Medication error rates, in a hospital, can be as high as 1.9 per patient per day. There are many causes and sources of errors which include "illegibly written orders, dispensing errors, calculation and monitoring errors and administration errors" (Mayo & Duncan, 2004, para. 3). Administration errors can be medications given to the wrong patient (Mayo & Duncan, 2004). Other error prone areas are patient with drug allergies, the charting in medication administration record, and high-risk medication or high alert medications (HAMs).
With the speech therapist there is usually a discussion of cognition, attention, and focus issues to make sure that the patient does not become out of touch due to a prolonged stay in the hospital. This condition, known as Hospital Induced Delirium, can have detrimental effects on the health and wellbeing of patients. I was surprised to find out that this often results in an increase in long term care admissions. The speech therapist and the occupational therapist collaborate to make sure that the patient has activities that are challenging both physically and mentally in order to ward off this condition. Hospital induced delirium can increase morbidity and even mortality over time.
As stated by the National Heart, Lung, and Blood Institute, sleep apnea may be diagnosed based on medical history, a physical examination, as well as a sleep study. Some symptoms will be ruled out because of their frequency in everyday life-such as sleepiness and fatigue, decrease in focus and attention, and
Urgent care centers bridge the gap between emergency rooms and primary care physicians. By doing so such facilities are able to fill a niche in the market. However, one of the main drawbacks of urgent care centers is that continuity of care is low. Many patients, particularly the elderly, place a high importance on building relationships with their providers. Convenient care, with its episodic nature, poses the risk of fragmenting and disrupting such relationships.
In patients with multiple risk factors, the practitioner may proceed with caution with regard to invasive surgical procedures and may aggressively use pharmacologic adjuncts such as antimicrobials and host modulatory therapy in addition to mechanical therapy. When considering a risk-based approach to therapy, there is less watching and waiting
However, the highest percentage of cancellations are due to shortage of hospital beds based on the record of ICU trauma patients that has used the majority of the beds and for those reasons that is what led to cause the shortage. Discuss the indications found in Table 15-1 and their effect on the health care organizations efficiency in elective surgery. Due to those shortages it has cause many individuals with major medical conditions to delay their treatments or possibly cause a potential health threat that could be alarming to one’s condition if left untreated. The problem within the hospital is to minimize the concern within the ICU so that there is enough time to schedule surgeries for
The pressure of the heart does not stay at the same level at all times. It varies based on activities at a particular point of time. Hypertension occurs as a result to long duration of abnormal pressure of the main arteries. It has been called a silent killer as it is usually without symptoms. Hypertension takes a long time before diagnosed thereby causing major health problems as stroke and other cardiovascular
The author of the journal suggests that “immediate review of prescriptions should be performed with the assistance of a hospital pharmacist” to prevent errors in the prescription stage and to increase patient safety. Errors within administration are also common. Chloe Copping (RGN) published an article titled ‘Preventing and reporting drug administration errors. In this article she suggests that the most common source of drug administration errors are within calculation and also the 5 R’s, right drug, right route, right time, right dose and right patient. She states that a busy working environment can lead to distraction which then leads to medication errors therefore inhibiting patient safety.
The definition of medication error is any preventable incident that may lead to inappropriate medication use or cause patient harm (Manias, Williams, & Liew, 2012; Pop & Finocchi, 2016). Medication errors may occur during any stage of the medication management process, which includes prescribing, transcribing, preparation and administration (Manias et al., 2012). Statistical data suggests that a hospitalized patient experiences one mediation error per day (Kruer, Jarrell, and Latif, 2014). Medical error prevention in the ICU can be especially challenging due to it’s dynamic and fast paced environment, making it more prone to errors (Garrouste-Orgeas & Valentin, 2013; Kruer et al., 2014). In the ICU, the patient population
It allowed me to have a better understanding of the pre and post-surgical procedures, including the admission questionnaire and the monitoring needed after the patient returns to the unit. One key question to ask was which medications did the patient take and at what time. This information is necessary to determine if there are any interactions or adverse effects that can compromise the procedure. Some medications may be held due to its side effects. For example, if a diabetic patient take his medication and doesn 't eat for many hours, the risk of hypoglycemia increases.
Or you could experience symptoms every day Crohn 's disease is difficult to diagnose, because symptoms vary and because it can be similar to other conditions. Doctors evaluate the patient 's history and physical exams, as well as 1 or more laboratory tests such as blood tests, stool tests, barium X-ray, colonoscopy, biopsy, computerized tomography, and video capsule endoscopy. While there is no cure for Crohn 's, you can reduce its symptoms through the use of medications. We can use biologic drugs when other types of medications have not worked well enough.Crohn 's disease symptoms and complications are
#Alert your doctor if you experience severe side effects. As you reduce the amount of antidepressant medication you are taking, you may experience bothersome symptoms that impact your functioning. You might also notice a return of your depressive symptoms that indicate relapse. #*During this time, it is pertinent that you stay in communication with your doctor. He or she may need to alter the tapering regimen you are on to a higher dose or a more gradual taper in order to overcome negative side effects or prevent
Patients may also be treated with radiation, immunotherapy, chemotherapy or targeted therapy. At this stage the disease is very hard to cure due to metastasis. Recently the plan of treatment for stage IV tumors has changed. Newer forms of targeted drugs and immunotherapy have proven to be more effective than chemotherapy. Immunotherapy drugs such as ipilimumab, pembrolizumab, and nivolumab have been shown to help some people suffering from advanced forms of melanoma live longer, although, some of these drugs have severe side
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.
When barriers prevent people from seeking adequate health care, they may not routinely see their physician or wait until it is too late in the disease process. This then leads to poorer health outcomes overall. Nurses must be aware of these potential barriers to health care and work towards minimizing the disparities of health care. Recommendations to physicians may be beneficial if concerns about continuity of care may arise in regards to prescription medications and treatments. Advocating for these patients on a state and federal level for modifiable factors is always