Literature may determine the contributing factors of medication errors (Al-Syara’, 2012). A review of the literature by Johari, Shamsuddin, Idris & Hussin, 2013 described heavy workload, complicated orders, new staff, personal neglect and unfamiliarity with medication as factors contributing to medication error among nurses in one government hospital. Nurses’ proper and appropriate function of reporting on medication errors will prevent
On another hand studies clarified which factors impact the quality of nursing care from the Patient’s opinion , e.g. environment factors, patient awareness, nurse–patient relationship and personality/behavior . ( Williams 2004 ). also , wasted nursing care had important impact on nurse-reported counter events such as hospital acquired infections, patients taking error medications or dosage , and more accident of patient falls causing injury. The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings .
Many nursing home residents all over the United States experience not only physical abuse, but drug abuse also. “In 2011, a government study found that 88 percent of Medicare claims for antipsychotics prescribed in nursing homes were for treating symptoms of dementia, even though the drugs aren't approved for that’” (Jaffe). Antipsychotic drugs are used to treat short or long-term bipolar disorders. The drugs treat schizophrenia, Alzheimer's, hallucinations, depression and a vast amount of other bipolar disorders. Caretakers who work in nursing homes are responsible for treating their patients with the correct care and treatment needed.
This is an interesting study for the journal since it addresses with a novel approach the nursing diagnoses of surveillance in cases of patients suffering from cardiac arrest. There are few published studies dealing with this issue and, even less, using a non-NANDA-I taxonomy. The authors introduce the ATIC terminology that seems to have a wide range of adequate risk diagnoses to improve the nursing surveillance interventions planning for patients with severe health status in the hospital setting. Therefore, we believe that the research approaching is appropriate and pertinent to advance in these issues´ knowledge. Introduction: page 2, lines 48: the sentence ending with "... cardiac arrest is predictable" should be accompanied by its bibliographic
Ideally, nursing documentation is a reflection of the quality of care given to patients. Unfortunately, nursing documentation has been failing to meet recommended standards (A. Prideaux, 2011). The purpose of this study is to elucidate the extent to which nurses adhere to the SOAPIE or ADPIE theoretical framework in nursing documentation. A high percentage of nurses used the ADPIE framework (35.5%), compared to those using the SOAPIE framework (17.3 %). However, majority of nurses used methods that were unclear (57.3%).
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
The nurse to patient ratio varied from 1:5 to 1:8 on a medical-surgical unit within hospitals in the United States (Atencio, Cohen, & Gorenberg, 2003). The studies revealed that once the nurse cared for more than 4 patients within a shift, job dissatisfaction increased by 15% (Atencio et al., 2013). Additional information became apparent during the literature reviews, stating that results indicated that nurses in hospitals with the highest nurse to patient ratios were more than twice as likely to experience job dissatisfaction compared to nurses with lower ratios (Aiken, Clarke, Sloane, Sochalski, & Silber,
Medication error is not something new in healthcare service. Researchers had identified medication error is the high numbers of incidents involving nursing practice. Thus, a proper and well designed organizational system should be in place for the process of administration of medication to minimize and prevent errors. Medication happens when there is a failure in the system. To my surprise when I did the write up for this paper I had came across many clinical practice guidelines on medication safety.
In Kashmir Valley of India the present tertiary health care center where the research was conducted is the only health care centre. The pattern followed in this state is a three tier health care system as at many other places (1). It was observed that 350 patients attended referral clinics every day and so a sample size 15 patients were studied over a period of one year; as there is a situation of over burdening of this 750 bedded hospital so that the authorities could plan some strategies to develop a proper referral system. Shin-ichi Toyabeetal while studying the pattern of referral of patients from secondary care hospitals to a tertiary care university hospital revealed that 61.2% of the patients were directly admitted to the hospital without referral from other hospitals or clinics. These results suggest that the function of university hospital in Japan is not specialized and that the referral route from the university hospital to aftercare is also unequipped
It was found that a chain of errors was seen in 77% of incidents. 83% of the errors that eventually occurred were mistakes in treatment or diagnosis, 2 of 3 were set in action by errors in communication. 80% of the errors that started cascades involved informational or personal miscommunication. Thus it was concluded that cascade analysis of physicians' error reports was useful in understanding the precipitant chain of events, but physicians provide imperfect information about how patients are affected. Miscommunication appears to play an significant role in propagating diagnostic and treatment