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Electronic Medication Error In Long-Term Care

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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. Electronic physician order is beneficial because it provides a legible and complete order that includes
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Electronic Medical Records has several positive effects on the billing and coding process. For example, Electronic Medical Records helps to reduce cost for physicians and improve care for patients. Electronic Medical Records helps reduce medical errors for the physicians and unneeded diagnostic tests. The EMR can also help coordinate patient's information better such as diagnosis, medications, family history, and the test results of each patient on file. Electronic Medical Records helps to improve storing health information and EMR makes it easier to track results of each patient.

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They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful.

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There will be patients that dislike the EHR and prefer the old fashion paper system as they believe that to be a safest way to store information. Ethical and social implications of Electronic Health records are not limited to, hacking, provider ’s neglect of loosing laptops with patient confidential information, leaving other patient records up while a different patient is in the room. Insufficient training for staff as many staff may not be properly trained in implementing HIPPA which compromises patient’s privacy. Over worked staff may input wrong information in the EHR such as inaccurate spelling and recording of patients’ name and current medication history.

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The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para

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Health and social care practitioners have a responsibility to safeguard individuals within their care. This includes working within policies and procedures, demonstrating a duty of care, practicing person-centred care, monitoring and observing individuals, reporting and recording any concerns, working in partnership with other professionals, maintaining confidentiality, and reporting any concerns or issues through whistleblowing. One example of working within policies and procedures is ensuring that all care plans are up to date and followed correctly. This includes administering medication at the correct times and in the correct doses, as well as following infection control protocols to prevent the spread of illness. By following these policies and procedures, practitioners are protecting

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There are plenty of benefits for switching to the electronic medical records as well. If a patient inadvertently becomes hospitalized away from their normal hospital, the physician and staff can access their history and treat them accordingly, drug seekers cannot bounce from hospital to hospital for medications, patients can access their own health information via their hospital websites, pharmacists no longer have to decipher a doctors hand writing to fill a prescription leading to less mistakes, it is safer for the environment with less paper waste, and it takes up less space within the clinical setting (KUMC, 2013). In today’s society, it is critical for institutions to hire a

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Electronic Health Record reduces medical error and improves quality of care by reducing the risk of illegibility of notes, having computerized prover order entry (CPOE) in place gives providers reminders or alerts regarding medication due to the decision support capabilities built into the EHR. Work efficiency is improved by creating templates for physicians to use, and having the common diagnosis in place so they don’t need to waste their time looking up the codes. The patient–doctor relationship is a benefit because patients can send emails to the providers which in-turn creates a stronger bond between the two. Cost is one of those things that can be a barrier and a benefit; I see the benefit in cost by not having to have room to store all of the paper records or having a staff in place to do all the terminal digit

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Volume27, Number 2 pp. 165-176, PMID: 18475119 [PubMed] Layman, E.J., (2008). Ethical issues and the electronic health record: Health Care Manage (Frederick). 27(2):165-76. doi: 10.1097/01.HCM.0000285044.19666.a8.

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In response to these tragic events, activists have introduced many best-practice approaches to minimize these occurrences. One instance is a new cleaning checklist developed from culture methods from other industries to reduce the risk of Staphylococcal infections. Another best-practice approach is the invention of a Pyxis medication dispensing unit, which is a form of medication management that includes barcode technology. This provides another safety check for the nurse as it implements the five rights of medication administration, and minimalizes any further medication errors.

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There were specific situations that led to the cause of Julie Thao's actions of medication error and the death of Jasmine. The situation could have completely been avoided had Julie followed the code of ethics and avoided shorts to provide proper care for the patient. The state claimed that Thao's mistake was caused by actions, omissions and unapproved shortcuts, however, there were other factors that played a role in her carelessness as well. While failure to comply with procedure has been a factor in the medication administration error, other factors contributed as well. For example, failure to properly use the information system, or to ignore alerts or warnings have also resulted in preventable errors (Nelson, Evan, & Gardener, 2005).

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Both our Standards of Conduct and our Policy, Information Security (IS) define and reinforce this obligation. Remember that it is a condition of employment that we observe these standards and policies. Our management also stated the importance of balancing security against the quality and timeliness of patient care, which is fundamental to the operations of a hospital environment. We have worked with other hospitals in performing HIPAA privacy and security assessments and relatedremediation efforts. We understand the importance of applying practical security solutions to reduce breach risks and to address compliance requirements, while not overburdening the businessoperations of the hospital facilities or impairing patient care.

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Confidentiality in health care has a dual aspect with it being both legal and ethical. The Health Insurance Portability and Accountability Act (HIPAA) in USA have laws on how the patient information should be handled. The HIPAA Privacy Rule addresses the saving, accessing and sharing of medical and personal information of any individual, while the HIPAA Security Rule more specifically outlines national security standards to protect health data created, received, maintained or transmitted electronically, also known as electronic protected health information (ePHI). (What is HIPAA Compliance). Electronic health information systems also need to securely manage patient data to avoid breaches of privacy and security along with storing and transmitting this information across multiple systems.

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The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to

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Because of regulatory issues in healthcare, what the client needs and what is possible to provide the patient, given their payor source, is often two different things. Let there be no mistake about it, clients receive the care that their insurers believe is reasonable and necessary, and nothing more. This is an ethical dilemma faced by many healthcare professionals. In order to meet the criteria established by various regulatory agencies while staying true to ethical codes, staff should be provided with frequent on sight educational opportunities to assist them in staying current with the various practice models and regulations. As all patient information is now stored electronically, it is readily accessible for staff to misuse the personal information of clients.

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