Policy brief provide evidence-based practice summary of a selection problem including significance of the issue and provide preventable suggestions (CDC, 2017). Never events are serious preventable errors that affect the patient safety, and the organization try to zero level of mistake by implement evidence-based practice in healthcare institution (NHS, 2010). Never event include error related to patient information, drug information (labeling, storage,…), environmental/staffing pattern, investigation/procedure, legal and ethical consideration, management and communication errors. The current brief focus on medication event in mental health which consider a life threatening event; psychiatric patient at high risk for medication errors that …show more content…
Error-free medication process may be a challenge; but not impossible; medication incidents decrease from 31.2% to 14.3% during the five years in 2009-2013(al-Faouri, Hayajneh, Habboush, 2014). Keer et al.,2015, describe medication error in mental health as a prescribing errors (20.8%) related to decision or writing process, including prescribing a drug without appropriate monitoring service (e.g. Clozapine) and prescribing drug treatment without authorization from a Mental Health Act or clerical errors (71.9%), and errors involving inadequate communication of medicines ( 68.8 %) stopped during admission. Additionally; Ayani et al., found 29 % of medication errors were classified as serious or …show more content…
Willingness to achieve patient safety with zero medication error need a strategy of standardizes process. After review many article about medication error conclude the following recommendation: 1. Up-to-date learning and clearly written practical policies and procedures Increase the awareness of health worker and patient caregiver about the adverse effect of psychotropic medication error and the importance of medication adherence, using a checklist to promote patient safety. Increase accountability related to use a high-risk medication error. 2. Electronic prescription and Bar-coding system Electronic and Bar-coding system decrease clerical error, medication prescription, medication administration and allergic error by allows vast information to be attainable quickly and stored indefinitely. 3. Medication reconciliation Comparing patient medication with new medication order or existing to avoid medication errors such as omissions, duplications, dosing errors or drug interactions. 4. Improving