Literature Review Draft Patient’s face multiple challenges on a daily basis. Patient’s must avoid harm from medication error and adhere to strict medication regimes to improve their health and quality of life. This can be a challenge to patient’s as they are not always educated properly on how to appropriately take medications, the side effects of medications, or who to go to with questions. These issues can be alleviated through improved communication between health care providers and pharmacists and through pharmacist-led medication therapy. While physicians prescribe medications to treat medical conditions, pharmacists have a vast knowledge of the therapeutic effects, adverse reactions, and are able to advise the patients on the appropriate way to take each medication. The pharmacist also reviews the medication prior to dispensing it to the patient as a final line of defense to prevent medication error. Because of a pharmacist’s role in a community, they …show more content…
Erku, Ayele, Mekuria, Belachew, Hailemeskel, and Tegen (2017) performed a study to evaluate if pharmacist-led medication therapy management can enhance medication adherence and reduce hospital admission rates for patients with type 2 diabetes mellitus when compared to usual care provided. They found that patients in the intervention group that received personalized medication therapy plans and education by a pharmacist had an increase in medication adherence and a decrease in hospital admissions in comparison to the control group (Erku et al, 2017). They also found that it would be beneficial for policies and guidelines to be set in place for clinical pharmacists to engage appropriately with patient care and medication therapy outcomes. Thus, Erku, Ayelle, Mekuria, Belachew, Haliemeskel, and Tegen (2017), demonstrated improved outcomes and quality of life due to pharmacist-led medication
Principles for safe medication administration: • All medications must be administered according to a physician’s orders. • The medication orders must be clear, legible and not open. • The same person should select, prepare, administer and record the administration. • Doses must be prepared for only one patient at a time, immediately before the intended use • Medications should be prepared for immediate administration to a single patient and not retained for later use due to the risks of contamination, potential instability, potential mix-up with other medications and to maintain security of the medication • All medications must be stored in patient care areas in the same container as received from pharmacy. • All RNs and ENs without notation must successfully complete the Medication Assessment Paper prior to administering medications.
Throughout the time I spent in a pharmacy school, the concept of patient-centered care was reinforced constantly. As healthcare is moving towards patient-centered care, healthcare providers are empowering patients to make healthcare decisions for themselves. The third Code of Ethics for Pharmacists states, “A pharmacist respects the autonomy and dignity of each patient”. This statement explains, a pharmacist should recognize individual self-worth and encourage patients to participate in making health decisions. In this semester’s Ambulatory Care IPPE, I am in a perfect setting to see the third Code of Ethics for Pharmacists.
Medication errors are preventable adverse events and costly to patients, insurance companies and health care organizations (Institute of Medicine, 2006). It is estimated that for every adverse drug event that occurs in a hospital, adds over 8,000 to the hospital stay (Institute of Medicine, 2006). One of the essential components in reducing medication error is a collaborative partnership with the patient and healthcare providers to facilitate communication. Patient education regarding risks, side effects, drug interactions and contraindications must be thoroughly reviewed with the patient (Institute of Medicine, 2006). The use of technology for prescribing, dispensing and to obtain detailed information regarding
The growing cost of prescription drug pose a problem for the uninsured, these patients with a limited income find themselves debating between filling their prescriptions or feeding their family. It is important as practitioner to take the time to go over the prescriptions with the patients to determine whether the medications cost will be the reason to compliance issues. The four-dollar generic medications will help patient to comply with their treatment plan and avoid the worsening of their condition. As stated in the Chain drug Review (2012)“The generic drug utilization rate is likely to grow as Americans increasingly seek ways of lowering health care costs and as more branded drugs begin to face the expirations of their
Both the patient and the pharmacist can change and fix their ways in order to decrease mortality. Pharmacists could prescribe the maximum amount of pills allowed in order to limit the amount of times a patient has to go to the pharmacy, to ease the burden on the patient and even the specialist (Zullig, Mendys, Bosworth, 2016.) There is also research showing that when a organization or health care system was helping pharmacist with knowledge on medication adherence, the usual care that was provided generally improved significantly (Timmers, Boons, 2017.) All of these techniques have improved on medication adherence, and have helped save people from their chronic illness and
Great points there Antonio! I agree completely with you on this issue. I believe that it is important that we collect all the necessary information first before deciding to come to a rash decision as Aggy has. It seemed like her approach was very business oriented. While that is important, as pharmacists we have a duty to care for our patients as well.
The prevention of medication errors is a process that should involve all staff in the emergency department. Yes, it is the registered nurse (RN) that administers the medication. However, patient safety is a concern in which all staff can assist. According to Kim and Bates (2013) medication errors represent one of the major concerns in patient safety. The process of medication administration first starts when the RN receives the order.
Administration and Near-Miss Medication Errors in Nursing Introduction This assignment will be reviewing two peer-reviewed articles. The first article is written by Colleen Claffey and titled, Near-Miss Medication Errors Provide a Wake-Up Call. Lily Thomas titles the second article, Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administration Errors. Each journal article discusses medication errors within the administrative perspective along with the prescription that was prescribed.
Medication plays a major role in the medical field. Prescribing medication normalizes a patients lives. From a simple pain in the back to high
Interview on Reporting Medication Errors This assignment is about interviewing and discussing with a pharmacist methods to report medication errors per facility’s policy and ways to encourage nurses to report medication errors promptly. This was a face-to-face interview with pharmacist BB at work. He is a qualified professional pharmacist and appropriate for this assignment.
Notwithstanding, getting feedback or interviewing patients, families, or members of the community would be of great help to the team in the establishment of different rules and regulations, conversely meeting the national standards of medicines, as well as the patient and
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.
Introduction Nurses are responsible for the care of the patient as a whole. Evidence based practices has encouraged patient centered care more in depth according to Jarvis (2014). A nurse’s responsibility is to provide safe practices to our patients. Developmental factors have proven to cause an effect on men, women, and children. Pharmacokinetics furthermore explains the medication action as it enters the body, how it’s metabolize, and then exits the body according to Jarvis (2014).
Overview According to the Food and Drug Administration, medication error is a failure in the treatment process that occurs very often and posts a threat to patients. It is clearly frequent and is often avoidable but puts risk to patients. As stated in a report of the Institute of Medicine, there is a 1.5 million cases of occurrence of medication error in the United States every year (Westbrook, J.I., Woods, A., Rob, M.I., Dunsmuir, W.T., Day, R.O. (2010). ). This high incidence of medication error should be our primary focus because medication administration has a very big role and is an important part of the nurse’s role.
In pharmacy practice, there are always multiple solutions for a single problem. Practitioner can suggest on the medication and dosage regimen, yet the final decision should lie on the hand of patient. (Robert J.C. et al., 2012) Most of the time, patient does not understand his/her own medical condition and medication plan, let alone making decision on it. Shared decision making, patient activation and broader patient engagement can significantly improve the treatment outcomes.