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Medication error in healthcare settings essay
Medication error in healthcare settings essay
Medication error in healthcare settings essay
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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.
Medication: Tylenol #3 1-2 tabs PO q4h PO prn Docusate 100 mg PO BID prn Rationale: Received 400mg ibuprofen 3 hours ago and her current level of pain is 7/10. I am choosing to give her Tylenol #3 to control the intense pain she is experiencing from the episiotomy and third-degree laceration and intense labour. This medication is appropriate because she reported experiencing a lot of pain since delivery. The length of time that is appropriate for her to take this medication is solely based upon continuous assessments of her pain between doses. Continuous pain assessment will determine how long she will take this medication as a major concern is the crossing over of codeine, acetaminophen and caffeine into the breast milk (Chow, 2013).
It is estimated to cost 177.4 billion on the expenses associated with the 1.5 million people a year that suffer from medication errors. There is software that can and has reduced medication errors by half. The issues accompanying the resistance to implementation surround the doctor’s reluctance to change, and the initial facility costs associated with the system. After reviewing the video related to the deaths from prescription medication errors, I believe that E-Prescribing is a great way to reduce medication errors caused from poorly handwritten prescriptions and allowing the pharmacist to deliver the dose being prescribed accurately. Electronic prescribing gives the pharmacy secure access to the patient’s prescription history to alert
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
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
The nursing staff needs to make sure they have more indicators towards practice nurse safety. Focusing on working patient safety down to zero with grade c medication ( Cockerham ,J.,Figueroa-Altmann,A., Foxen,C., Paffett,C., Sullivan,A.,&Wellner,J.,2014). The nurses making sure patient safety is first when administrating medication .The hospital would like to limit risk and increase reliability when taking care of patients. The purposed of this peer review article is to have the quality nursing and ample amount of nursing staff.
Nurses' perceptions of how physical environment affects medication errors in acute care settings Introduction "Medication errors results from the interaction of multiple factors that include regulatory environment, organizational leadership and commitment, management policies and procedures, complexity of tasks involved, work culture, and physical environment" (Chaudhury, Mahmood, & Valente, 2009, p. 229). Health care services that nurses perform in the hospital environments are physically and psychologically intense, which can potentially result in burnout, stress, and medication errors. Crowded and poorly designed work spaces are factors that contribute to staff stress, resulting in the risk of increase medication errors (Chaudhury et al., 2009). Ulrich, Zimring, Quan, Joseph, and Choudhary, 2004 (as cited in Chaudhury et al., 2009) "argued that reduction of nursing staff stress and error by physical environmental dimensions (such as air quality, acoustics, lighting, and so on) can have a significant impact on staff health and efficiency" (p. 230). There is limited research on the how physical environment affects medication errors.
Using data can better nursing practice, improve patient safety and quality of care. There are several interventions based on research evidence that can be applied. The goal is to reduce medication administration errors. A reduction in medication errors would not be 100%, however, a goal approach of 75%, and then 90% would be a significant improvement over time. The design of the automated dispensing system (BCMA), would have a great impact on how nurses deliver their medications (Franklin et al., 2007, p. 282).
There are multiple problems related to medication errors that require nursing interventions. The goal of these nursing interventions is to identify factors that contribute to medication errors and to prevent it by using the 10 Rights of Medication Administration. There are many factors that can cause medication errors and the most common are interruptions and distractions. Research studies showed that there were 6.4 interruptions per hour and interruptions during every third drug given. Noise is also a big problem in the hospital and it comes from different machines and equipment, hospital staff, patients, phone calls, and call lights.
Accountability for delivery of patient safety improvement targets with relation to medication errors. Janine was an enthusiastic and engaging speaker, and her passion for reducing medication error and the involvement of her junior doctors was evident. She spoke about the Juniors’ Educational Drug Initiative (JEDI) and discussed the ‘carrot and stick’ as a simple model to describe motivation.
It is hard to choose which one is best, but one would say that injectable medication is far more superior to pill form orals. Comparing each type of medication; both have a purpose to cure, both medications have time factors in relation to their administration routes, and both have potential side effects in relation to these routes. Neither is truly safer than the other. Medication errors are a constant factor of note to keep in mind when both forms are administered. However, there are multiple uses of injectable medication.
Patient safety is one of the key determinants in providing quality healthcare. “The goal of preventing medication errors in pediatric care is to protect the safety of patients” (Caple, 2015). A medication error (ME) is defined as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in control of the health care professional, patient, or consumer” (Schub, Patient safety: Medication errors and improving medication safety for pediatric patients, 2015). They are the most prevalent medical error, posing a risk for all patients, but pediatric patients are more likely to experience them (Schub, Patient safety: Medication errors and improving medication safety for pediatric patients,
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.
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.
The study found out that in every three adverse drug effects caused by medication errors, one of them occurs by a nurse medication administration. Additionally, In the US, annual estimated cost of drug caused morbidity and mortality is above $ 1.56 billion. Adverse drug effects caused by medication errors is rated to be between 3% and 28% of all the hospitalizations in the US. In another study done by Wakefield et.al investigating nurses perceptions on the causes of medication errors shows that error at administration was 56.4%, documentation error of 87.5% (the majority), technique error of 73,1% and time error of 53.6%. As it turns out, error in documentation is the most dominant found in the
