Introduction Nurses are responsible for the care of the patient as a whole. Evidence based practices has encouraged patient centered care more in depth according to Jarvis (2014). A nurse’s responsibility is to provide safe practices to our patients. Developmental factors have proven to cause an effect on men, women, and children. Pharmacokinetics furthermore explains the medication action as it enters the body, how it’s metabolize, and then exits the body according to Jarvis (2014). National Patient Safety Agency monitored drug errors (NPSA) later implemented the 10’R’s. These components will change the way nurses deliver patient care. Responsibilities in medication Administration Medication …show more content…
Pharmacokinetics explains pathophysiology, action, how it metabolized, and then exit’s the body. This method has been used when timing medications effetely and evaluating outcomes. Jarvis (2014). Children are at a greater risk for side effects of medications. The results concluded, fructose malabsorption was found in children between the ages of 1-3yrs. The children were given apple and pear juice according to the Agency for Healthcare Research and Quality (2014). The children were reported to be in good health. The outcome was 70% breath hydrogen. Children of age five tested at 27% for breathing less according to the Journal of clinical pharmacology (2015). Both studies conducted shown little ability or has very low ability to absorb …show more content…
Nurses must check medications and dosages before giving. Expirations dates listed on medications are often over looked according to Edwards (2015). The 5’R’s are to help prevent medication errors. However, the 5’R’s are the causes of most medication errors. When medications are administered the outcomes are not assessed thoroughly. Nurses must assess the drug journey of the medication administered. This implements evidence-based approach. The 10’R’s was implemented to further improve drug errors according to Edwards (2015). 10’R’s has been implemented which are right to refuse, right to knowledge, right to challenges or question, right to advise, and right to response or outcome. There are two groups that are subjected to medication errors, children and adults. The ratings for children are three times the more likely than adults according Barber (2013) Categories for medication errors: human error, faculty system errors and environmental
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,
Environmental Conditions: In 2008, researchers estimated that potentially preventable adverse drug events kill 7,000 Americans annually and that medication errors that result in harm are the number-one cause of inpatient fatalities. While error rates vary widely among facilities, experts believe at least one medication error occurs per hospital patient every day (Anderson & Townsend, 2010, p. 24). Some of the most common medication errors that occur in the acute healthcare setting is due to the latent conditions. Nurses that reported working in
Introduction Nurses are one of the most important people in the healthcare system. They handle just about everything that involves direct client care. They are also in charge of administering medication to clients under the order of the doctor or nurse practitioner. Sadly, the number of incidences involving medication errors are quite high. In this paper, I will talk about the numerous ways medication errors can occur and how nurses have a great role preventing them, in order to keep all clients in the healthcare system safe.
According to (ASHP guidelines on preventing medication errors in hospitals, 1993) medication error should be classified for a better management of interventions. Level-0 being potential errors to Level-6 for an error that occurred that resulted in patient death. Firstly, and most important, the author will have to verbally inform the patient and/or caregiver of the medication error and nursing manager on duty. Patient has the right to know of any event pertaining to them.
The Code of professional conduct and ethics guide the nurses in their day-to-day practice to understand their professional responsibilities in caring for patients in a safe, ethical and effective way (ABA 2000). Although many types of errors can occur in the healthcare setting, according to medical protection Ireland most of the medication errors can be avoided by simple checking procedures and clear, open communication( Sorrell 2017). Several ethical issues may arise as a result of medication errors such as harm to patients, whether to disclose the error, erosion of trust, and impact on quality care (Sorrell 2017). Patient 's has all the freedom to decide what should or should not happen and to gather information before undergoing a test/procedure/surgery. The healthcare staff can only act as a facilitator in patient 's decision making.
Knowledge and assessment skills are required to improve the patient safety (4, 17-19). Clinical pharmacist can play an important role in nurse training as an effective method to reduce food-drug interactions in hospitals (18). However, we found that patients who instructed by nurses were also at high risk for potential food-drug interactions. It means that they do not pay enough attention to nurse recommendation. But they should know that communicating with physicians and pharmaceutical consultants seems to be an effective ways to preventing food-drug interaction interactions (19).
A medication error is an event that is posing serious threat to the society nowadays. It may lead to an inappropriate medication use or patient harm.[1] There may be several reasons or factors relating to these errors which should be ruled out to bring a change in the healthcare practice. These errors on the other hand can also be considered as a failure in the treatment process.
The Code of professional conduct and ethics guide the nurses in their day-to-day practice to understand their professional responsibilities in caring for patients in a safe, ethical and effective way (NMBI). Although many types of errors can and do occur in the healthcare setting, according to medical protection Ireland most of the medication errors can be avoided by simple checking procedures and clear, open communication (reference). Several ethical issues may arise as a result of medication errors such as harm to patients, whether to disclose the error, erosion of trust, and impact on quality care (ref). The concept of consent arises from the ethical principle of patient autonomy and basic human rights (ref) Patient 's has all the freedom to
The wide ranges of medications on the market provided have similar names, packaging and possibly come in more than one dose, thus, pharmacists and nurses have to take special care when giving treatment to wards and patients respectively, since these provide higher incidence of medication error. This is why double checking is very important even though sometimes both parties are restrained with time, workload and interruption. Nurses play a key role in the course of medication administration, and therefore they must be active in the avoidance of medication errors (Aiken et al., 2002, Benjamin 2002, cited by MRAYYAN et al., 2007).Although each and every hospital has policies and protocols these may still be violated due to a number of reasons, including interruption, distraction, disruption and many activities to take care of at the same time whilst administering medication. It is never over-emphasized to promote the importance of the 5 rights. The 5 rights are right drug, dose, patient, route and time of which can be easily neglected due
The article thoroughly validates the need for appropriate verification when it comes to the medication being given and where it should be given. We as future nurses, should always check and validate what we are given to our patients and where we should be given the medication to ensure the overall effectiveness. As stated in the article, if this is not done correctly, the risk for injury to the patient is likely to happen. A second thing the article states that could impact the nursing profession is the proper site and needle size of the medication being given.
The stockpile in terminologies used has been seen as a likely explanation for the difference in the preponderance of mistakes in administering medication. Thus far, little factual studies have challenged this pronouncement. The reason of this review was, hence, to try and explain the degree and attributes of medication error interpretation in hospitals and to acknowledge the aftermath for measuring the prevalent rate of medication
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
REVIEW OF LITERATURE Benjamin DM: according to him reducing medication errors and improving patient safety have become common topics of discussion in United States. Federal and state legislators, the insurance industry, pharmaceutical companies, health care professionals, and patients are worried about the error scenario in the country. According to him improving the judicious use of medications and minimizing adverse drug reactions have always been key areas of research and study for people working in clinical pharmacology, added to the older terms of adverse drug reactions and rational therapeutics, the now politically correct expression of medication error has emerged. The word error has drawn attention to another term "prevention" and all
Current Issues and Trends One of the major issues that is currently impacting nursing leaders and managers is the ongoing problem with medication administration errors. It is a nurse’s job to verify that the correct dose, route, frequency, and duration of the drug is administered and monitored appropriately. Unfortunately, numerous studies show the significance of this problem amongst nurses. For example, within a certain study performed involving 237 nurses, 64.55% of them had made medication administration errors, while 31.37% of them were on the verge of making a mistake (Cheragi, Manoocheri, Mohammadnejad, & Ehsani, 2013).
Description Garcia (2006) had stated that nurses play the main role in ensuring and preventing medication errors. Researchers had reported that 38% of medication errors that take place in hospitals are serious and leads to mortality. Nurses being the majority number of healthcare provider had been found to be responsible for 26% to 38% of medication errors that takes place in hospital settings. In fact nurses’ vital role is ensuring that all patients would receive safe treatment (Kim, Kim & Yoon, 2016). The last person that checks on the medication before dispensing to the patients’ are nurses, thus if they had ensure correct prescription and dispensing, medication error can be prevented (Carolyn, Debra, Patricia & Tamara, 2015).