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).
Other preventable interruptions defined in the literature are the propensity of nurses to impede each other with discussions without correlation to medication administration while arranging drugs and reply quickly to demands from other staff when interrupted. The research synthesis reinforces the plan that interruptions are an acceptable area of nursing operation and proposes the necessity for culture modification to restrain preventable disruptions, specifically during convoluted or vulnerable to commit errors nursing activities such as medication administrations. The greater number of disseminated clinical quality ingenuity to limit interruptions during med pass are nurse expert quality clinical improvement projects creating or involving implementations of a set techniques to restrain interruptions. The goal of the project is to guide nurses with time to be mindful, attentive, smooth, and unruffled while preparing for medication to
Most common medical errors are errors in orders, however misdiagnosis is an error in oversight, misunderstanding or failure of clinician to notice clinical data and disease pattern. It is increasingly difficult to track these errors currently as most of these cases are only found through negligence and malpractice litigation as well as autopsy cases (Sternberg, 2015). It is imperative that clinicians research and study this to change outcomes that continue to adversely affect patients and providers. Patient safety goals have focused every year on safety and adherence to best practices. The Joint Commission determines the highest priority patient safety issues and how best to address them (The Joint Commission, 2016).
With this case study I will attempt to offer clarification to the issue of medication mistakes being dispensed at HMO pharmacy. The fact that rates of dispensing errors are usually low there are some additional progresses in the pharmacy distribution systems that need some adjustments. Because pharmacies dispense such extraordinary volumes of medications that even a low error rate can render enormous volumes of lawsuits totaling even larger sums of payouts. Research also needs to be done with dispensing errors in out-patient health-care sites in community pharmacies within the USA and Europe. The process map labels the prescription filling development for HMO’s pharmacy, that will assist in identifying some of the key glitches that the HMO’s
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
Carolyn, Thanks for sharing your thoughts. Medical fraud and abuse are the serious problems for health care system, which need to be prevented from reducing the health care cost and providing quality of services to the people who need care. It is most important to educate health care worker and new employees about these issues so that they will be aware providing patient 's personal information to others. Also, potential providers need to be surveyed to ensure that they are reasonable providers or
The use of alarm in healthcare is one of the key technology of improving the safety of patients. Alarms can help save individual patient’s life when providers respond to it, and can avoid fatal consequences when used properly. With the benefits of alarms in healthcare, there are also disadvantages of having one. One disadvantage is called alarm fatigue. Alarm fatigue is “a sensory overload when clinicians are exposed to an excessive number of alarms, which can result in desensitization to alarms and missed alarms.” (Sendelbach & Funk, 2013).
The suffering could be emotional, psychological or physical. According to the ANA ethics, the ethical principle of Nurse Advocacy is being violated when the nurse is blocked from helping a patient who is in pain get drugs to reduce the pain and also in the case where the nurse is prevented from helping patients move to a better medical
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).
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.