errors.
errors.
M.S. is a 35-year-old female who came into urgent care at Kaiser Permanente Riverside. She presented with a sore ankle that was causing her problems after accidently twisting it by missing a step in going down a set of stairs. The only prior medical history that M.S. has is a history of asthma that is currently managed with appropriate medications. Even though she has a history of asthma, she reports smoking cigarettes and often drinks alcohol. She also reported not having a very healthy diet. Upon examination of M.S. ankle, it is concluded that she minors sprained. During normal examination, her vitals signs are obtained which showed a respiratory rate of 16, pulse of 100, temperature 97.2OF, blood pressure of 151/91, pulse oximetry of 99%. Since it was noted that her blood pressure and heart rate where both high, it is assessed on the opposite arm and it showed a blood pressure…
Care should be taken at all times when administrating medication as it could be given to the wrong person which could lead to them suffering, or something as simple as the wrong dose. This type of mistake can have a devastating result for example in 2005 2 nurses miscalculated the dose of a drug needed to slow down a baby boys heart rate. He was given 10x the dose and he died.…
A. Describe the complete process of medication reconciliation at your practice site including who is involved, what patient data is collected, how the data is collected and documented, and any other key steps in the process.…
A conversion factor is a numerical quantity used to multiple or divide when converting from one system of measurements to another. For example, when converting milligrams to grams, the milligrams is always divided by 1000 to get the final answer in grams. If someone had 35 milligrams of NaCl and wanted to know how much 35 milligrams of NaCl would be in grams, they would divide 35mg by 1000 to determine the number of grams. 35mg x 1g/1000mg= .035g. The mg would cancel leaving the final unit as grams. Conversion factors are especially critical when administering medicine to child, because children vary greatly in weight from an adult so children cannot accept the same dosage as an adult would. The less they weigh, the less dosage they can receive. If a child receive the dosage intended for an adult the child would experience an…
Most of the medication errors in prescription occur due to unclear handwriting, illegible faxes, or misinterpreted abbreviations. E-prescription allows a physician, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorization to a pharmacy. This feature eliminates the need of handwritten prescription or sending faxes for a prescription. It also reduces the chance of miscommunication, as the prescription is sent directly to the pharmacy. In addition, e-prescribing removes the guesswork by prompting prescribers to completely fill out the dose, route, strength and frequency and providing drop-down lists of the most common information. With e-prescribing, physicians can track how many controlled…
An adverse trend in the health care system is a serious event causing harm to patients as a result of inadequate medical care. A trend is a consistent and pressing issue that needs to be addressed. Trending adverse events indicate that the care given is resulting in an undesirable patient outcome. An important adverse trend that is addressed in this paper is medication errors.…
Agency for Health Care Research and Quality (AHRQ). (2012). Computerized Provider Order Entry. Retrieved from…
As mentioned above, different strategies have been implemented to prevent the unfavorable effects of medical errors, particularly mistakes in medication administration. Because of medication errors, the patients’ mortality went up, which costs the U.S. healthcare systems billions of dollars yearly. It was also reported that every year, there are approximately 450 000 unfavorable medication circumstances of which 25 percent could have been prevented, that caused an injury to the patient. Therefore, other than the CDSS/CPOE implementation, the following systems were being used to aid in the improvement of the medication administration efficiency: intravenous infusion pumps with preprogrammed drug information, barcode-assisted medication administration…
Stock, MS, BSN, RN. Basic Pharmacology for Nurses. 13th ed. United States of America: Mosby, 2004.…
This article explains in great detail the errors that many pharmacists make that contribute to the medication errors in and emergency department. The leading cause of pharmacists errors are in the charting that is done prior to dispersing medication. This article shares the enormous information in regards to the ways that pharmacists could do their job differently in order to keep the number of medication errors down.…
With the majority of seniors over the age of 65 taking multiple medications (nearly 15 percent take over ten different medications each day), it is no wonder that medication safety is such an important topic. In fact, nearly 70 percent of hospitalized seniors have at least one medicinal complication. Home care personnel can help your senior loved one maintain medication safety and avoid the complications associated with poor medication management.…
When doing the job of nursing one of the most important aspects is patient safety. The biggest danger to patients is medication. A medication error is when the nurse gives a patient the wrong medication or the dose of medication could be wrong. The danger of the medication error is that it can lead to an over dose, a reaction, or even death to a patient. There are several things to know when dealing with medication errors like who should fill it out, who should receive a completed report, why would you fill one out, what is included, and what a near miss is.…
Medication errors remain the most preventable cause of injury in healthcare today impacting and influencing all six QSEN (Quality & Safety Education for Nurses) competencies; Patient Centered Care, Safety, Evidence Based Practice, Quality Improvement, Informatics, Teamwork, Collaboration, and Professionalism. The effective implementation of medication reconciliation is an effective tool in reducing medication errors, eliminating costly mistakes, fostering teamwork, collaboration and professionalism as well as ensuring patient safety.…
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…
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.…