NOW WHAT (modifying future outcomes) At this level, the role of Anticoagulant team has its major part in treatment of Mr Moore plus NMC’s other patients, and also the colleagues of Anticoagulant management. This aspect makes sure the optimal level of Anticoagulant therapy by evading offensive risks of haemorrhage. The reflection case exemplifies to reflect the decision that I made is so perfect but in future if I had sufficient time I could ask patient’s general practitioner for the authorisation if he or she could fund new oral anticoagulants.
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.
Reflection on Medication Administration Description (Competency 3j) I have looked over my moral development regarding medicine administration and have noticed there is the need for improved and has been agreed with my mentor to write a piece of reflection to identify areas of concern Feelings One of the major concern is the pace of dispensing and the time spent used to open charts and allocate them is one of my weakness. Although I am learner I need to back up the pace of dispensing so that patient doesn 't feel my skills is dull or boring and waste of time. I Had developed that feeling of being extra careful to avoid drug error and that makes me feel slightly nervous more also being under the influence of supervision as well. Evaluation
Reducing Medication Errors in Nursing Practice This article touched on the countless ways that medication errors can occur. Medication errors are one of the most common sources of accidental harm to clients (Cloete,
In line with this assertion, this paper will discuss about the population affected in healthcare inequities, as well as provide for the political activities related to the problem. The Population Affected Mayberry, Nicewander, Qin and Ballard (2006) wrote that “a landmark Institute of Medicine report Crossing the Quality Chasm: A New Health System for the 21st Century challenges all health care organizations to pursue six major aims of health care improvement: safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness.” This challenge aims to ensure that quality care is available to everybody—regardless of race, ethnicity, and other personal characteristics unrelated to the reason why a
Managers in the health information department are in a prime spot to guide their peers to a greater level of compliance and therefore, a lesser risk of legal consquences. Per the American Health Information Management Association (AHIMA): Health information management (HIM) is the practice of acquiring, analyzing, and protecting digital and traditional medical information vital to providing quality patient care. It is a combination of business, science, and information technology. (AHIMA, 2018) HIM professionals, therefore, can use many tools, such as auditing, to discover areas where compliance is lacking and in turn use targeted education to help prevent any
The opioids epidemic interventions are essential to prevent prescribed opioids abuse, promote safe prescriptions for individuals and decrease mortality rates. Furthermore, the goals in practicing safe and regulated medicine, enables the individual who needs opioids analgesics to control their pain and suffering. Implementing interventions to this issue would include holding health care professionals accountable for misconduct, educating and evaluating physicians, pharmacists, and monitoring prescribers to apply state laws and regulations. A collaborative approach to regulate, educate and monitor is inevitable for effective outcomes! Consequently, many physicians may possibly be hesitant prescribing opioids drugs to prevent penalties.
Medication error (ME) is defined as “improper dosage, delivery of an incorrect medication administration to wrong patient, and inappropriate medication therapy” (XU et al., 2014, p. 286). ME is a long threat standing threat and is common errors in health care setting. It outcome can lead to physically harmful, fatal and prolong hospitalization, and enormously costly. In the mental health setting, some of causes of ME are, similarities of generic and brand names of drug, similarities of container labels and packages, and illegible of handwriting prescription. In this paper, the issue of medication administration error related to sound-alike and look-alike medications will be examines and implement a policy and procedure to prevent this error
Preoperative premedication as midazolam could be a better option for Mrs. Jo's scenario in conjunction with the application of EMLA cream on the venipuncture site to reduce the pain stimulus. The pre-operative assessment and planning should be performed mostly by staff with nursing background (Institute for Innovation and Improvement 2008). The anaesthetic nurse practitioner involvement during the pre-assessment should be taken in consideration in order to ensure that all the patients are well prepared and fully informed before their
Along with how the culture of safety influences changes in the system. In this scenario, a RN mistakenly administers an incorrect dose of a medication to an infant. When the mistake was discovered, it was reported an investigation began to determine how this occurred. The investigation team not only investigated the administering nurse, but also the pharmacy, the unit in which the mistake happened, the process in which medication is administered, and the purchasing department. The report found that there were multiple breakdowns in the system.
I would use this scholarly journal in my essay with quotes from the section titled “Significance of Research”. These quotes would help with my argument that the topic of opioid abuse needs to be better researched. For example, “Patients may begin nonmedical use of opioids due to
In my facility, the safety of our patients is our top priority. We use a set of interventions using clinical indications to ensure the safety of patients with indwelling catheters. These indications are strict intake and output (I&O), patients monitored for acute renal insufficiency or failure, sedated patients with critical illness, and neurological patients monitored for syndrome of inappropriate antidiuretic hormone (SIADH) or diabetes insipidus. Patients suffering from acute urinary retention, or bladder outlet obstruction with the inability to void, as well as select surgical patients, are also indicated.
One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al. (2014) researched the effects of the two drugs in question in the thromboprophylaxis treatment of patients (Akl et al.,
These alarming statistics raise a huge concern with the effectiveness of the transitions of care. The main issue with transitions of care is that there are discrepancies that mistakenly occur during this process. As reported by Judith Kristeller, PharmD BCPS, “the transition between inpatient and community settings in particular is prone to medication errors related to a lack of communication between health care providers, missed patient follow-up, inadequate patient education, etc.” (6). Medicare services have even included a three percent fine on Medicare payment for hospitals that have unnecessary readmissions, and this percent has increased since 2014 (5).
The article particular states that preventing the medication error can preventable when providing the information that helps the medications error to prevent. Institute of Medicine reported errors can be prevented by designing systems that make it hard for people to do the wrong thing and easy for people to do the right thing (Institute of Medicine, 2006). In hospitals, errors are common during every step of the medication process dispensing, its impact but they occur most frequently during the prescribing and administering stages Institute of Medicine, 2006). While all types of errors are taken into account, a hospital patient can expect on average to be subjected to exist medication error each day.