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). There are other sources where errors can occur such as intravenous devices and infusions, and look-alike sound-alike (LASA) drugs.
Need to give answers were associated crosswise collections of hospitals, resolute created on their part of duals, to evaluate difference impressions of the HRRS. But she also mentioned the strong points for my proposal, through this readmission reduction program, now patient will not get nervous or scare for readmission and it will be good for rules to decrease hospital readmissions necessity stability the want to confirm sustained admission to excellence maintenance for helpless peoples. This is a good reimbursement of a program to decrease readmissions accumulate to together the recipient and the Medicare program and patient get better care in the hospital, extra support transitioning from the hospice to other settings, improved organization amongst the patient’s providers external the hospital, and evading an pointless hospital
Readmissions are not only costly but they jeopardize the health of the elderly who are at risk for loss of function, hospital-acquired infections, and other poor outcomes when hospitalized. While some hospital readmissions cannot be avoided, frequent readmissions of chronic disease can be prevented through proper
3.3 CHARACTERISTICS OF HANDOVER Laxmisan et al (2007) conducted an ethnographic study involving analysis of emergency department handover in a US hospital. The study found that interruptions within the emergency department were prevalent and diverse in nature and that there were gaps in information flow due to multi-tasking and shift changes. The communication process is complex and cognitively taxing during and after team handover, that can compromise patient safety. The study also discusses the need to tailor generic electronic tools to support adaptive processes like multi-tasking and handoffs in time constrained environments. Arora et al (2005) conducted interviews using the critical incident technique to handover failures between inpatient physicians in a US hospital.
The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and
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
(Sendelbach & Funk, 2013). Alarm fatigue can interfere with the ability of nurses to perform critical care tasks, and it may cause risk of an error or even cross-contamination. Having a false-alarm in a number of cases can be
Patient Abuse One of the most sensitive issues in health care is patient mishandling or abuse. Mishandling is the maltreatment and negligence of a person under medical organizations or at home. Some of the many types of ill-treatment include but not limited to physical, mental, curative and monetary abuse. According to the USA Today review, more than 5000 assisted living facilities were hazards for the elderly while they should be safe places for them. The report conducted between 2000 and 2002 found that there were significant medication errors as well as poor staffing (training).
FACILITATED SENSEMAKING When a loved one is admitted to an ICU especially in critical health status, patient family members usually experienced anxiety, fear, depression, uncertainty and nervousness, traumatic experiences (post-traumatic stress). This needed support among the healthcare members especially nurses who assume the role of patient advocate. Family need to have a better understanding of the situation and what they should do to promote the feeling of comfort, security, serenity and to adapt to their new role as caregiver, thus preventing adverse psychological outcomes. Most ICU patients cannot make a decision for their own medical treatment, in such way family may be required to make a difficult decision on behalf of the patient,
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.
Also, it can cost a patient’s life and the hospital thousands of dollars. Therefore, all medication errors must be reported following the appropriate protocol to prevent serious adverse events.” Although there are some consequences to each medication error, it is imperative to report it in order to improve patient care and safety. Medication errors can significantly affect patient safety (Elden & Ismail 2016). Medication errors do not only occur during the administration stage, they can occur from the ordering and down to the provision stage (Radley,
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.
This act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150).
Norag Lee claims,” Longer duration of urinary catheter drainage, positive contact precautions status and a history of catheterization appear to be associated with a higher risk of catheter associated urinary tract infection in hospitalized pediatric patients. Physicians should attempt to decrease the duration of catheterization, especially in patients who meet these criteria, to minimize the risk of catheter associated urinary tract infection.” HAIs may be caused by any infectious agent, including bacteria (gram-positive and gram-negative), fungi, and viruses, as well as other less common types of pathogens. According to the Centers for Disease Control and Prevention, the most common pathogenic bacterium of nosocomial infections are Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli. Certain fungi such as Candida albicans and aspergillus, as well as, viruses such as Respiratory Syncytial Virus and influenza can also lead to hospital-acquired