INTRODUCTION Medication error occurs frequently in the world. Across Malaysia, 2572 cases of medication errors were reported and it was identified as the main adverse event issue that impacted patient outcomes in 2009 (New Straits Times 16 March 2010, p, 23). According to Fathi et al. (2014) a number of studies have reported the prevalence of medication errors in the ICU, but limited evidence is available regarding the cause(s) of these errors and whether these causes differ from those outside the ICU. Critically ill patients admitted to an ICU experience, on average, 1.7 medical errors each day, and many patients suffer a potentially life-threatening error during their stay (Rothchild et al. 2005). According to Pronovost, Thompson & Holzmueller, …show more content…
Indeed, there is still limited literature considering awareness of ME comprehensively and nurses perceived actions in medication error prevention, particularly in Malaysia. METHODOLOGY Design & setting This was a mixed-method study design, where a cross sectional survey was employed to survey four critical care units nurses (n96) and interview individually (n=3) within 2 month period in 2014. Data were analyzed using descriptive statistics analysis and correlation analysis. Population and sampling Critical care nurses in four departments at Hospital Tengku Ampuan Afzan, Kuantan, Pahang was targeted for the study. The units included ICU, PICU, Emergency Department and Pediatric. The study sample included 96 nurses, purposely selected from these four departments. Measurement Tool The measurement tool was a researcher-made questionnaire consisting of three parts. The first part consisted of demographic questions, the second part related to awareness on ME and the last part comprised of preventive measures. The reliability of the tool was examined using pre-test method; the questionnaire was administered to 20 subjects. A correlation of 96% between answers ensured sufficient reliability of the survey
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
The Institute of Medicine (IOM) published a report in 2000 that estimated there were around 100,000 deaths each year in American hospitals from medical errors. IOM results were mostly based on errors of comission. In ICUs, the errors of omission are much larger as compared to the errors of commission. The number of patients dying becomes even higher if these errors are included. The follow-up report by IOM in 2001, provided a direction towards the need for making the basic changes in the health care delivery.
The nursing staff needs to make sure they have more indicators towards practice nurse safety. Focusing on working patient safety down to zero with grade c medication ( Cockerham ,J.,Figueroa-Altmann,A., Foxen,C., Paffett,C., Sullivan,A.,&Wellner,J.,2014). The nurses making sure patient safety is first when administrating medication .The hospital would like to limit risk and increase reliability when taking care of patients. The purposed of this peer review article is to have the quality nursing and ample amount of nursing staff.
ADEs associated with medication discrepancies can prolong hospital stays and, in the post-discharge period, may lead to emergency room visits, hospital readmissions, and utilization of other health care resources. Preventable adverse drug events (PADE) are associated with 1 of 5 injuries or deaths and a result of poorly designed systems, which often lack independent redundancies. Preventable ADEs at transition points of care account for 46-56% of all medication errors. One strategy to reduce PADEs and ADEs is to reconcile the medication orders between the two transition points. The Institute for Healthcare Improvement (IHI) defines medication reconciliation as a formal process to compile a list of all the medications a patient is taking before admission, and comparing it with the doctor’s admission, transfer and discharge orders.
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).
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
Medical errors are prone to happen so this worldwide issue will never be completely resolved however we as nurses need to make sure we are taking all appropriate actions to minimize the mistakes being made so that we are not putting our patients at risk.
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.
Environmental Conditions: In 2008, researchers estimated that potentially preventable adverse drug events kill 7,000 Americans annually and that medication errors that result in harm are the number-one cause of inpatient fatalities. While error rates vary widely among facilities, experts believe at least one medication error occurs per hospital patient every day (Anderson & Townsend, 2010, p. 24). Some of the most common medication errors that occur in the acute healthcare setting is due to the latent conditions. Nurses that reported working in
In 1999, the Institute of Medicine reported that the U.S. Health care was responsible for the death of at least 44,000 people, and as many as 98,000 death in hospitals each year (pg.1). Diagnostic errors such as delay in diagnosis, administering the wrong medication, Inadequate monitoring or follow-up of treatment and in some cases failure of equipment to function correctly. These preventable errors were responsible for a high number of death yearly in this country (p2). Despite efforts to decrease the number of death from these errors the authors of BMJ reported that currently medical errors are reported as the third leading cause of death in the United States (Makary & Daniel, pg.1). In order for us to find effective solutions and be in a position to prevent and eliminate these errors we must first acknowledge that we do have a big problems that need to be fix and time to fix these problems are now.
Accountability for delivery of patient safety improvement targets with relation to medication errors. Janine was an enthusiastic and engaging speaker, and her passion for reducing medication error and the involvement of her junior doctors was evident. She spoke about the Juniors’ Educational Drug Initiative (JEDI) and discussed the ‘carrot and stick’ as a simple model to describe motivation.
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.
Medication error is not something new in healthcare service. Researchers had identified medication error is the high numbers of incidents involving nursing practice. Thus, a proper and well designed organizational system should be in place for the process of administration of medication to minimize and prevent errors. Medication happens when there is a failure in the system. To my surprise when I did the write up for this paper I had came across many clinical practice guidelines on medication safety.
Introduction Out of all medical errors, medication administration mistakes account for the most common, harming at least 1.5 million people every year, according to a 2006 report from the Institute of Medicine of the National Academies (IMNA). Medication errors can cost hospitals and health care plans billions of dollars every year leading administration to look for programs and implementations on how to cut down and eventually eliminate medication errors. At this alarming rate of error, many hospitals have now created many programs for safety while implementing Health information technology (HIT) as the fore front of innovation. One implementation is the computer physician order entry (CPOE) that is used by physicians to help eliminate
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