Near misses and errors in medication administration is a trend that may occur more frequently than perceived‚ mainly due to the fear of reporting. Medication administration errors occur due to a plethora of factors including staffing limitations‚ knowledge of pharmacology‚ miscommunication‚ and the inevitable ’human’ factor (Durham‚ 2015). Nurses may fear the repercussions of reporting or not be clear on what events need to be reported. To improve incident reporting‚ clarification is needed of which
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In this paper‚ I am going to be comparing two different articles about medication errors by nurses. Medication errors happen way too often and I hope that by writing this paper‚ I can help reduce my chance or someone else’s chance of making a medication error. The first medication error article that I read was about a male patient in Florida. The patient was complaining of an upset stomach so the physician prescribed an antacid. Instead of giving the patient an antacid‚ that nurse gave the patient
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responsibility. When a medication error occurs‚ ethical issues such as a loss of human dignity‚ fidelity and beneficence also occur‚ which leads to patient dissatisfaction and mistrust. Social issues often interplay with any sort of medical error as well. Medication errors often result in damaged social relations such as the nurse-patient relationship and the healthcare system’s image. When nurses make a medication error they are obligated to report their mistake to the charge nurse‚ the patient
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Medication errors are all too common‚ jeopardizing the safety of patients; it may be a misinterpretation of a prescription‚ not having a complete history of a patient and dispensing drugs that could interact with other drugs adversely‚ or a patient administering the medication incorrectly‚ which are all preventable. There are numerous ways of preventing medication errors; therefore‚ the Institute for Safe Medication Practices (ISMP) has recognized ten important factors that lead to errors. Anderson
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Adverse Trends and Data Management Medication Errors Kim Orta University of Phoenix Health Care Informatics HCS 482 Mary Trevino October 24‚ 2013 Data Collection Tools EMR (Electronic Medical Record) EHR (Electronic Health Record) CPOE Computerized Provider Order Entry) UOR (Unusual Occurrence Report) Electronic Health Records (EHRs) Provide complete‚ reliable access to health information Improves safety and outcomes Reduces and prevents medication errors “EHRs don’t just contain and transmit
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Organizational Systems and Quality Leadership Task 2 Western Governors University 03/15/2015 Root cause analysis (RCA) is one of the organized techniques that can be used as an analyzer in any events of adverse events. In health care settings the best method to track down an adverse event and find out the root cause of the problem‚ would increase the overall patient well-being outcome. The best approach to an adverse event would be to set up questions systematically from the point
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Root Cause Analysis (RCA) is a process that is used to identify the causes of an error or accident. In the case of Mr. B death‚ a RCA is needed to determine what may have contributed to his death. A Root Cause analysis must be complete and reported to Joint Commission in the even where injury or death occurs. Sentinel event is a major adverse even that could have been prevented (Alemi‚ 2007). The sentinel event was related to respiratory arrest secondary to conscious sedation procedure. The people
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Root Cause Analysis. Root cause analysis is an effective tool used in many industries‚ including healthcare‚ to establish a key reason that an outcome‚ that was not as anticipated‚ did in fact happen. In other words‚ what was the crucial reason for a specific outcome (Bohannan‚ 2016). Root Cause Analysis (RCA) is not a blaming activity but put in place for improving patient care. This may sound simple‚ but it is not as simple as it appears. There can be many causative factors throughout the many
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or even a little biased at times. My social life could be considered nonexistent at the moment‚ so there isn’t really anything to discuss in that area. I then realized that I have the perfect personal situation for applying the Root Cause Analysis tool to (Root Cause Analysis: Tracing a Problem to its Origins‚ n.d.). I recently returned from‚ and plan
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ROOT CAUSE: In this case‚ we believe that there are three main root causes from the management of this company‚ especially in packaging department. The first main one is cohesiveness limited the productivity in packaging department. Cohesiveness for packing department was existent and had become somewhat negative. Employees were mimicking the bad behavior of one another and were failing to get anywhere production wise. Packing department seemed to be small knit group and they were able to complete
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