Medication errors are one of the most serious issues dealt with in the healthcare setting. It accounts for many complications that could potentially harm the patient and the administrator themselves. Medication errors may be preventable, and although the healthcare professional is responsible for the patient’s medication while in their care, inappropriate medication use may still occur. Human error is a huge contributor for the flaw in the administration of medication, which could be influenced by many factors. A simple way to address the problem of the misuse of medication is to look at the contributing factors that lead to the error and utilise the “five rights” for safe practice. When administrating medication, the healthcare professional …show more content…
According to (Psnet.ahrq.gov, 2015) 5%-10% of patients die as a result of ADE’s, while 75% of these events are preventable. A simple factor such as illegible writing in patient documentation can result in errors with administration and monitoring. Certain medications may also cause serious side effects, which refer to a drug’s unwanted effects that occur within the therapeutic range (Reactions, 2015). It is clear that nursing and medical interventions need to be implemented immediately to prevent an adverse effect occurring, and a way in which this can be done is to assess and monitor the patient accurately. Professionals are trained to understand how the body reacts to the drug, and what the drug actually does to the body, which is known as pharmacokinetics and pharmacodynamics (Nursingboard.ie, …show more content…
Miscalculation of drugs can lead to either an overdose or an under dose, with both having serious effects on an ill patient. This issue may arise by means of misinterpreting a prescription, due to illegible handwriting, or misreading the zeros on a prescribed dosage. Under dosing has as much of an effect as overdosing. Both may usually occur in the consumption of over-the-counter drugs, where prescription from a doctor or physician was not involved. While overdosing can cause serious ADE’s, under-dosing may occur as there is a fear of these adverse reactions occurring (Formulary Journal, 2015). The safest way to go about this issue is for the patient to consult a doctor, who has the responsibility of providing an accurate and legible prescription, to avoid over-the-counter drug related
Healthcare professionals must talk to their patients about possible side-effects of drugs they are taking and make sure they understand what can happen. In doing so, patients may start to understand why something is happening to them and it is a normal side-effect, which can not only lead to trust from the patients to providers, but can lead to the passing of knowledge from one to another which may prevent future
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.
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).
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
"When they are taken in the dosage and form prescribed by a physician, these are safe drugs that help a lot of kids," says Dr. Cindy Miner, deputy director
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.
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.
Medication errors is any correctable event that could lead to inappropriate
There is a need for the task to be carried out in an orderly, systematic way. Several factors contribute to greater propensity of ADRs in the elderly citizens, including use of potentially inappropriate medication (PIM). Elderly citizens are prescribed potentially inappropriate medication (PIM) in an ambulatory setting and during hospitalization. About one-third of the adverse outcomes in elderly citizens are estimated to be due to the use of
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.
The aims of the Pharmocovigilance Legislation is to lessen the count of adverse drug reactions in the EU, through the following: • Compiling and maintain data on the safety of medicines • Analyzing data to identify the ADR's • Assessing the data to determine safety issues • Following effective regulatory action to deliver
Safe medication administration is a big aspect of nursing care, because if medications aren’t given safely, then it can lead to some serious adverse effects to the patients. There are many things that can go wrong, and that’s why nurses have to be very careful when handling and giving medications. Nurses can make mistakes, and give the wrong med, give it to the wrong person, or even give too much or too little of the drug. Careful medication administration can lead to not making big mistakes that can lead to hurting others. “Medication Administration is a complex multistep process that encompasses prescribing, transcribing, dispensing, and administering drugs and monitoring patient response.”
With the patient’s wellbeing as the foremost priority, doctors and other medical/ nursing staff today, are methodically trained to help patients take treatment effectively, manage side-effects and
Pharmacovigiliance is defined by the World Health Organisation as “the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem” [1]. In other words, pharmacovigilance can be simply defined as drug safety. Adverse reactions can be explained as when medicines affect the body in a harmful and unintended manner. Prior to obtaining marketing authorisation for a new drug, the drug has to be tested and the corresponding data has to be gathered. These tests are known as clinical trials, and the relevant regulatory bodies must use this data to decide whether the drugs benefits outweigh the associated risks.
Pharmacology Self Reflections Neida Blondet Frontier Nursing University Prescribing medications to patients is a part of the advanced practice registered nurse’s (ARNP) role. As I started Advanced Pharmacology a few short eleven weeks ago, I did not realize how much more there was to that “simple” task. As I reflect on my journey through Advanced Pharmacology, I will share with you a few important facts about my journey, such as how my expectations of prescribing changed, any ah ha moments I had, what I felt to be the most significant piece of knowledge I acquired and finally what I think about Florida’s approved medication schedule for ARNPs. As I began Advanced Pharmacology, my perception of prescribing medications was that it