This chapter presents a review of existing literature, knowledge and other information relevant to the study. The literature review conducted with the view that it will help position the research in a better conceptual framework. According to (Burns & Grove, 2010), “a literature review provides knowledge about theories and scientific knowledge of a particular problem and ends up with what is known and what is not known”. Again, it helps, any researcher to provide the context, informing methodology, identifying innovation, minimizing duplicative research and ensuring that professional standards are met (Maggio, Sewell, & Artino, 2016). The thesis to be submitted is geared towards medication errors in hospitals and hence relevant information …show more content…
Medication errors have a huge impact on health care system, patients and payers alike. It compromises the confidence of patients on health care system. Incidents and mistakes that occur during the period of administering medication goes on to be a big safety issue for patients in health institutions and hospitals globally. Interruptions to the administering of medication process have been noted as a major influence on medication error. Research reveals that some interruptions cannot be avoided; hence, to reduce errors, it is important to recognize how undergraduate nurses or health practitioners learn to control interruptions to how medication is administered to patients. 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 …show more content…
This has caused a rise of focus on epidemiology and avoidance of medication error in hospitals globally prompting diverse studies Nonetheless, this addition has not given accurate or consistent discovery with respect to errors involved in administering medication. Quite the contrary, there happens to be a a whole lot of terminologies involved in explaining the clinical dimensions of errors in medication and segregated consequences (e.g. error, failure, near miss, rule violation, deviation, preventable ADE and potential ADE). Furthermore, it has been advised that this variance has aided in the substantial inconsistency in the recorded happenings of errors in medication. Hence, in comparison to other epidemiological areas in health care, no individual explanation is presently being used to figure out medication despite the attempts to create a global definition have been made (e.g. National Coordinating Council for Medication Error Reporting and Prevention), which is definitely emulated in the referred article. As an essential aftermath, this lack of accuracy hinders dependable comparison of discoveries across studies, clinical contexts and
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
Effective communication is crucial in ensuring that patient care is coordinated and safe. This semester, I witnessed an incident where a patient's medication was missed because the communication between the physician and the nurse was unclear. The nurse assumed that the physician had ordered the medication, but the physician thought the nurse had already given it. This resulted in the patient not receiving the medication on time, which could have led to complications. This experience reinforced the importance of clear and effective communication among healthcare
Also the lack of nurses on the floor causing work to be over look. Not double checking the documents of when the last dosage of medication was given. Another factor to medication errors is high work flow during shifts. The mislabeling of the medication has cause nurse to choose the wrong medicine. Making sure the label is scanned on the medication to see if the correct information pulls up.
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).
The given reason being nurses are not likely to report the errors and only when clinincal consequences arise are they discovered. The focus of the Dalmolin, Rotta, & Goldim, (2013) study was to evalualte the medication errors for the types, seriousness, and medication groups involved. The study was conducted at the Hospital de Clinicas de Porto Alegre(HCPA) between January 2010 and December 2011. The study was conducted using a retrospective and cross-sectional study process. The study used data on medication errors, that was submitted to the Group for Safe Use of Medications.
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.
As a student, one of my competency to achieved to become a professional nurse is medication administration. Since medication error can kill, there is the need to be vigilant at all time in dispensing under supervision. I have managed to disperse quite a few times but occasionally get muddled with the whole process by doing little errors and the pace at which I administer needs to be faster due to factor of time and the amount of patient lined up for medication. I have noticed some errors that needs to back up all the time. I have discussed with my mentor {and all areas of weakness have been recognized as a great opportunity for improving my experience in medication administration.
Adequate lighting, counter room, temperature and humidity can benefit workflow from one task to another, plus decreasing the risk of dispensing errors. Creating a entering, filling and checking prescription routine will benefit in organizing the workflow. To avoid mixing up prescription, it is best to label patients’ container before filling, also never leave drug containers unlabeled. Pharmacy malpractice falls within the common law perception of negligence. Pharmacy malpractice lawsuit, the components i
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.
According to the World Health Organization (2004) “Patient safety is the absence of preventable harm to a patient during the process of healthcare”. It highlights the importance of safety in healthcare through the avoidance, curtailment, reporting and investigation of medical errors that often lead to adverse effects. An adverse effect can be said to be an injury which result from or is contributed to by medical management thereby prolonging hospitalization, treatment, monitoring and resulting in disability at the time of care and/or discharge. In healthcare, human error can be considered in two ways: the system and the person approach. The person approach focuses on procedural violations and fallacy of nurses, doctors, pharmacist and all
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.
Communication can be a big factor in medication errors. Miscommunication by the members of the healthcare team can lead to deadly consequences, so orders should be repeated back and verified (Anderson, 2010.) Sometimes
Abstract This reflective paper imposes that nurses, including me, need to be able to make drug calculations and correct medication administration. A medication error serves as leading medical cause of patient’s safety or even its life. As a result, correct medication administration should be a focus of nursing education. Nursing students including myself have difficulty learning math calculation skills which relate to medication.
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