Eliminating abbreviations can reduce errors in the healthcare profession when it comes to medication errors, patients dealing with a life threatening medical error, and similar abbreviations.
Many medication errors occur due to abbreviated words symbols, and dosage that cant be read and become misunderstood. These mistakes can cause harm if no one notices it. Many patients end up with a life threatening problem due to a medical error. A nurse might give the patient the wrong dose because of the handwritten abbreviation the doctor wrote is not clear. Many abbreviations are similar and this can cause complication. If abbreviations are similar the best thing to do is write the abbreviation completely out and always ask if not sure. Providing unabbreviated prescriptions, communication, and writing all abbreviations out can reduce errors in the healthcare setting. Another consideration would be to make sure in the healthcare setting written policies are mentioned and used.
Written policies should be developed in the healthcare field when dealing with abbreviations. These policies should include information on how to correctly write out the abbreviation and also show how important spelling is when writing out the words. It should also include which abbreviations are okay to use and which ones should be avoided. If the problem still continues with abbreviation errors, maybe a class needs to be taken so workers get the basics on why abbreviations do cause errors and how we as workers can avoid these errors. When it comes to using abbreviations they should be used with care and understanding.
Medical abbreviations are used in the healthcare setting by doctors, nurses, and insurance billing and coding. It is important that this personnel know how to correctly use abbreviations. For doctors and nurses they can use them and save time when it comes to additional paper work and long medical history charts. I think standard abbreviations are fine to use. Its becomes different for the similar abbreviations those need to be written out completely. For coders it is important that they have the right abbreviation and they don’t make a mistake. They need to be familiar with all abbreviations and medical terminology. Having the wrong abbreviations could cause miscommunication and patient harm. They should mostly be used in an emergency situation, or in situations when your coworkers know what you mean and understand what your writing, and good communication is present.
When it comes to taking the steps to reduce abbreviation errors.
During the 1980’s and 90’s there were many studies done that showed that medical errors were occurring in inpatient and outpatient settings at a very high rate. Computer Provider Order Entry (CPOE) systems were designed to reduce or eliminate mistakes made by using hand written orders. The CPOE system allows users to directly enter their orders into the system on computers which are then sent directly to the healthcare providers that will be implementing the orders. Previously orders were placed by writing on order sheets on patient charts. This was sometimes done by the doctor or by a nurse acting on behalf of the doctor. Order sheets were then signed by the doctor and then the information was input into the patient’s record. This left room for error due to misreading bad handwriting, confusing medications with similar names, etc.
This is a critical review of the article entitled “Selecting a Standardized Terminology for the Electronic Health Record that Reveals the Impact of Nursing on Patient Care”. In this article, Lundberg, C.B. et al. review the different standardized terminology in electronic health records (EHR) used by nurses to share medical information to the rest of the care team. It aims at showing that due to the importance of nursing in patient care, there is a great need for a means to represent information in a way that all the members of the multidisciplinary medical team can accurately understand. This standardization varies from organization to organization as the terminologies change with respect to their specialized needs.
How would you define standardized terminologies and why are they important? Provide an example in your answer.
The use of abbreviations shortens length of many words thus really help healthcare professionals in saving time spent in writing notes. Abbreviations however do not always provide positive contributions due to misconceptions, misunderstandings, and misinterpretations leading to commitment of errors in the practice. Similarities in abbreviations for instance could root to a grave mistake. For instance the q.d. which an inscriber would like to indicate as every day could be erroneously interpreted as q.i.d. which means four times a day. Such error could result to over dosage when a certain medication is taken four times in a day instead of just once. Though some abbreviations can be easily understood clearly and exactly as to what meaning they communicate, the use of abbreviations generally invite error potentials particularly the error-prone abbreviations (ISMP, 2007) which can be best avoided by eliminating abbreviations.
In the article JCAHO Forbidden Abbreviations it discussed how JCAHO National Patient Safety goals are to verify an order if a forbidden abbreviation is used and to improve effectiveness and efficiency of the caregivers. The reason for verify ensures the safety of the patient and covers and issues for the pharmacies and the care givers. In the article I think the recommendations made by the JCAHO to verify forbidden terms will help in the long run. In the end it will correct errors that will be made without verification. Even symbols that can be mistaken for numerals and even letters will be clarified so a patient does not receive the wrong prescription or dosage. It is also a good thing that facilities can add to the list of forbidden abbreviations since medicine is always advancing and changing.
Most undergraduate nursing students are not being properly educated on proper medication administration. Clinical instructors and registered nurses need to be updated on medication administration reporting, so students do not develop bad habits when they become registered nurses. Registered nurses must also continue their education on med error prevention to prevent future errors. Another significant problem with registered nurses was that they did not have positive attitudes when reporting an error. Once these negative attitudes were changed, more errors were reported (Harding & Petrick, 2008). The three main problems that cause medication errors...
Woo, A., Ranji, U., & Salganicoff, A. (2008). Reducing medical errors with technology. Retrieved March, 2012, from http://kaiseredu.org
If there were any incorrect abbreviations in the health record, they may have diagnosed her with something that she didn’t actually have. Or the doctors could’ve given her prescriptions to medications she wouldn’t have needed. It is so important that they use correct abbreviations and correct terms
Medication Errors one of the biggest issues happening in an acute care setting today . Although, Medications are given based on the five rights principles: the right patient, right medication, right route, right dose, and right time. Even with the five rights principles medication errors are still happening. However, some of the errors that are occurring are due to poor order transcriptions and documentation, drug interactions, proper drug name and not paying enough attention and environment factors.
Agyemang, REO, and A While. "Medication errors: types, causes and impact on nursing practice." British Journal of Nursing (BJN) 19.6 (2010): 380-385. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
Medication errors made by medical staff bring about consequences of epidemic proportions. Medical staff includes everyone from providers (medical doctors, nurse practitioners and physician assistants) to pharmacists to nurses (registered and practical). Medication errors account for almost 98,000 deaths in the United States yearly (Tzeng, Yin, & Schneider, 2013). This number only reflects the United States, a small percentage in actuality when looking at the whole world. Medical personnel must take responsibility for their actions and with this responsibility comes accountability in their duties of medication administration. Nurses play a major role in medication error prevention and education and this role distinguishes them as reporters of errors.
According to a recent study in the The British Medical Journal, medical mistakes are the third leading cause of deaths in the United States, but that it is not listed as such because of the way cause of death is coded and reported (Makary, et. al, 2016). A classification of codes called the International Classification of Disease (ICD) is used to identify known diagnosis, diseases, disorders, injuries and cause of death attributed to human beings. Due to the limitation of ICD codes, many deaths due to medical errors are not listed. In this paper, we will look into the importance of these codes, the problems associated with them, as well as how to solve them, before finally moving onto what improvements can be done in the future for this medical
What classifies as a Medication errors? An error can occur any time during the medication administration process. A medication error can be explained as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer” (National Coordinating Council for Medication Error Reporting and Prevention, 2014, para 1). Rather it is at prescribing, transcribing, dispensing or at the time of administration all these areas are equally substantial in producing possible errors that could potentially harm the patient (Flynn, Liang...
Medical errors can happen in the healthcare system such as hospitals, outpatient clinics, operating rooms, doctor’s offices, pharmacies, patients’ homes and anywhere in the healthcare system where patients are being treated. These errors consist of diagnostic, treatment, medicine, surgical, equipment calibration, and lab report error. Furthermore, communication problems between doctors and patients, miscommunication among healthcare staff and complex health care systems are playing important role in medical errors. We need to look for a solution which starts changes from physicians, nurses, pharmacists, patients, hospitals, and government agencies. In this paper I will discuss how does the problem of medical errors affect our healthcare delivery system? Also how can these medical errors be prevented and reduced?