Accommodating Errors In Nursing
capable of accommodating 14- or 30-day cycle filling, Would this decrease errors in administration (Buerger 1998).
Findings
Findings: Nurses just as non-nursing Medication Technicians with the same training were just as likely to have medication errors. However in order to be successful in medication administration is to continue with ongoing training and evaluate each incident. With the automated multi-dose packaging and dispensing system, capable of accommodating 14- or 30-day cycle filling this may as well cause increase medication administration (Buerger 1998).
Review of Evidence and Synthesis of Literature
Statistics
For some years, medication errors have had a metric system that medical facilities have been used to measure and benchmarked its standards for errors in medication administration. The tool mostly used by nursing homes and assisted living is MyInterview. This national research data bank that evaluates …show more content…
the quality of care across the spectrum of independent, assisted living, skilled nursing, home health, and hospice.
The information provided offer provider information to evaluate to improve the delivery of care. This system allows facilities to place a standard for patient for others to follow and benchmark what and where facilities fall below the standards. The nursing homes and assisted living facilities have set variable to not fall below to be considered okay. Although the information is being compiled and uniquely evaluated, there has not been any movement to mandate a change for either a better medication system or a process for non-licensed vs licensed staff members’ standardization for medication administration errors (The National Research Report, 2014).
Nurses vs Non-Licensed Staff
At the University of North Carolina-Center for Excellence in Assisted
Living Collaborative was compiled to measure person-centered practices in assisting livings and medication was an area that should have been a required area for measuring because it factors into patient centered care (Zimmerman, Allen, and Cohen…, 2015). However, due to North Carolina and their outside of the box thinking, they have evaluated medication management and provided a test for Certified Nursing Assistants to become certified to administer medications. However in doing so their purpose was with strong intentions which was to have med tech pass medication the nursing home to free up the nurses. In recent years, North Carolina has implemented provisions in their state guideline for Medication Technicians to become state certified and administer medication in a long term care facilities, nursing homes, residential facilities and assisted livings. Although there are several steps that a CNA has to take in order to achieve this goal is it a step in the right direction? Yes, there is additional testing required and it places required training to the forefront, yet something is lacking. Although this is exciting and well thought out most facilities all over the United States let alone the nation places a big burden of proof on the person required to administer the medication, yet it does not resolve the problem of medication errors both in nursing homes and assisted living facilities (Medication Aide Information, Laws & Rules). In review of all the research of medication errors more research is required in the desired training and to evaluate what measurement guide was used to help North Carolina formulate its thought to provide additional training and testing for their non-nursing staff members to become certified.
Research or CMT and Nurses
In a detailed report submitted by Jill S. Budden, PhD, called The Safety and Regulation of Medication Aides, where she expresses her thoughts on this new found exploration that is to decrease the less complex tasks of the nurse to increase quality care by allowing more time for the nurse to handle the more complex task. Scott-Cawiezell and colleagues (2007) was able to provide a detailed report of the medication error rate for non-licensed staff compared to nurses which seems to have led the way for Medication technician were able to obtain certification with no real concrete evidence that the study determined the benefit to the patient. Scott-Cawiezell and colleagues were able to observe 44 medication administrations for 907 resident encounters over 4,803 minutes. From there Scott-Cawiezell was able to state on average, a medication administration “RNs (n = 8) had an error rate of 34.6%; LPNs (n = 12) had an error rate of 40.1%; and CMT/as (n = 19) had an error rate of 34.2%, stating that RNs had the largest percentage of errors (7.4%)” (Scott-Cawiezell, J., Pepper, G., Madsen…, 2007). In the end the researcher was able to state the CMT’s had fewer medication errors than a licensed nurse. Although this information may have been helpful for the benefit of facilities using non-licensed staff to administer medication, it was unable to demonstrate a clear understanding as to how does this help provide quality care as we now think it is okay to error with non-licensed staff, it would seem that much more detailed in this research is required (Scott-Cawiezell, J., Pepper, G., Madsen…, 2007).
Review of the Evidence Patient Centered Care, Quality Care and Medication errors should they work hand in hand? This should be the desire of all patients, yet they are not the ones that have the say so over who administers their medications. From state to state, there must be a regulatory board that would view the redundancy of medication errors as a possible safety risk which can lead to harm and even death
Proposed Plans to Change Today’s solution has to be a standardize system for medication errors that has to be the same for all facilities operating with non-licensed staff members. It will take a regulatory approach such as in 2001, in which the U.S. Department of Health and Human Services (HHS) and other federal agencies formed the Quality Interagency Coordination Task Force in 2000 and issued an action plan for reducing medical errors. Although with good faith and good intentions. The FDA in order to minimize confusion between drug names that look or sound alike, they created a computerized program that assists in detecting similar names, the FDA ensured drug labeling was on all medications as well as over the counter medications and FDA reviews medication error reports that come from drug manufacturers. However this is not enough (U.S. Food and Drug Administration).
In recent years there have been some radical thoughts that may make a difference in hospital setting yet it may be conceivable in a residential facility. According to Ron Shinkman, he states medical facilities can address medical errors better by doing the following things: setting legal liabilities for failing to report an error, implementing a radio frequency identification (RFID) system, provide medical error insurance for staff members, allow transparent complaint reporting, ban electronic devices for personal use in the workplace, implement computerized physician orders to avoid medication error risks and allow facilities to employ the unions (Koppel R, Metlay JP, Cohen A, et al, 2005) (Shinkman, R, 2012). Some thoughts may sound like crud punishment, however it sounds like a start for a facility that has no real system (Shinkman, R, 2012). The interventions listed can be budgeted into the current living expense system with minimal to little adjustment to the rates or level of care fees, which would cut down the cost and provide coverage for the facility.
Implementation an Evaluation of a Change
Propose Project
The organization for which this culture should take place would be for medication administration in an assisted living/residential facility. When compared to other health care facilities that do offer systems that are similar such as the hospitals that use the bar code systems and Id recognition for medication administration, as well as some insurances offering nurses insurances for malpractice or even offering reporting medication errors without fault to the staff member. Although many assisted living and residential facilities are not viewed as medical, they are precisely that, so when being viewed as a health care setting all facilities should be viewed as a medical venue.
The reference list should appear at the end of a paper (see the next page). It provides the information necessary for a reader to locate and retrieve any source you cite in the body of the paper. Each source you cite in the paper must appear in your reference list; likewise, each entry in the reference list must be cited in your text. A sample reference page is included below; this page includes examples of how to format different reference types (e.g., books, journal articles, information from a website).
The purpose and objective is to ensure the safety of the patient medication administration in facilities that in a non-nursing population. In an effort to improve the patient medication experiences in assisted living facilities. The interventions listed above are to place plausible solution to frail system that continues to fail patient safety. Unlike other health care facilities that provide licensed staff members their systems are more regulated than those of a residential or assisted living facility. The expected outcomes can only build a system that would provide some line of a regulatory approach to a system that is left without recourse (Melnyk, B, Fineout-Overholt, E. Eds., 2015).
In order to achieve the methods to decrease medication errors in a non-licensed facility will be presented to the mangers and the team members Total Quality Management, there the team can discuss the current issues and strategies ways to combat the issue head on (Jackson, S., 2001).
The facility can always take a proactive approach by placing interventions in effect immediately:
The facility will endorse transparent complaint reporting, which would be available to the resident and their family.
The facility will require each staff member to report an error, if not they will be legal liabilities which could lead to up to termination or arrest.
The facility will provide additional training hours for medication administration and annual continuing education.
The facilities will implement an Electronic Medication Record with a radio frequency identification (RFID) system or a bar scan system that will help to identify each medication that is being administered.
The facility will implement computerized physician orders.
Findings
Findings: Nurses just as non-nursing Medication Technicians with the same training were just as likely to have medication errors. However in order to be successful in medication administration is to continue with ongoing training and evaluate each incident. With the automated multi-dose packaging and dispensing system, capable of accommodating 14- or 30-day cycle filling this may as well cause increase medication administration (Buerger 1998).
Review of Evidence and Synthesis of Literature
Statistics
For some years, medication errors have had a metric system that medical facilities have been used to measure and benchmarked its standards for errors in medication administration. The tool mostly used by nursing homes and assisted living is MyInterview. This national research data bank that evaluates …show more content…
the quality of care across the spectrum of independent, assisted living, skilled nursing, home health, and hospice.
The information provided offer provider information to evaluate to improve the delivery of care. This system allows facilities to place a standard for patient for others to follow and benchmark what and where facilities fall below the standards. The nursing homes and assisted living facilities have set variable to not fall below to be considered okay. Although the information is being compiled and uniquely evaluated, there has not been any movement to mandate a change for either a better medication system or a process for non-licensed vs licensed staff members’ standardization for medication administration errors (The National Research Report, 2014).
Nurses vs Non-Licensed Staff
At the University of North Carolina-Center for Excellence in Assisted
Living Collaborative was compiled to measure person-centered practices in assisting livings and medication was an area that should have been a required area for measuring because it factors into patient centered care (Zimmerman, Allen, and Cohen…, 2015). However, due to North Carolina and their outside of the box thinking, they have evaluated medication management and provided a test for Certified Nursing Assistants to become certified to administer medications. However in doing so their purpose was with strong intentions which was to have med tech pass medication the nursing home to free up the nurses. In recent years, North Carolina has implemented provisions in their state guideline for Medication Technicians to become state certified and administer medication in a long term care facilities, nursing homes, residential facilities and assisted livings. Although there are several steps that a CNA has to take in order to achieve this goal is it a step in the right direction? Yes, there is additional testing required and it places required training to the forefront, yet something is lacking. Although this is exciting and well thought out most facilities all over the United States let alone the nation places a big burden of proof on the person required to administer the medication, yet it does not resolve the problem of medication errors both in nursing homes and assisted living facilities (Medication Aide Information, Laws & Rules). In review of all the research of medication errors more research is required in the desired training and to evaluate what measurement guide was used to help North Carolina formulate its thought to provide additional training and testing for their non-nursing staff members to become certified.
Research or CMT and Nurses
In a detailed report submitted by Jill S. Budden, PhD, called The Safety and Regulation of Medication Aides, where she expresses her thoughts on this new found exploration that is to decrease the less complex tasks of the nurse to increase quality care by allowing more time for the nurse to handle the more complex task. Scott-Cawiezell and colleagues (2007) was able to provide a detailed report of the medication error rate for non-licensed staff compared to nurses which seems to have led the way for Medication technician were able to obtain certification with no real concrete evidence that the study determined the benefit to the patient. Scott-Cawiezell and colleagues were able to observe 44 medication administrations for 907 resident encounters over 4,803 minutes. From there Scott-Cawiezell was able to state on average, a medication administration “RNs (n = 8) had an error rate of 34.6%; LPNs (n = 12) had an error rate of 40.1%; and CMT/as (n = 19) had an error rate of 34.2%, stating that RNs had the largest percentage of errors (7.4%)” (Scott-Cawiezell, J., Pepper, G., Madsen…, 2007). In the end the researcher was able to state the CMT’s had fewer medication errors than a licensed nurse. Although this information may have been helpful for the benefit of facilities using non-licensed staff to administer medication, it was unable to demonstrate a clear understanding as to how does this help provide quality care as we now think it is okay to error with non-licensed staff, it would seem that much more detailed in this research is required (Scott-Cawiezell, J., Pepper, G., Madsen…, 2007).
Review of the Evidence Patient Centered Care, Quality Care and Medication errors should they work hand in hand? This should be the desire of all patients, yet they are not the ones that have the say so over who administers their medications. From state to state, there must be a regulatory board that would view the redundancy of medication errors as a possible safety risk which can lead to harm and even death
Proposed Plans to Change Today’s solution has to be a standardize system for medication errors that has to be the same for all facilities operating with non-licensed staff members. It will take a regulatory approach such as in 2001, in which the U.S. Department of Health and Human Services (HHS) and other federal agencies formed the Quality Interagency Coordination Task Force in 2000 and issued an action plan for reducing medical errors. Although with good faith and good intentions. The FDA in order to minimize confusion between drug names that look or sound alike, they created a computerized program that assists in detecting similar names, the FDA ensured drug labeling was on all medications as well as over the counter medications and FDA reviews medication error reports that come from drug manufacturers. However this is not enough (U.S. Food and Drug Administration).
In recent years there have been some radical thoughts that may make a difference in hospital setting yet it may be conceivable in a residential facility. According to Ron Shinkman, he states medical facilities can address medical errors better by doing the following things: setting legal liabilities for failing to report an error, implementing a radio frequency identification (RFID) system, provide medical error insurance for staff members, allow transparent complaint reporting, ban electronic devices for personal use in the workplace, implement computerized physician orders to avoid medication error risks and allow facilities to employ the unions (Koppel R, Metlay JP, Cohen A, et al, 2005) (Shinkman, R, 2012). Some thoughts may sound like crud punishment, however it sounds like a start for a facility that has no real system (Shinkman, R, 2012). The interventions listed can be budgeted into the current living expense system with minimal to little adjustment to the rates or level of care fees, which would cut down the cost and provide coverage for the facility.
Implementation an Evaluation of a Change
Propose Project
The organization for which this culture should take place would be for medication administration in an assisted living/residential facility. When compared to other health care facilities that do offer systems that are similar such as the hospitals that use the bar code systems and Id recognition for medication administration, as well as some insurances offering nurses insurances for malpractice or even offering reporting medication errors without fault to the staff member. Although many assisted living and residential facilities are not viewed as medical, they are precisely that, so when being viewed as a health care setting all facilities should be viewed as a medical venue.
The reference list should appear at the end of a paper (see the next page). It provides the information necessary for a reader to locate and retrieve any source you cite in the body of the paper. Each source you cite in the paper must appear in your reference list; likewise, each entry in the reference list must be cited in your text. A sample reference page is included below; this page includes examples of how to format different reference types (e.g., books, journal articles, information from a website).
The purpose and objective is to ensure the safety of the patient medication administration in facilities that in a non-nursing population. In an effort to improve the patient medication experiences in assisted living facilities. The interventions listed above are to place plausible solution to frail system that continues to fail patient safety. Unlike other health care facilities that provide licensed staff members their systems are more regulated than those of a residential or assisted living facility. The expected outcomes can only build a system that would provide some line of a regulatory approach to a system that is left without recourse (Melnyk, B, Fineout-Overholt, E. Eds., 2015).
In order to achieve the methods to decrease medication errors in a non-licensed facility will be presented to the mangers and the team members Total Quality Management, there the team can discuss the current issues and strategies ways to combat the issue head on (Jackson, S., 2001).
The facility can always take a proactive approach by placing interventions in effect immediately:
The facility will endorse transparent complaint reporting, which would be available to the resident and their family.
The facility will require each staff member to report an error, if not they will be legal liabilities which could lead to up to termination or arrest.
The facility will provide additional training hours for medication administration and annual continuing education.
The facilities will implement an Electronic Medication Record with a radio frequency identification (RFID) system or a bar scan system that will help to identify each medication that is being administered.
The facility will implement computerized physician orders.