Errors in medication: a literature review on causes, impacts and prevention measures in association to medications errors. The aim of the topic of interest is to address the broad question: in patients below the age of seventeen, how does errors in medication, compared to the right medication influence their risks of developing medical complications during their admission period in the hospital. The literature review’s focus is to describe research presenting current information on medication errors. Exploring information known on distractions and interruptions more specifically on medication administration errors. Medication errors to a big extent cause morbidity, adverse drug effects and mortality in patients who are hospitalized. It also …show more content…
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 …show more content…
They can result from the various processes involved in treatment: prescribing, dispensing, administering the medication and monitory of treatment. In addition, there are several factors contributing to medication errors in hospitals. They include individual staff errors and system errors. There are many dangers resulting from medication error on the patient. They include deterioration of health status of the individual, increased financial expenses (as there is possibility of longer stay in the hospital) and development of medical complications. Severe outcomes can be result to medication errors including disability, paralysis and death. These errors may also have impact on the family members of the victim as they know that the danger facing the victim could have been avoided if the care givers could have been more careful. These errors can be prevented by careful changes in operational systems in the hospital. Hospital managers can harmonize their systems and summon their workers to be more careful when handling the patients. With prevention of these errors, patients would spend little time in hospitals, with fast healing process with prevention of health status
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.
Medication errors are preventable adverse events and costly to patients, insurance companies and health care organizations (Institute of Medicine, 2006). It is estimated that for every adverse drug event that occurs in a hospital, adds over 8,000 to the hospital stay (Institute of Medicine, 2006). One of the essential components in reducing medication error is a collaborative partnership with the patient and healthcare providers to facilitate communication. Patient education regarding risks, side effects, drug interactions and contraindications must be thoroughly reviewed with the patient (Institute of Medicine, 2006). The use of technology for prescribing, dispensing and to obtain detailed information regarding
Six months after the introduction of medication aides, error rates were as follows: RN (2.75%), LPN (7.25%) and medication aides (6.06%) with a mean error rate of 6.6%” Randolph & Scott-Calwiezell (2010) as cited in Budden (2011). While errors remain, the objective of reducing inaccuracies among primary nursing staff was achieved by
Our solution to medication errors is here, it is just a matter of implementing it into our
Transitions in care, such as admission to and discharge from the hospital, put patients at risk for errors due to poor communication and inadvertent information loss (1–5). One discrepancy does not necessarily mean an error. In fact, most discrepancies are due to adapting chronic medication to the patient’s newly diagnosed condition, or because the examinations and/or interventions performed could interfere with their usual medication. Medication discrepancies, established as unexplained differences among documented drug regimens at the interfaces of care1 (admission, transfer, and discharge) are highly prevalent. Some are intended therapeutic modifications, but others are unintentional and clinically unjustified.
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).
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.
However, Panzer (2000) states some doctors have administered large doses of medication then necessary required, resulting in adverse reaction and consequently death. The role of the nurse can be challenging and causes
Medication errors can be very dangerous for the ones taking the wrong medicines or doses; therefore, safety measures must be in place. Administering them must be done with an understanding and focus. One missed check could have a staff member giving a resident the wrong set of pills. Some interventions to help prevent the medication error from occurring is to first report errors. When errors are reported, the main cause is to try and never let the error occur again.
Statement of the Problem Since the healthcare system is responsible for providing care for patients, it’s unacceptable for these organisations to be causing harm to patients.1 It has become well recognised globally that hospitals and other healthcare organisations are not safe as they should be.1 Adverse events (AEs) in hospitals are now widely agreed to be a serious problem, annually killing more people than vehicle accidents, breast cancer and AIDS combined.2 An Adverse event (AE) is usually defined as “an unintended injury or complication resulting in prolonged hospital stay, disability at the time of discharge or death and caused by healthcare management rather than by the patient’s underlying disease process”.3 AEs are also defined as “injuries that result from medical management rather than the underlying disease and are preventable”.1 The World Health Organization (WHO) estimated that globally, every year 1 in every 10 patients suffer injuries or die as a result of adverse events. 4 The widely recognised Institute of Medicine (IOM) report entitled “To Err is Human” estimated that each year between 44,000 to 98,000 Americans die annually as a result of medical errors. 1 Medical errors can be defined as “the failure of a planned action to be completed as intended or the use of a
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.
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.
Medications that are given wrong can lead to serious side effects for the patient, and maybe even death. The nurse should be very careful to read everything before giving the medication to the patient, and should be very thorough when administering it to them. Nurses can make big mistakes by giving the wrong medication to the wrong patient, and this should be avoided at all costs. Careful medication administration should be implemented, so that patients have the best care
This resulted in 7% of the respondents reporting involvement in a medication error during that past year. Good interpersonal skills and effective communication ensures that concerns regarding patient safety can be brought up without seemingly challenging the knowledge of the other healthcare
Descriptive statistics of the frequencies, means and percentages of medical errors occurrence as a result of each cause are presented in Table 4.3. The staff who participated in this study reported that their team often or frequently encountered medical errors because of lack of equipments (52%), lack of training/experience (47%), lack of teamwork skills (44%), communication breakdown (45%), Lack of planning, failure in decision making, conflict within team members, failure in patient’s information sharing (37%), lack of collaboration within team members (36%), conflict with other teams (31%), delegation of authority (28%), weakness in controlling team members(26%) and lack of following guidelines