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.…
Many factors influence this process. Challenges and barriers to developing an accurate current medication history include: time requirements, staffing resources, the complexity of the process and the inability of some patients to participate, the lack of a standardized process to create lists, the use of both generic and popular drug names, and the inability of some patients to manage multiple medications with…
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.…
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.…
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.…
Medication reconciliation should ideally begin within ambulatory care-long before a hospital admission. As health care cost continue to increase Vogenberg and DiLascia draws numbers into perspectives, “according to the Healthcare Research and Quality, approximately 838,000 emergency department visits and 1.8 million hospitalizations annually are due to ADEs, with an estimated $2.6 billion in total hospital costs” (2013, p.1). Cost concerns continue as Car et al. argues, the United States of American financial costs estimated related to medication errors caused from preventable adverse drug reactions yearly to be $17 billion (2016). Expenses no matter dollar value, from transitions among hospitals or ambulatory primary care visits are directly linked to the frequency and accuracy of patient medication lists reviewed.…
Electronic Medication Administration Record and Patient Safety One of the reason medication related deaths occur are due to medication errors (Karen, 2011, p. 1). In fact, within the United States, approximately 7,000 people die each year due to medication errors (Karen, 2011, p. 1). According to Karen (2011) 1.3 million medication errors occur yearly, which relates to several injuries and approximately one death a day related to medication errors in the Unites States (Karen, 2011, p. 1). One major cause of medication errors can be explained using the medication administration process (Mccomas, 2014, p.590). When a health care provider is responsible to administer a medication, there are approximately 50 to 100 steps involved in this process…
In their landmark report, “Preventing Medication Errors,” the Institute of Medicine (IOM), in 2006, reported that a hospitalized patient will be subjected to more than one medication error each day, on average. Medication errors are very costly not only to patients but also to families, employers, hospitals, health-care providers, and insurance companies. One study found that one medication error added about $8,750 to the cost of the hospital stay. When one sees these figures, you can see that this needs to be addressed (Aspden, Wolcott, Palugod, & Bastien, 2006).…
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.…
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.…
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…
A study done by the Food and Drug Administration say that the most common medication error was related to…
Medication being administered in a hospital setting is one of the most critical skills that a nurse must master. Many deaths and poor outcomes happen each year in hospitals due to incorrect medication administration. It is of utmost importance for the nurse to be skilled and proficient in this area for the importance of patient care. In the study about the administration of psychiatric medications the article states there are 7000 deaths per year due to incorrect administration of medications. The setting in the study was in a hospital that had around 900 psychiatric inpatients.…
Of the 375 discharged patients in the study, 53 (14.1%) experienced one or more medication discrepancies, with 49.2% of those categorized as system related. Of patients who experienced medication discrepancies, 14.3% were re-hospitalized within 30 days compared with 6.1% who did not experience discrepancies. Among post-hospital adverse events, medications were the most common problem (66%- 72%), and nearly all post-hospital adverse drug events involved new medication or dosage change at time of discharge. Data on ADEs after discharge are limited; however, in one study, ADE occurrence was reported in 35% of adults taking more than five medications daily; 84% required medical attention and 11% required hospitalization. (p.165) This study, along with information from various studies similar to it, gives essential insight as to what changes need to be implemented in the reconciliation…
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.…