Medication error (ME) is defined as “improper dosage, delivery of an incorrect medication administration to wrong patient, and inappropriate medication therapy” (XU et al., 2014, p. 286). ME is a long threat standing threat and is common errors in health care setting. It outcome can lead to physically harmful, fatal and prolong hospitalization, and enormously costly. In the mental health setting, some of causes of ME are, similarities of generic and brand names of drug, similarities of container labels and packages, and illegible of handwriting prescription. In this paper, the issue of medication administration error related to sound-alike and look-alike medications will be examines and implement a policy and procedure to prevent this error …show more content…
In the medication administration management process, the prescribers (Physician, Nurse Practitioner, Physician Assistant), orders the medication and treatment for patient. The order is signed and send to the pharmacist. The pharmacist received the order, review, interprets the order, detect therapeutic incompatibilities, dispense by labeling and packing for administration. The last management process is the nurse. The nurse duty is to review the received medication from the pharmacist then administer the medication to the patient. Any errors that occurs in this management can lead to medication error. The ethic code for all these professionals are to provide safety patient care and protect patients from harm. Therefore, this project target prescriber (Physician, Nurse Practitioner, Physician Assistant), pharmacist, and nurses in medication error related to sound-alike and look-alike …show more content…
24). I can occur during the process of selecting, prescribing, and dispensing medication. The institute for safe medication practice (ISMP) states the 10 key elements that has the greatest influence on medication administration. They are patient information, drug information, adequate communication, drug packaging, labeling and nomenclature, medication storage, stock, standardization, drug device acquisition use and monitoring, environmental factors, staff education and competency, patient education, and quality process and risk
Legislation P3- Explain relevant sections of key legislation and associated guidelines with regard to the administration of medicines. M1- Discuss how organisational policies and procedures are influenced by legislation and guidelines with regard to the administration of medicines. D1- Evaluate the effect of legislation and guidelines on the administration of medicines. In this assignment I am going to be explaining what different types of legislations and guidelines are in place when it comes to handling medicines in a health and social care setting.
By creating this comprehensive list of the medication plan given to the patient, the hospital pharmacist can then send this information to the community pharmacist and make sure that the information is held up to date. This would allow for a smoother transition for the patient and it would allow the patient to be more informed of their medications. The pharmacist is “poised to play an important role in improving medication management during transitions of care and reducing readmission rates” so the pharmacist should play a more active role to help ensure the best therapy for the patient (7). The pharmacist should ultimately design an ideal system for Medication Reconciliation to help reduce medication errors and better inform patients on ADEs to prevent any unnecessary medical
Nurses go through extensive training on medication checks during nursing school, as well as, during the orientation phase of where they are employed. Even with this training it is important to remember that no one is perfect and there are going to be errors. Prevention of these errors is one of the main goals in the healthcare field. By looking at what causes these errors, we can start
Reflection on Medication Administration Description (Competency 3j) I have looked over my moral development regarding medicine administration and have noticed there is the need for improved and has been agreed with my mentor to write a piece of reflection to identify areas of concern Feelings One of the major concern is the pace of dispensing and the time spent used to open charts and allocate them is one of my weakness. Although I am learner I need to back up the pace of dispensing so that patient doesn 't feel my skills is dull or boring and waste of time. I Had developed that feeling of being extra careful to avoid drug error and that makes me feel slightly nervous more also being under the influence of supervision as well. Evaluation
An interdisciplinary team of nurses, physicians, pharmacists, administrators, quality resource management staff, and if possible Six Sigma black belts participates in the analysis of the medication reconciliation process and its vulnerabilities. The team develops a plan to eliminate errors by following a flow chart to revise and pursue the established goals. In general, communication failures lead to errors in the administration of medications, in the doses or in the method of using a drug. In fact, Six Sigma approach is fundamental for the safety of nursing homes since many medications increase the patients’ risk of
To define the medication safety issues and types of medication errors that may occur during the process of ordering the drug till the patient receiving it. To explain how the electronic medical records system supported the ambulatory healthcare services to improve patient safety and detects medication errors. ¥ Method 3.1Research
Medication reconciliation assignment was an individual activity that I had to perform as a part of a course requirement. For this activity, we had clinical simulation lab organized with standardized patient. In simulation lab, I had to refer patient’s chart that includes his home medications and then interview standardized patient and get all detailed information regarding his medication schedule including name of medication, strength, dosage form, route, frequency and any adverse event associated with any medication patient is taking. After interviewing patient, I had to update patient’s medication list in to the patient’s chart and based on my clinical knowledge if I found any discrepancy in the patient medication list then I have to come
It has been notice that medication error is a problem on our unit. By doing some research it was found out that between 48,000 to 98,000 hospitalized Americans die each year due to medical error. Of this number 7,000 deaths are attributed by medication error. These statistics only report hospitalized based and no other health care settings like ours. As a result of the increase medical error incidents the Florida Legislative passed law mandating all health care professionals to do continuous education courses per on year prevention of medical errors.
It is vital for nurses to administer medication in a safe and effective manner to ensure the safety and wellbeing of patients. As part of the learning process, the Gibbs reflective cycle (1998) has been used to reflect on three instances regarding medication administration within the Clinical Practice unit to better understand and enhance my own learning. Whilst preparing oral medication in the Clinical Practice Unit, I incorrectly read the label of the medication, picking up a packet of Metoclopramide 10 mg tablets, used to treat nausea (“Metoclopramide”, 2017) as listed in MIMS, instead of Metoprolol tartrate 50 mg tablets, used to treat heart conditions according to MIMS (“Metoprolol”, 2017). The 50mg order would have required 5 tablets,
MEDICATION ERROR: "A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer.(7) Medication errors are known, according to the Agency for Healthcare Research and Quality (AHRQ), which account for approximately 1,000,000 medical errors per year. Those of which, approximately 10% have been resulted a death. Medication Administration Errors (MAE's) is defined as 'any occurring deviation by the physician's medication order as written for patient's medication order chart' it has been broadened to 'mistakes associated with drugs and intravenous solutions which are made during prescribing it, transcription,
Physicians, pharmacists, unit clerks, and nurses can be involved in the occurrence of medication errors (Mayo et al. 2004). No studies have demonstrated strong relationships between nurse characteristics (i.e., age, years of practice, and education) and number of medication errors (Osborne et al. 1999). This would seem to indicate that any nurse is potentially at risk for making a medication error (Mayo et al. 2004). Prevention of medication errors is linked to accurate reporting of medication errors.
Medication errors have been around for years. They are being made by everyone whether it’s the patient, the doctor , or even the pharmacologist. There can be many reasons for the cause of the error. But, they need to be stopped because they are causing death and illnesses to worse everyday. There are about 1.3 million errors being made in the US alone per year.
There is no use denying the fact that the human factor is one of the main reasons of the appearance of medication errors in the healthcare sector. That is why, it is possible to assume that some efforts aimed at the decrease of the level of negligence and inaccuracy among the stuff could be rather beneficial (Hospital Errors are the Third Leading Cause of Death in U.S., and New Hospital Safety Scores Show Improvements Are Too Slow, 2013). First of all, more attention should be given to prescriptions which are ordered to a patient as it is one of the main sources of medication errors. Moreover, it is possible to recommend to increase the skills in computer as the failure of CPOE could also be taken as the evidence of poor attainments. The system could have helped in case the stuff would be able to use it
Patient care and treatment is a complex process that involves several members of the healthcare team who work together with the patient towards a common goal. Because of this, medication errors can happen in any of these steps in the treatment