Pharmaceutical care is the responsible provision of drug therapy, for the purpose of achieving definite outcomes that improve patients’ quality of life.
Use of medications is central to modern health care, and nearly all patients visiting a hospital will receive one or more medicines during their hospital stay or upon discharge. The goal of drug therapy is the achievement of defined therapeutic outcomes that improve a patient’s quality of life while minimizing patient risk.1. Though in majority of cases medication use results in the desired outcome,they are not without risk and problems , unexpected outcomes may arise.2
Healthcare errors are the result of non-intentional actions caused by some problem or failure while caring for the
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Wrong dosage form error: It involves the administration of a drug in a dosage form different from the one that was ordered.
Wrong time error: It occurs when the patient does not receive his/her medication within a predefined interval.
Wrong route error: They occur when the correct dosage form is administered, but in the incorrect site on the patient’s body.
Deteriorated drug error: It is reported when the physical or chemical integrity of a medication dosage form has been compromised, as with expired drugs or intravenous medications requiring refrigeration that are stored at room temperature.
Wrong route of administration errors: These errors can occur with infusions of intravenous fluids or liquid enteral fluids.
Wrong administration technique errors: It involves the use of an inappropriate procedure during administration of a drug.
Wrong dose preparation error: It occurs when a product is incorrectly made or manipulated before Administration.
Extra dose error: It occurs when the patient receives one or more dosage units in addition to those authorized, such as the dose administered after the dose was
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.
After surgery, radiation, chemotherapy and a marrow transplant, an improperly mixed intravenous solution apparently stopped Brianna Cohen's heart. Hence, this case shows that there is an unintended act either of commission or omission, does not achieve its intended outcome, failure of a planned action to be completed for instance an error of education which was the mixed solution, potassium, which caused the heart rhythm to regulate. Furthermore, there was a wrong plan to achieve an error like an error of planning and deviation from the process of care. Therefore, receiving the incorrect medication, or missing a diagnosis that is evident on a lab test or imaging study is a medical
Legislation P3- Explain relevant sections of key legislation and associated guidelines with regard to the administration of medicines. M1- Discuss how organisational policies and procedures are influenced by legislation and guidelines with regard to the administration of medicines. D1- Evaluate the effect of legislation and guidelines on the administration of medicines. In this assignment I am going to be explaining what different types of legislations and guidelines are in place when it comes to handling medicines in a health and social care setting.
This provision allowed those in good standing with sufficient experience to become medication-certified barring successful completion of a training course and exam. The aim of this designation was not to replace the RN/LPN but to create a functional care partner. While this collaboration is an endeavor to improve patient outcomes, there are caveats. The purpose of this paper is to narrowly examine the usefulness of this role and
Our solution to medication errors is here, it is just a matter of implementing it into our
Also the lack of nurses on the floor causing work to be over look. Not double checking the documents of when the last dosage of medication was given. Another factor to medication errors is high work flow during shifts. The mislabeling of the medication has cause nurse to choose the wrong medicine. Making sure the label is scanned on the medication to see if the correct information pulls up.
Barriers to the reporting of medication administration errors and near misses: an interview
With increasing the acceptance of using e-prescribing in health care , evaluating and understanding the types of e-prescribing errors can help to identify the prober ways to prevent future e-prescription errors from reaching patients. It is also important to use health information technology to improve safety, such as use of technology to identify and monitor patient safety events, risks and hazards ;and to intervene before actual harm occurs
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.
These competencies include quality improvement, safety, informatics, teamwork and collaboration, evidence-based practice, and patient-centered care (Cronenwett et al., 2007). Each competency has its own knowledge, skills, and attitudes that when applied to medication administration, help warrant the best results. In order to
Next, another common charting errors include failure to record nursing actions and medications given, record in the wrong patient’s medical record, failure to document a discontinued medication (College of Licensed Practical Nurses of Alberta,
The article particular states that preventing the medication error can preventable when providing the information that helps the medications error to prevent. Institute of Medicine reported errors can be prevented by designing systems that make it hard for people to do the wrong thing and easy for people to do the right thing (Institute of Medicine, 2006). In hospitals, errors are common during every step of the medication process dispensing, its impact but they occur most frequently during the prescribing and administering stages Institute of Medicine, 2006). While all types of errors are taken into account, a hospital patient can expect on average to be subjected to exist medication error each day.
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.
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.”
Patient care and treatment is a complex process that involves several members of the healthcare team who work together with the patient towards a common goal. Because of this, medication errors can happen in any of these steps in the treatment