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 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…
In the United States there have been numerous medication issues that healthcare institutions have dealt with. The medication has risen in cost; few medications that have been approved by the FDA have resulted in severe side effects. That has led to the health institution liable for legal disputes, lawsuits and a tarnished reputation. This medication issue continues to affect the productivity and the growth of healthcare institution. According to National Academies there at least 1.5 million people every year that deal with medication errors (Dobbins, C., Stencel, C., 2006). That the extra medical cost alone is about 3.5 billion dollars, but does not include the lost wages, the productivity and additional health care cost.…
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.…
Human error in nursing is usually unavoidable, unpredictable and unintentional. Further, some risks include language barriers, neglecting to follow the policy, in a hurry to complete the task. As a supervisor, I encountered a nurse who gave a patient the wrong medications. The error occurred when the patient answered to the wrong name, and the nurse failed to check the patient’s identification bracelet. Other errors can include carelessness on the behalf of the staff as well as not taking the time to listen to the patient (Raso & Gulinello, 2010). Therefore, the aims of the risk management are to reduce as well as prevent any risk to patients and the health facility. Risk factors may result in financial loss, preventable…
From the past ,Health care workers wear facing a very serious and sensitive problem while treating patient which is Medications Errors. Patient safety is characterized as opportunity from incidental harm because of medical care, or absence of medicinal blunders, or absence of abuse in administrations. Medical error is: "a failure in the therapeutic process that can possibly lead to harm to the patient"(1). It occurs when a health care provider selects improper technique in care or improperly executes an proper strategy of care. Medical errors can happen anywhere in the health care system: In hospitals, clinics, operations rooms, doctors' offices, nursing homes, pharmacies, and patients' homes. Errors can happen…
On a Saturday night, a fully conscious and alert 37-year-old man went to a busy hospital with the complaint of abdominal pain; within two hours of his arrival, he was dead. The cause of his death? A fatal reaction to medication that never should have been administered. Medication that was administered due to a miscommunication between nurses and the patient’s doctor. A medical expert who reviewed the case determined that the nurses and physicians had failed the patient, and a costly malpractice case ensued (Latner). Unfortunately, cases like these are not uncommon. Communication breakdown in the medical field is a massive problem, it’s responsible for causing thousands preventable deaths per year in American hospitals alone (Taran). What lies at the root of this breakdown in the medical sphere what can be done to correct it? In many cases, fatalities are a direct result of attending doctors and nurses failing to communicate. However, the structure and atmosphere of the environment in…
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.…
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…
Medical errors do happen and pose a huge problem in the healthcare industry. Errors in healthcare can happen because of a number of reasons. The most common is lack of communication. Communication is imperative in healthcare. Failure to communicate can lead to problems in identifying patients, which can lead to other more serious errors such as incorrect procedures. Another form of error comes from faulty equipment. Hospitals have had problems with defective equipment, and because of this injury and death have occurred. Error in the healthcare system is also a potential risk for mistakes. High workload, rapid organizational change, inadequate supervision, and a faulty chain of command are all characteristics of most major healthcare delivery…
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.…
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.…