Medication Errors In Nursing

Improved Essays
Medication Errors Medical errors are the third leading cause of death in the United States. Included in these, are mistakes involving medication administration. Throughout this paper, different reasons for medication errors will be examined. Included will be those made by healthcare students as well as errors resulting from distractions and interruptions. Also discussed will be ways to aid in preventing medication errors by students and other clinical staff.
Discussion
Medication errors can happen for many different reasons, most of which are avoidable. These errors can be the result of the direct care staff, such as the nurse, administering a medication to the incorrect patient or, giving an incorrect dose. The nursing staff alone
…show more content…
According to the study by Hess, Gaunt, and Grissinger (2016) these errors can be from the student making the mistake unaccompanied, or while the instructor or preceptor is present. In the study, under the specific subset of nursing students, 92.1% of the mistakes were made while the instructor was present. These mistakes included giving the incorrect medication to a patient and not having co-signatures on high alert medications therefore not being able to verify the correct dose was …show more content…
These distractions cause the nurse to lose focus while checking the medications leaving them susceptible to making errors. According to Schub (2016), medication administration is one of the most frequently interrupted nursing tasks subsequently increasing the risk for an error to occur by up to 60%. Distractions can include side conversations, excessive noise, patients and their families, other staff, and an overloaded or busy workday. Some places help with these distractions by having designated areas or signage stating medication administration is taking place.
One example of the effects of being distracted is the nurse confusing one medication with another. “A woman in a nursing home was mistakenly administered a Novasone scalp lotion in her left eye. The Novasone lotion was mistaken for a lubricating eye drop, which was similar in shape and size” (Naunton, Nor, Bartholomaeus, Thomas, and Kosari, 2016, p. 1). In this particular, case the patient did not have any adverse effects from the mistake, but it does show how distractions can directly affect the

Related Documents

  • Improved Essays

    Professionals like doctors, nurse practitioners, nurses and others are well prepared on when to medicate patients. It is important to be familiarized and understand about the pharmacodynamics of the medication. Also, it needs to be understood medication need, how and when to give it, dosage and possible side effects. According to the Food and Drug Administration (FDA, 2009), medication error accounts for 1.3 million injuries each year in the United States due to the wrong drug, dose, timing of administration, or wrong route of administration. Always keep in mind that route of administration varies depending on health conditions.…

    • 1070 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    If I were the hospital administrator, chief of the medical staff or the chief of nursing, I would implement stringent standards to follow that provide maximum protection which would ensure that the administering of medication is performed safely and efficiently. The most common errors reported by healthcare providers, are those that have to do with medication errors. The fact that nurses are often front line providers who are required to administer medication to patients (at the direction of doctors), it is imperative that instructions be followed to the letter and practices and procedures carefully executed to avoid medication errors, serious injury or loss of life. Some of the following practices could be seen as causes of medication errors; failure to notate an order change, negligence with giving injections, failure to administer the appropriate medication, medications with similar sounding names, the wrong dosage, the failure to cease or discontinue medication and administering medication to the wrong patient. According to Showalter (2017), Negligence occurs when a person fails to live up to accepted standards of behavior.…

    • 1455 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    Medication errors compromise patient safety. Factors that relate specifically to nursing medication errors include acuity of patients and workload of nurses, distractions, and interruptions that can occur during medication administration. Medication errors underlying causes are inadequate staffing, time restraints, unit atmosphere, and exhaustion. Administering medications is one of numerous responsibilities of a registered nurse and is regularly fraught with disruptions. It was reported that every medication pass was disturbed because of other staff members, absent medications, and further patient care requirements.…

    • 1386 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Reflective Summary

    • 116 Words
    • 1 Pages

    The purpose of this body of work was to address medication errors and safe medication administration practices in relation to practicing nurses and nursing students via several different approaches. These different approaches will be presented as three separate papers but interrelated themes. The specific purpose for each paper and the corresponding research questions were addressed individually in each chapter. The approach used in the first paper was a systematic literature search of medication administration errors and the pediatric population; five themes emerged including the incidence rate of medication administration errors, specific medications involved in medication administration errors and classification of the errors, why medication…

    • 116 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    Administering medications to patients is a daily task performed by almost all nurses. In the Bachelor of Nursing curriculum, the 7 rights and 3 checks of medication administration is taught, practiced and performed by all nursing students to ensure proper habits are developed. The problem occurs when health care providers are no longer under supervision of an instructor, and short cuts are acquired. These short cuts, although time saving, ultimately cause more complications for the patient and the health care system. As a group, we have found that CARNA’s Medication Administration Guideline (2016) is not being implemented or enforced as it should to prevent medication errors.…

    • 1087 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Of all these medication errors 400,000 of these errors yearly have been reported that they could have been preventable (Hunter, 2011). The advantages of electronic medication administration records are that the five rights of medication administration are verified; when a medication that requires lab work the patient’s lab work will appear allowing the nurse to view the value before administering the medication; warning boxes appear when information does not match, for instance: “medication is for a different patient” (Hunter, 2011). During a study conducted by Karen Hunter published in the Online Journal of Nursing Informatics electronic medication administration records as well as barcoding systems where placed in hospitals. Sixty-two percent of the nurses stated they felt safer using the system and that the system actually prevented them from making a medication error (Hunter,…

    • 1167 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Medication error can be defined as an unintended action that results in a harmful undesired outcome (Karen, 2011, p. 1). According to Choo (2013) medication error is described as a preventable action that causes harm and does not achieve the desired medication administration outcome (p. 245). Both definitions identify the intention of medication error to be an action that is done unconsciously, as a result the action has a negative aftereffect. Medication errors can occur at any stage from prescribing of medication to administering the medication (Choo, 2013, p. 245). Not only may the medication error generate an unintended result, it can also lead to death of the patient and other further life changing complications.…

    • 962 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    It has been noted that with more experience and education in the subject matter that there are less errors due to clinical judgment (Hughes, 2008). The next step would be to look at the organizational support that the nurses have for continued education through seminars and conferences for example. By providing nursing staff the appropriate education in regards to medical errors, they will have a greater knowledge base of how to prevent errors from occurring (Hughes, 2008). It is also important to look at the environment in which nurses are preparing medications and equipment for procedures. By decreasing the number of interruptions, such as moving the vaccination preparation area to a quiet area within the medication room away from the phone, we can decrease the chances of the nurse preparing and administering the wrong dose of the…

    • 911 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Adverse drug events and medication errors are major safety issues in the medical field. According to the Agency for Healthcare Research and Quality, adverse drug events are defined as harm experienced by a patient as a result of exposure to a medication. Also defined by the Agency for Healthcare Research and Quality, a medication error is an error at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication. Even though this does not mean that there has been an error or insufficient quality care, almost 5% of hospitalized patients are affected by adverse drug events and this makes it the most common inpatient error (Agency for healthcare research and quality). There are different kinds of adverse drug events such as preventable adverse drug events, potential adverse drug events, and ameliorable adverse drug events (agency for healthcare research and quality).…

    • 820 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Opioid Medication Errors

    • 1207 Words
    • 5 Pages

    Medication error is defined by many different things, whether it is administering medication to the wrong patient or giving a patient too much of the medication ordered (Xu, C., 2014, p. 286). All medication errors should be held as an emergency and should always be reported. The use of technology is starting to be used to help minimize the amount of medication errors, but the nurse should not assume that the technology will not make mistakes (Xu, C., 2014, p. 286). The registered nurse should always double check the medication being dispensed is the medication on the written…

    • 1207 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Safety Risk Assessment for Medication Errors Medication errors are the primary patient issue at most medical facilities. The risk management team her at the hospital would like to assist nurse managers in reducing the number of errors made by new employees concerning medications. The purpose of this paper is to: Discuss the most frequent cause and incidence rate of medication errors, to incorporate a continuous quality improvement process for reducing medication error, talk about rationale for reducing the medication errors, and Identify two actions the nurse should take to assist with reduction of medication errors. Medication Errors…

    • 766 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    When this is done incorrectly, it results in it being the most common reason for a competence notification to the Nursing Council (Cook, 2014). Some factors that can lead to administering of medication errors are loss of concentration, interruptions, not following the proper procedure, stress in the workplace, being understaffed and the nurses health status (Cook, 2014). It is why critical thinking is needed to avoid these errors in medication, but also in patient care. Her understanding of nursing practices allowed her to question the soundness of the care plan change, and realize that it made no sense in the circumstances. Having observant nurses, that take care to understand their patients care plans and treatments, protects the patients from mistakes that can occur in such a large organization.…

    • 764 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The method that was used to collected the data was the PMAE survey tool. This tool surveyed random nurses whom self -reported medication errors. The nurses were told that this methodology was confidential. The three themes in the paediatric nurses were workload, ineffective communication, and distraction. According to the results of the study there were 2.3 more medication errors reported on medical floors than in intensive care units.…

    • 467 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    National Patient Safety Goals: Help Avoid Mistakes with your Medicines Many people assume the role of their medication responsibility to their health care providers, while it is a combined duty of the patient as well (The Joint Commission,2016). In avoiding medication errors in healthcare The Joint Commission has created guidelines to further educate the importance of understanding one’s medications. Patients are given understanding on how to avoid mistakes while in the hospital, at the pharmacist and working with physicians. This paper will discuss The Joint Commissions brochure on “Help avoid mistakes with your medicines” summarizing their guidelines and if the brochure was effective for patients.…

    • 838 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Most errors are preventable by maintaining the six rights of medication administration rules. Medication errors lengthen hospital stays, and increase inpatient expenses. Preventing medication errors must start with educating the staff. Continuing education of the nursing staff can help reduce medication errors. Medications that are new to the hospital should receive high teaching priority.…

    • 410 Words
    • 2 Pages
    Improved Essays