Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
Lesson 7 Small-Group Discussion. Patient Safety Step 1 In a report by the Institute of Medicine (2006), Titled, Preventing Medication Errors, “The committee concludes that there are at least 1.5 million preventable adverse drug events (ADE’s) that occur in the United States each year.” These numbers are astonishing given the number of adults that are taking prescription medications daily. Most of the errors occur during the prescribing and administering steps and during an average hospital stay, a patient can expect to have one medication error occur every day (Institute of Medicine, 2006).
In this paper, computerized physician order entry (CPOE) systems will be discussed. The reduction of medication errors as a result of CPOE will be addressed, as well as, the possible errors or problems that it can still cause. The ease of use and how clinician input affects the efficiency, usability and safety will be included. Lastly, possible solutions to the problems and issues that arise from CPOE will also be provided. CPOE systems are very effective at reducing errors and assist with workflow.
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
Medication Error Prevention Act of 2000 states: Amends the Public Health Service Act to make medication error information privileged for Federal and State administrative and civil judicial proceedings if the information is voluntarily submitted by a health care provider to a program, approved by the Secretary of Health and Human Services, for the purpose of developing and disseminating recommendations and information regarding preventing such errors (Medication Error Prevention Act, 2000). According to congress.gov (n.d.), this is still a bill in that 02/16/2000, this was introduced in the House by the House of Representatives and referred to the House Committee on Commerce. Then on 02/23/2000, it was referred to the Subcommittee on Health
Nurses' perceptions of how physical environment affects medication errors in acute care settings Introduction "Medication errors results from the interaction of multiple factors that include regulatory environment, organizational leadership and commitment, management policies and procedures, complexity of tasks involved, work culture, and physical environment" (Chaudhury, Mahmood, & Valente, 2009, p. 229). Health care services that nurses perform in the hospital environments are physically and psychologically intense, which can potentially result in burnout, stress, and medication errors. Crowded and poorly designed work spaces are factors that contribute to staff stress, resulting in the risk of increase medication errors (Chaudhury et al., 2009). Ulrich, Zimring, Quan, Joseph, and Choudhary, 2004 (as cited in Chaudhury et al., 2009) "argued that reduction of nursing staff stress and error by physical environmental dimensions (such as air quality, acoustics, lighting, and so on) can have a significant impact on staff health and efficiency" (p. 230). There is limited research on the how physical environment affects medication errors.
Pharmacy technicians work under the supervision of a pharmacist helping prepare and give out medications. It is very crucial for a pharmacy technician to be aware of their work at all times and check their work more than once. Pharmacy technicians need to ensure any medication they have prepared has been done properly, if not that could potentially harm the patients. Pharmacist trust their technicians will always follow system-based processes and provide an extra layer of safety. Working as a pharmacy technician it is important to communicate with the pharmacist and address any questions or concerns, not asking a simple question could cost the life of a patient.
All professions follow a code of ethics. A code of ethics provides legal and ethical guidance to members of a profession. The field of ethics describes how we must treat each other, how we must act, what we must do and why. As professionals, we identify ethical issues that tend to arise within our chosen profession. To consider ethical issues, we need some level of guidance, which is the code of ethics.
Medical errors are a tremendous issue in the medical world today. These errors can prompt incapacitation, sickness, or even death. As medicine expands, and as the world discovers more data about the universe of medicine, one would figure medical errors would decrease. The errors have begun to fall, however not as essential as many would think. As a general public, the prescription is continually changing so are the approaches to manage a medical error.
- Nurse fatigue is a clinical problem that cannot be overlooked. - Nurse fatigue impedes nursing competency and patient safety. - Long working hour highly associate with nurse fatigue - Nurse fatigue increases medical errors that threaten patients’ safety and outcome; put nurses own health in danger. - Nurse fatigue increase healthcare system cost. - ANA spotted the serious consequences of nurse fatigue and posed a position statement that required nurses and healthcare facilities to work together to reduce nurse fatigue.