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The impact of medication errors invesgation to nurse
The impact of medication errors invesgation to nurse
How to analyze the problem of medication errors
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Fisher Week Three Response to McConnelly Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. Interestingly, the utilization of computerized order entry does not prevent the prescriber from ordering an incorrect medication dose or the wrong drug (Lapane, Waring, Dube’, & Schneider, 2011). Do the facility employ process to assure nurses are checking the medication in order to avoid the administration of an incorrect drug or dosage? Distractions have been linked to medication errors, consequently, and the ability to care for a solitary patient at one time clearly minimizes the distractions and interruptions that a nurse may experience during medication
In the world today registered nurses are expected to know about the drugs they administer, their indications, contradictions and adverse effects and correct doses. Any RN can rattle off the correct procedure for safe drug administration. Although, despite this knowledge the incidence of drug errors remain high (Tindale, 2007). A common drug error that occurs is between Amphetamine, which is a CNS stimulant and Propranolol, which is a beta blocker.
Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.
This becomes an issue because when the family members want to ask the nurses or nurse manager, the residents and family members’
Reporting medication errors is beneficial to improve the learning process for nurses. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Nurses often excuse the behavior of colleagues when a medication error occurs, or nurses will pass the buck to a senior nurse to report the medication error (Haw, Stubbs and Dickens, 2014). Implementing a no blame policy for reporting medication errors, and providing nurses with the knowledge and training to report medication errors will result in an increase of medication errors reported. References Haw, C., Stubbs, J. and Dickens, G. (2014).
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.
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.
What I relate it to is when I visit my doctor. My doctor is the head of the clincical learning center at the group health so I always have a new student doing my basic work ups like asking questions and taking my
Technology is a massive part of our society today and it is continuously changing. It can help solve issues and increase sufficiency. One safety issue that technology can help improve is medication administration errors that occur in hospitals and other health care settings. A medication administration error is defined as any preventable event that could possibly result in unsuitable medication use or harm to the patient while the health care professional is in control of the medication. The most common type of medical error is medication errors.
This allowing a nurse to improve the support they give to patients and to increase their personal confidence in handling a hectic matter with a patient or between work colleges without it making the hospital environment chaotic. Reflection
Miscommunication is a common existing problem in today’s nursing context and healthcare settings. It is essentially the failure to relate relevant nursing information to the specific individual in the team that can result in malpractice and minor errors. Miscommunication can occur between a nurse leader and subordinates or just amongst staff nurses themselves. Nurse leaders are expected to have skills in non-verbal communication, listening and personal relationships. Miscommunication appears as a result of false assumption where nurse leader interprets subtle non-verbal clues or any complex situation instead of direct enquiries.
Adverse and near-miss events occur in the real-world of nursing practice. The difference between an adverse event and a near miss is the outcomes of the event. Adverse events cause harm to the patient through medical care and may be through negligence, which can be preventable (Agency for Healthcare Research and Quality, 2016). A near miss is an event that might reach the patient but does not cause harm to the patient.
Medication use is potentially dangerous. Polypharmacy is increasing, and makes it harder to keep track of side effects and interactions and of potentially inappropriate drug combinations. “The risk of serious consequences, hospitalization, and death due to medication errors increases with patients’ age and number of medications (Scand J Prim Health Care, 2012)”. For example, the GP is supposed to monitor the patient's regular medication, but does not always do so. Lack of monitoring and keeping track of patients’ medication use is a main cause when a patient is given inappropriate drugs.
Observing the response and actions of the patient can assist the nurse in
In this case, staff nurse Mary and student nurse Alice failed to ensure that Mr Tan and Mr Abu received a safe and efficient care due to placing wrong medication on patient's table. Therefore, as a future nurse, I learn to abide by the six rights of administering medication Singapore Nurse Board Code of ethic Value statement 6 suggested that Nurses should assign tasks or delegate care based on the needs of the clients, and on the knowledge and skill of the provider. Hence, Staff nurse Mary did not delegate the appropriate task to student nurse Alice which causes medication error. In future, I learn to delegate task according to the five rights of delegation to minimise the chances of the wrong delegation. 5.0 Conclusion
