issues as well as concepts they believe to be correct concerning the temperament of providing quality services.
When hospitals first appeared these facilities were only for the ill and the poor, these institutions were used to store human beings to keep them away from the rest of the population especially during times of epidemics of typhoid and cholera. The middle class never came to these facilities to receive their health care they had the luxury of staying in the comfort of their own homes. Not until the early 1900s when the standards of medical practice took a scientific approach to caring for patients did the ideal change of a hospital taking care of all patients not just the poor ones (Williams & Torrens, 2008). Acute care is one of the levels of care within a hospital this is when a patient is treated for an illness, trauma or disease for a short period of time which could have resulted from injuries or needing to recover after surgery. This type of care in general is administered to the patient in a facility by a wide variety of clinical personnel using pharmaceuticals,
In care settings the currently legislations, guidelines policies and protocols relevant to the administration of medication would be: - The misuse of drugs act 1971 - The Medicines Act 1968 - Care Standards Act 2000 - The Health and Social Care Act 2001 The Control of Substances Hazardous to Health Regulations 1999 - The RPS Handling Medicines in Social Care Guidelines The recording, storage, administration and disposal of medication must be adhered by employees in accordance with the current policies and procedures. The policies are in place to protect everyone - training must be undertaken or up-to-date before support workers can administrate any medication.
An Urgent Care Clinic is slated to open near the corner of Ke 'awe Street and Au 'ahi Street. The Queen’s Medical Center has 533 hospital beds and about 4,200 employees. It is a major healthcare service provider for the State of Hawaii. The hospital is situated about a quarter mile north of King Street, along Punchbowl Street and is located directly across from the Hawaii State Department of Health.
In the nursing program, we have learned the importance of managing, correcting, and documenting medication errors. Taking preventative measures such as the six patient rights, three checks, verifying all the information with the patient. From what I have observed in my clinical settings, when a nurse commits a medication errors, the charge nurse and manger are notified. The chain of command is followed, and an incident report is filed. The patient is closely monitored for any adverse reactions.
To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. These professionals must also speak up when they see room for improvement in their workplace. Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015).
According to the Office of Statewide Health Planning and Development, in 2014 the number of discharges in Yolo that had to do with Acute Care was 14,371. Chemical Dependency Recovery Care was 11, Physical Rehabilitation Care was 106, Psychiatric Care was 1,075, and Skilled Nursing was 21 which turns out to be a total of 15,584 discharges in all of YOLO county in 2014. Of the 14,371 discharged patients in Acute Care, 10,737 or 74.71% of them were sent home. 288 of them had passed away, 1,457 went on to home health services, 86 of them had left against medical advice, 50 of them went on to a residential care facility, 1,231 went on to skilled nursing facilities/intensive care at a different facility, 9 were discharged to skilled nursing / intermediate
The key elements that drove the development of the SMA groups is that diabetes is a national problem that has reach epidemic proportions, along with hypertension (Kirsh et al., 2007, p. 11). When these chronic disease are out of control, this puts patients at risk for renal failure. According to Kirsh (2007), its management complexity threatens to overwhelm the acute care systems and challenge the resources of current and future individual primary care provider (p.9). Chronic care management needs approaches that educates, sensitize, support, and help nurture an activated patient and prepare proactive health care team (Kirsh et al., 2007, p.11). Shared medical appointments (SMA’s) constitutes a promising improvement strategy to help address
Physicians are encouraged, and often required, to electronically prescribe medications and give orders to nurses via the EHR. The EHR uses a system of checks to make sure that the provider is submitting a complete and appropriate order and that the medication is safe for the patient to take and does not interact with any other medications. Prior to the widespread use of EHRs, doctors would often give orders over the phone or handwritten. This method of delivering orders put nurses, doctors, and their patients at risk because of the ease of misunderstanding or misinterpreting an order. Often orders would be given with missing information and nurses did not have easy access to confirm if a medication was safe to give based on the patient’s allergies and contraindications (Kearney-Nunnery, 2020).
Medication administration is the nursing task that carries the highest risk, and the consequences of an error can be calamitous for the patient and the nurse (Evans, 2009). There are six main types of medication error that can occur: prescribing faults, prescription errors, transcription errors, dispensing errors, administration errors and ‘across settings’ (Cheung, Bouvy & De Smet, 2009). According to a study done by (Cheung, Bouvy & De Smet, 2009), out of 106 interviews, the most common cause of medication error were: being busy (21%), being short-staffed (12%), being subject to time constraints (11%), fatigue of healthcare providers (11%), interruptions during dispensing (9.4%) and look-alike/sound-alike medicines (8.5%). On the whole, this essay will look into the management of dispensing medication error with a high alert medication, digoxin and strategies to prevent further incidents. Case scenario (Appendix A) depicted.
Even in a physician practice, medication labeling, record keeping, and storage must be handled in the same manner as in a pharmacy. If medications are not routinely checked, an expired medication could be given to a patient and may cause a negative reaction or may not be effective. Also, sample medications should be stored in a secure location in plain view of office staff members. Some practices simply do not have the space to provide adequate security for medication samples. Safety Practices for Dispensing
