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Preventing Medication Errors

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Medication error is not something new in healthcare service. Researchers had identified medication error is the high numbers of incidents involving nursing practice. Thus, a proper and well designed organizational system should be in place for the process of administration of medication to minimize and prevent errors. Medication happens when there is a failure in the system. To my surprise when I did the write up for this paper I had came across many clinical practice guidelines on medication safety. It had highlighted that in order to prevent medication errors, hospital organization should have an established guidelines and computer prescribe system is highly recommended. The development of guidelines involves many parties contribution such …show more content…

Hospital that had implemented this system had shown to have reduction on incidents of medication errors as well as cost effective and improved patients’ outcome. However, there are still barriers in implanting this system such as cost and lack of support from the management as well as system error. Today healthcare service is focusing on safety and the strongest point of having this system is for patient safety. Researchers had argued that by implementing this system it had remarkably increased patient safety and decreased medication errors. This system had generally gain support from doctors as they were encourage to learn to prescribe via electronically as it will help to reduce and prevent medication errors (Wang, et. al. …show more content…

This system would alert the nurse if the is any mismatching such as patient’s identity, dose or route of the medication. BCMA had also shown a remarkable reduced in medication errors by ensuring the five rights of the medication administration is done by the system (Mongan, et. al. 2008). BCMA is one of the news technologies in improving patients’ safety. It is a promising technology in the effort to reduce medication errors. BCMA had been used for quite some time in many hospitals however; just recently it had used to address patients’ safety. BCMA gives a valuable verification by ensuring that five rights are confirmed prior to medication administrations (Meadows, 2003). Used of BCMA had attributed to improved staff, patients’ satisfaction and the most important is improved patients’ safety. Thus, I would suggest and recommend my hospital management to considerate in implementing this new technology for future

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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.

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The expansion of MEDITECH is vast as well as technology advancement. At Chilton Memorial Hospital the implementation of MEDITECH aided in quicker access to results and information that helped support better decision-making and decreased the amount of medication errors by using the system correctly. MEDITECH increase safety to both the patient and nurse. Errors in systems are inevitable but it is important that nurses use technology as and aid to their job and remember not to fully rely on technology. Fairmont General Hospital was able to reduce documentation time after setbacks with repetitive charting and system issues.

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CPOE cuts down the medication error associated with sound alike drugs especially when they are written by physician with cursive handwriting also medical error associated with ordering wrong medication The benefits of these computerized order-entry systems range from very legible orders, completeness of orders, to alerts of possible contraindications based on patient information like allergy apply logic-based rules to patient information to prevent medication errors and adverse drug events Standardization of care Cpoe provides physician with order set for a particular diagnosis or a therapy helping physicians to practice recognized best practices standardization of care reduces the complexity of practicing medicine and reduces potential errors. Improved efficiency of care delivery. Cope helped move the information moved instantly across the organization reducing the time for delivering care it processed efficiency and also saved cost and improved quality of care the physicians were able to place orders from their office and the care was rendered to the patients at the

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With increasing the acceptance of using e-prescribing in health care , evaluating and understanding the types of e-prescribing errors can help to identify the prober ways to prevent future e-prescription errors from reaching patients. It is also important to use health information technology to improve safety, such as use of technology to identify and monitor patient safety events, risks and hazards ;and to intervene before actual harm occurs

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Preventable medical mistakes cause approximately 200,000 deaths around the United States each year. (1) More than 1,000,000 Americans are negatively impacted by medication errors each year caused by inadvertent mistakes in the prescription filling process. With 4 out of 5 adults taking at least 1 medication daily and 1 out of 4 adults taking 5 or more medications daily nationwide, errors like these cost healthcare industry billions of dollars per year. Health information technology were developed to transform healthcare services, the way they are provided and compensated. Electronic prescribing (e-prescribing) becomes an internal part of that transformation process, which can be confirmed from annual Surescripts’ National Progress Report.

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Secondly, the way the resident receives his medications should consist of the CM stating what each of the medications are so the resident is aware what he is taking. By implementing this, the CM can do the final check of administering the medications. If the medications themselves could be barcoded and scanned in before popping the medication in the medication cup, this would help the CM double check the five rights as well. A bar-code electronic medical administration record (eMAR) technology associates several technologies into the medication administration process to provide the correct medication, dose, time, route, and patient. This technology will provide an additional check and implement safety (Poon et al., 2010).

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Medication Errors in Healthcare The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance.

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Electronic health record systems that utilize e-prescribing have reduced medication errors and adverse events and resulted in improved communication (HRSA, 2015): E-prescribing improves patient safety and quality of care through a variety of mechanisms including eliminating illegible prescriptions, reducing oral miscommunications, the implementation of warning and alert systems at the point of prescribing, and giving the provider access to the patient 's complete medication history. E-prescribing

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During clinical hours I get to observe the nurse administer medications to patients and I see that once you scan the patient you must enter in the correct site, and amount of medication that needs to be administered at what rate and must document what time and route the right medication was given. The software that the hospital uses to document on patients assists nurses with providing the best care possible for their patients and is the key to communication among all health care professionals involved in a certain patients care. Once I was in the med surg floor and the nurse I was following had to discharge a few of her patients, I found it very interesting that on the same software that healthcare providers use to document and keep patient records is the same software that can also provide the patients nurse with research and education for discharge services. Any certain type of disease process that the patient may have, the nurse can print out information that is provided by the software in order to educate the patient on certain diseases to become compliant with such complications and try to maintain the healthiest life style possible. This paper is very informative

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These could be further sub devided into enhancing the nature and quality of care and reduction in manual or man made errors. Besides this there could be outcomes related to management of patient finances and other preformances. Electronic patient monitoring systems can be very promising in terms of implementing tools such as clinicians decision support (CDS) 2, and also physicians order entry which could be computerized 3, these are some of the important parameters in the electronic patient data entry which makes it a very powerful tool. These parameters help making critical decisions with regards to patient care. One of the major drawbacks of the review is failure of citing decent sampling examples for instance the CDS system is extremely handy in providing up to date information about a drug and its potential use, refering a

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Although there are new errors that will appear, results are promising in general (Wager, Lee, & Glaser, 2009). A study had found that such a feature reduced by about half the major errors in medication at the Brigham and Women’s hospital (Wager, Lee, & Glaser, 2009). We will also expect better care through the use of more standard approaches to disease management thanks to a solid Decision Support System (DSS) if it exist in this configuration (Rahimi & Vimarlund, 2007); quicker access to lab results. Accuracy of data entry can be assessed by comparing the quality of physician notes in paper form versus

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Examples were computerization to implement recall patient enrolment, risk registration, monitoring and review of laboratory and pharmaceutical

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Medication error rates, in a hospital, can be as high as 1.9 per patient per day. There are many causes and sources of errors which include "illegibly written orders, dispensing errors, calculation and monitoring errors and administration errors" (Mayo & Duncan, 2004, para. 3). Administration errors can be medications given to the wrong patient (Mayo & Duncan, 2004). Other error prone areas are patient with drug allergies, the charting in medication administration record, and high-risk medication or high alert medications (HAMs). There are other sources where errors can occur such as intravenous devices and infusions, and look-alike sound-alike (LASA) drugs.

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There is a variety of factors which can make prevention of medical errors more effective and improve patient’s safety. The most widespread method of collecting information about medical errors occurred is extracting information from reports of diffrernt physicians and building a statistics on this base. However, measures of providing of patient’s safety include many other statements. Firstly, patient’s safety is provided by informed consent of a patient.

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The lack of knowledge of patient history, while prescribing drugs, with regards to allergies or existing ongoing medications may render patients vulnerable to yet another possibility of bad medicinal reaction. These are some of the visible drawbacks of the traditional method of prescriptions – a system that has been long considered vulnerable to the flaws of the very participants of the process. However, there is a way to eliminate the possibilities of medical faux pax. As long as medicines are digitally prescribed, and accessed directly at the dispensing pharmacies, the room, for errors, is vastly reduced, as we

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