Medication Errors In The Emergency Department

Decent Essays
The emergency department (ED) is a very chaotic, noisy, high-pressure environment in which medication errors frequently occur. Moreover, it is known that there is underreporting of medication errors meaning, the number of actual medication errors is higher than the quantity reported. Your project is informative to my practice, as I also work in the ED and our error rate is similar to that of your department. The implementation of a “no interruption” zone with the visual cue of an armband is an excellent plan. Furthermore, the addition of a standardized hand-off communication processes, that includes call-out and check back, which is similar to the “write down and read back” procedure for verbal orders will enhance medication administration

Related Documents

  • Improved Essays

    Medication errors are a costly and frequent problem that has been occurring in those who are hospitalized, about one third of these errors occur during medication administration (Bonkowski, J., Carnes, C., Melucci, J., Mirtallo, J., Prier, B., & Reichert, E., 2013). To address this problem a new form of technology called Bar code medication administration (BCMA) has been implemented in several different health settings. Bar code medication administration is being used among a variety of hospitals across the United States. About 28% of hospitals were using the bar code medication administration technology along with the electronic medication administration record (eMAR). The purpose of these new technologies is to replace paper documentation and hand written dose…

    • 476 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Medication safety standard ensure the safe administration of medication and improve the quality of care. Medication administration is a complex process and each step should be followed for patient safety and adhere to the standard guidelines. There are different factors that contribute to medication error such as interruptions, work load and fatigue. Newly graduate nurses make more mistakes because they have less experience and not be able to manage interruptions and distractions. But with the help of the technology error made during the communication can be minimized.…

    • 135 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    In United States, each year nearly 7000 deaths occur due to medication error. These errors can occur at any stage of medication administration process such as prescribing, dispensing and administration. In the administration phase, a medication error occur when a health care professional administer the medication to a patient. These errors can be prevented by using Electronic Medication administration Record (EMR) along with a bar coding system. When a nurse administer medication to the patient, the EMR record all the medication administration details such as patient name, medication, strength, timing etc.…

    • 170 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Bar Code Medication Error

    • 1531 Words
    • 7 Pages

    Although some nursing errors cause no harm, as many as 400,000 patients die annually in hospitals from fatal but preventable mishaps (James, 2013). In efforts to decrease these problems, on April 4, 2004 the FDA ruled in favor of making bar-code wristbands mandatory for medication administration. By using these bar-code wristbands patients admitted to the hospital are directly linked to their medical records. Nurses are able to scan the bracelet and open the computerized record with all of the patient’s prescribed drugs, allergies, etc. This system includes a safety setting that matches the scanned drug with the patient’s medical record to ensure that the correct drug is administered in a safe dosage through the proper route at the correct time.…

    • 1531 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    The BCMA prevents medication errors by following the 5 rights of medication administration. Therefore, Ultimately the main goal of this technology is to offer a safer, faster, and more reliable service to clients. In conclusion, this presentation was an eye opener about the importance of informatics in the health care system (for a minute, I felt as if I was in the movie “The Matrix”). Anyway, I am all about technology and preventative methods to maximize patient’s care and safety; however, the job of a nurse cannot be substituted because it is the nurse’s touch that gives the patients an incredible emotional and physical health (and this is proven).…

    • 443 Words
    • 2 Pages
    Improved 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

    Signs need to be hung and wrist bands applied. Doctors need to review patients’ medications. Clutter needs to be cleaned up, and nurses may consider the use of safety belts and bed alarms. Patient rounding should be established and if all else fails, provide a safety companion to sit with the patient. A newer approach is the use of the Avasys monitor which streams live audio and video patient activity to a centralized location.…

    • 757 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Technology Informatics Over the years, hospitals have worked hard to decrease the amount of post-discharge medication errors. According to Allison et al. (2015), electronic medication reconciliation is a system created to help medication inconsistencies. These electronic medication reconciliation handouts are now part of Joint Commission on Accreditation standard requirements.…

    • 1054 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Patient Handoff Case Study

    • 1088 Words
    • 4 Pages

    The survey questions were based on handoff literature and senior emergency medicine staff member guidance, 110 handoff sessions enveloping 992 patients were observed. Most errors were due to longer handoff time per patient, and few errors were noted due to use of electronic or written tools. Most laboratory omissions were due to prolonged ED length of stay. Maughan, Lei & Cydulka (2011) concluded clinically pertinent varying data disclosed in ED physician handoff, usually from findings reported in physician documentation. These communication errors were associated with ED length of stay, handoff time per patient and use of support materials (Maughan, Lei & Cydulka,…

    • 1088 Words
    • 4 Pages
    Superior Essays
  • Superior Essays

    Making patient care handoffs a standardized practice across all areas in the health field would decrease the risk of errors. These different solutions would help make communication amongst nurses and other health care workers more clear and concise. Patient care handoffs occur many times in a patients’ stay and must be of the upmost importance. Requiring standardized practices, like the ones in this paper, can help reduce communication errors, medications errors and make it possible for a nurse to react quickly to a patients’ needs. The different types of patient handoffs make the need for standardized procedure even more important.…

    • 1446 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Prescribing Error

    • 562 Words
    • 3 Pages

    The study that is summarized aimed to further delve into the current roles of hospitalization in prescribing error hazards and medication-related communication as patients are taken back and forth to ambulatory care. Many hazards come about in a hospital setting but a prescribing error is caused by the individual working for the health-care institution. The change-over between diverse levels of health-care, like hospital admission and discharge, display a large threat to the quality and continuance of drug therapy and that is what we will be discussing. The writing that is being summarized displays a clear understanding on how someone can analyze and decipher a given set of data using inferential statistics.…

    • 562 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In the article “A controlled trial of smart infusion pumps to improve medication safety in critically ill patients” the authors, Rothschild et al., identified the need to improve medication administrations through the use of intravenous pumps (2005). The goal of the research study was to assess medication errors, the causes for the errors, how smart pumps impacted (both negatively and positively) medication errors, and how patient safety can be improved. They recognized that little research had been done regarding the direct effects of infusion pumps and how they prevent or even cause medication errors. The randomized time-series study was conducted at Bridgham and Women’s Hospital in Boston, Massachusetts in the cardiac surgical intensive…

    • 948 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

    Hospital Strategies for Reducing Errors Hospitals are now working to reduce medication errors by the implementation of technology improving processes, identifying the medications errors casing the most harm, and creating an environment of…

    • 766 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Drug administration is an integral part of a nurse’s role. Responsibility for correct administration of medication rest with the nurse, yet medication errors are a persistent problem associated with the nurse practice act. Medication errors are a multidisciplinary problem and multidisciplinary approach is required in order to reduce the incidence of errors. Drug administration forms a major part of the of a process that also involves doctors and pharmacist (Betz & Levy, 1985). Medicines are prescribed by the doctor and dispensed by the pharmacist, but responsibility for the correct administration rests with the registered nurse and student nurse.…

    • 410 Words
    • 2 Pages
    Improved Essays