Preview

Medication Administration Errors

Better Essays
Open Document
Open Document
902 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Medication Administration Errors
Medication Administrationrsrizontal Violeneed to be considered during the time of administration. verything. Medications should always be Errors
By: Amanda Sandstrom
Grand Canyon University: NRS-433V
April 13, 2013

Problem Statement Medication errors are one of the most common errors in healthcare. Sentinel events lead to research in determining why errors were happening and how they can be prevented. Learning why medication errors occur, and the events leading up to the error is important to understand so policies and procedures can be implemented. Nurses are play a vital role in reporting and preventing medication errors, as the nurses are the last person in the medication administration process. The Institute of Medicine reports 44,000 to 98,000 people die in hospitals annually as a result of medication errors that could have been prevented (Stetina, Groves & Pafford, 2005). Deaths caused by medication errors more than doubled in ten years from 2,876 in 1983 to 7,391 in 1993 (Stetina, Groves & Pafford, 2005). Medication errors and the complications due to them increase patient stays, costs, and patient disabilities. Medication administration is a complex process and an error can occur at any point within the process. Prescription, transcription, dispensing and lastly administration are all part of the process. The last process of administration is provided by the nurse who must be vigilant and ensure there were no errors within the whole process before administering the medication.
Purpose and Research Questions
The purpose of this study was to focus on how nurses experience making a medication error, and being involved in the process in which an error occurred, what constitutes a medication error, and what steps need to be taken after an error occur
Questions sought to be answered by this study are: What constitutes a medication error? How are medication errors reported? Are the five rights of medication administration used



References: Clinical reasoning can prevent mediation errors. (2012, August 22). Retrieved from http://confidenceconnected.com/connect/article/clinical_reasoning_can_prevent_medication_errors/ Hartnell, N., Mackinnon, N., Sketris, I., & Fleming, M. (n.d.). Identifying, understanding and overcoming barriers to medication error reporting in hospitals: A focus group study. (2012). BMJ Quality and Safety, 21(5), 361-368. Stetina, P., Groves, M., & Pafford, L. (n.d.). Managing medication errors: A qualitative study. (2005). Medsurg Nursing, 14(3), 174-178.

You May Also Find These Documents Helpful

  • Better Essays

    Diabetes Scenaio

    • 727 Words
    • 3 Pages

    Failing to double check the name of a nursing home resident, a student nurse accidentally gives 13 units of 70/30 insulin to a patient who also received glipizide this morning.…

    • 727 Words
    • 3 Pages
    Better Essays
  • Better Essays

    Medication errors can be a result of long work shifts, inexperience staff, medical services such as an interpreter, multiple medications for a single patient, environmental factors, fatigue in doctors and nurses, dosage requirements, poor communication, distribution system error, improper drug storage, miscalculations or measurements, confusing labels or packaging of medications, poor handwriting, verbal commands, lack of authority in policies and procedures, poor overseers.…

    • 1058 Words
    • 5 Pages
    Better Essays
  • Better Essays

    These were voluntary reports, so the number of medication errors that actually occur is thought to be much higher. There is no "typical" medication error, and health professionals, patients’, and their families are all involved. Some examples are:…

    • 1716 Words
    • 7 Pages
    Better Essays
  • Good Essays

    The cost of medication error/issues carries a very high financial cost. The numbers in medication errors are equally disturbing whether its 380,000 or 450,000 people that have been victim to medication error. The medication errors are undoubtedly costly to those such as…

    • 819 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Any kind of error, whether it causes no harm to the patient or kills the patient, is still an error that needs to be reported and addressed. This collection of data begins with looking at the CPOE (electronic physician orders), Pyxis dispense history, eMAR, narcotic waste history (if a narcotic error), barcode scans, and the stage that the error occurred. These are all important data pieces to collect and analyze in order to pain the picture of what happened and why. The stages of where/when the error occurred are very important for identifying patient harm. Stage one is considered a prescribing error where the incorrect drug or dose is selected for a patient. This kind of error is also the cause of illegible handwriting and/or the misspelling of a drug with a similar name (Williams, 2007). Prescription errors make up for between 1-11% of all written prescriptions (Sanders & Esmail, 2003). Stage two is where dispensing errors occur. This is considered to be selection of the wrong product where usually there are look alike and sound alike drugs involved such as Losec and Lasix. Step three and four are the preparation and administering stages and the rates of these errors vary between 3.5% and 49% (NPSA, 2007). These stages are areas of high risk within nursing practice where nurses fail to verify important information such as drug, patient, dose, time, and route (Williams, 2007). IV drugs are suggested to be as high as 25% of medication errors in these stages (Bruce & Wong, 2001). Stage five is errors in monitoring outcome. Patients take certain drugs that require continuous monitoring to ensure the dosing is correct and there are no adverse…

    • 1069 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Kelly, William N. "Medication Errors." Professional Safety 49: 35. Academic Search Elite. EBSCO. Assiniboine Community College. 22 July 2004 .…

    • 1997 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    research process

    • 1142 Words
    • 5 Pages

    Establishing safety procedures by all healthcare professionals can help to reduce medication errors. Errors occurring during the administration process the five rights of medication administration being omitted: the right patient, medication, dose, route, and time, with the most frequent errors resulting from omission, wrong dose, and wrong medication (Lippincott & Wilkins, 2009). Factors that can result in medication errors include problems with the drug distribution system, inadequate staffing levels, distractions, nurses working in areas they have never worked in, and not following standard policy and procedure. According to Lippincott and Wilkins (2009) the following strategies are useful in addressing safety issues that revolve around medication errors: 1) reporting and analyzing errors using a multidisciplinary approach; 2) providing adequate staffing and training; 3) establishing and monitoring policies and procedures to ensure effectiveness and safety; and 4) all members of the healthcare team should have an awareness of how medication errors occur and be conscientious when administering medications. Attention to safe drug administration and safety guidelines is of particular importance in efforts to reduce medication errors and increase patient safety; it is an…

    • 1142 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    medication errors

    • 251 Words
    • 2 Pages

    regarding the tasks that lead up to medication errors. This gives statistics from this particular…

    • 251 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Errors can occur during the different stages of drug delivery process (prescribing error, transcribing error, dispensing error, administering error and monitoring error. Each stage, is susceptible to error . .In prescribing Error, which is the error that can happen from the written medication order.Such as wrong dose, for instance, the patient who is taking chemotherapy, the dosage is computed taking into accounted an old weight so the dosage is too low, so is calculated based on an old weight , and the error happen when Carboplatin dosage is substituted for cisplatin dose in the medicine, bringing an extreme poisonous quality. Other types of prescribing errors include(wrong patient ,wrong time, wrong drug, wrong frequency and wrong rout like Intravenous vincristine is prescribed for intrathecal administration. Also there is illegible or unclear written order. For example, , a patient who is taking chemotherapy is endorsed drugs on d 1–8. This is inaccurately deciphered as implying that the medications ought to be given every day through d 1–8. The expected significance was that the medications are managed on d 1 and d .the expected significance was that the medications are managed on d 1 and…

    • 759 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    System Improvement

    • 2805 Words
    • 12 Pages

    Medication reconciliation is an essential part of improving medication safety. However, it requires the participation of and intervention from both healthcare providers and the patient (Leonhardt, Pagel, Bonin, Moberg, Dvorak, and Hatlie, 2007). According to Gurwitz, Field, Harrold, Rothschild, Debellis, Seger, Cadoret, Fish, Garber, Kelleher, & Bates (2003, p. 1115), it is reported that medication errors and adverse drug events (ADEs) varies widely depending on the setting of the practice and methods used to measure them, nonetheless, evidence show that errors and ADEs are common in ambulatory setting. In 2005, Joint Commission identified medication reconciliation as a National Patient Safety goal (NPSG), therefore requiring institutions to develop and implement medication…

    • 2805 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    Each year in the United States there are just over 450,000 reported medication errors, they are the sixth leading cause of death, as well as costing the health care industry roughly 3.8 billion dollars (Flanders & Clark, 2010). QSEN’s published mission statement is to, “Address the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work.” (2016). QSEN has seen the devastating effects that medication errors have had on the nursing profession and are continuously publishing refined guidance and evidence based best practices to better prevent…

    • 824 Words
    • 4 Pages
    Good Essays
  • Good Essays

    A medication error is any avoidable event that may cause or lead to untimely medication use or patient harm; however, while the medication is still in control of the health care administer (Brock, 2006). 80 percent of the most severe medical errors can be interrelated communication between clinicians, primarily in handoffs. For example, a handoff is a medical error if information regarding an essential diagnostic test is not communicated carefully and properly between providers at shift change (Starme, 2015). However, the end result could be a detrimentally harmful delay in patient care.…

    • 323 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Errors are an innate part of human life. Execution Safe execution of medical orders is plays a significant part role of in patient care. It is also the main component of nursing performance and has a distinguished role in patient safety. Medication errors are a healthcare professional’s worst nightmare and has become one of the biggest issues devoted encountered in today’s healthcare setting. According to the National Coordinating Council for Medication Error Reporting and Prevention (2016), “a medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional…

    • 909 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Medication error defined is any preventable event which may cause or lead to inappropriate medication use or harm to a patient (Treas & Willkinson, 2014). Medication mistakes are the most common type of healthcare error. Clinical factors which can contribute to medication error can include inadequate nursing education about patient safety and quality, excessive workloads, staffing inadequacies, fatigue, illegible provider handwriting, flawed dispensing systems, and problems with the labeling of drugs. Mistakes which can result in medication error can involve giving the wrong medication or the wrong dose at the wrong time, omitting doses, giving the wrong dose,…

    • 703 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Safe Medication Error

    • 270 Words
    • 2 Pages

    As a result of the literature and analysis, I learned that safe medication administration is one of the most important skills that a nurse can have. If a medication error occurs, it can have many ethical, social, economic and safety ramifications. The research presented has also allowed me to see that medication errors are more likely to occur in certain situations, such as a hectic and distracting workplace. The literature suggests that I should do the best that I can to avoid such situations by finding a quiet space and taking my time to attentively go over the required medications to prevent error.…

    • 270 Words
    • 2 Pages
    Satisfactory Essays