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Impact of medication error in nurses or health care system
Impact of medication error in nurses or health care system
Medication error affect patient safety
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Medication Error Prevention Act of 2000 states: Amends the Public Health Service Act to make medication error information privileged for Federal and State administrative and civil judicial proceedings if the information is voluntarily submitted by a health care provider to a program, approved by the Secretary of Health and Human Services, for the purpose of developing and disseminating recommendations and information regarding preventing such errors (Medication Error Prevention Act, 2000). According to congress.gov (n.d.), this is still a bill in that 02/16/2000, this was introduced in the House by the House of Representatives and referred to the House Committee on Commerce. Then on 02/23/2000, it was referred to the Subcommittee on Health
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).
In order to pass medication successfully and safely I will follow the 5 rights: right time, right place, right patient, right medication, and right route. By doing this, it will reduce the chances of me making a medication error during my clinical or future
On the other hand, nurses also do the assessment and implementation because we assess the patient to see whether the drug is working for them by checking the vital sign and carrying out the physicians’ order to make sure the patient is complying
My ideal nursing practice would presume that all medications given to the patient would be correct, that I would never fail in a situation with my patients, and my patient’s care plans would benefit them in a way that enabled them to provide care for themselves. Realistically, in the near future I hope to connect with all my patients in some way that prevents any biases I have from preventing me from doing my job. Medications would be triple checked each time using the six patient rights. Nursing care plans will involve my patients, this way I can provide the best care possible for them and getting them back to their “normal” or better way of living. However, my realistic goal I have for my patients is having the time for them.
Nurses are seen as staff that are under doctors and that they should follow the doctor orders. However, it is important that a nurse double check behind a doctor to make sure that they give out the right prescription and dosage, “I had to argue with a doctor one time that was giving a patient an excessive dose of pain medication so much in fact she quit breathing and would fall. She was a prior nurse that had worked for this doctor for many years... It was a hard situation I had to suggest they change doctors. It was a very touchy subject” (Marshall).
Mrs. Burns should have been asked every drug she takes and at what doses on admission, especially due to her being alert and orientated. The name on the medication list should have been matched and identified to Ms. Burn’s name, identification number and other forms of identification. Furthermore, the physician, who reordered the medications, should have assessed the patient before reordering the medication list. He would have realized by assessing the patient physically and asking the patient questions, that they had the medication list did not match her health history or symptoms. In addition, the Nurses administering the medications should have questioned the orders by the physician.
The 10 Rights of Drug Administration. Nurse Labs. Retrieved from
National Patient Safety Agency monitored drug errors (NPSA) later implemented the 10’R’s. These components will change the way nurses deliver patient care. Responsibilities in medication Administration Medication
The article particular states that preventing the medication error can preventable when providing the information that helps the medications error to prevent. Institute of Medicine reported errors can be prevented by designing systems that make it hard for people to do the wrong thing and easy for people to do the right thing (Institute of Medicine, 2006). In hospitals, errors are common during every step of the medication process dispensing, its impact but they occur most frequently during the prescribing and administering stages Institute of Medicine, 2006). While all types of errors are taken into account, a hospital patient can expect on average to be subjected to exist medication error each day.
Summary of Article In this article, it discusses the importance of tools to enhance nursing students’ confidence and skills in medication administration. Medication errors are the third leading cause of death in the United States, so understanding the importance of medication safety is crucial in nursing education. Medication administration can make nursing students anxious because of a knowledge deficit or a lack of skill. For nursing students to excel in the clinical setting, professors need to create a positive environment to help avoid medication errors. There are four phases that can be attributed to Safety in Medication Administration.
Question 1: Outline the roles and responsibilities of the Registered Nurse, Doctor and Pharmacist involved in the medication cycle? Registered nurses are the last checkpoint in drug administration, there since they have a huge responsibility in minimizing the risk of medication. Every registered nurse is responsible for doing the correct drug administration by following the 6 right, which are the right patient, right drug, right dose, right route, right time and the right documentation. The RN should check the effect of the medication, side effect and adverse effect. Another role of the nurse is to educate the patient and to check their understanding of the drug.
The purpose of this essay is to reflect on my first adult nursing placement at a private hospital. My key topic of this essay is to reflect on how well I did on administering medication using safe practice and following policies and procedures of the Trust. My reason for choosing this topic is to enable me to reflect on the importance of administering medications and how well it went. I will be discussing how my safe practice relates to the 6C’s of nursing, NHS values, NHS constitution, and the NMC code. According to (Griffith, 2017) “Professionalism is fundamental to the protection of the public and individuals in the care of district nurses”.
Thanks for sharing your discussion post. You provided a great example of miscommunication in the healthcare field. Our job as a nurse is no joke, because we are dealing with lives. Sometimes we think physicians know it all, but that is not the case. You are right, it is difficult to review a medication especially in an emergency situation, plus you were a new nurse at that time, so you were still getting familiarized with drug doses and uses.
The Code of professional conduct and ethics guide the nurses in their day-to-day practice to understand their professional responsibilities in caring for patients in a safe, ethical and effective way (NMBI). Although many types of errors can and do occur in the healthcare setting, according to medical protection Ireland most of the medication errors can be avoided by simple checking procedures and clear, open communication (reference). Several ethical issues may arise as a result of medication errors such as harm to patients, whether to disclose the error, erosion of trust, and impact on quality care (ref). The concept of consent arises from the ethical principle of patient autonomy and basic human rights (ref) Patient 's has all the freedom to
