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Impact of medication errors on health care
Impact of medication errors on health care
Impact of medication errors on health care
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Marsha: 1. Discuss how most clinicians gain new medical knowledge through continuing medical education and reading but point out the obvious challenges. Clinicians typically gain new medical knowledge through Continuing Medical Education (CME) and reading however, challenges exist. When clinicians are invited to an evening conference, it is typically used to socialize and unwind from the workplace. Therefore, there it is rarely the most appropriate atmosphere to provide new information to clinicians about products etc. “Much CME is provided free by pharmaceutical companies with their inherent biases” (Hoyt, Bailey, & Yoshihashi, 2014, p. 325). Clinicians that are interested in gaining more knowledge regarding products, technology, medication, …show more content…
We usually have the same pharmaceutical reps that visit once a month so there usually is not much change in the product therefore; this is not an effective way for physicians to stay on top of pharmaceutical changes. 2. Emphasize the importance of medication safety and the “five rights”. Expand on medication error facts and why they have not been reduced medication errors. The five rights were implemented to assist in reducing the number of patients that have been a victim of a preventable medication error. The five rights are “the right patient, the right drug, the right time, the right dose, and the right route” (Grissinger, 2010, para 2). Prior to administering a medication, asking or checking the patient’s identification bracelet would assist in ensuring the right patient would be receiving the medication. Double-checking to make sure that the medication prescribed is the medication that will be administered since there are many medications that have similar spellings. If a patients medication has been prescribed qid (four times a day), double-checking when the patient received his or her last dose is pertinent to ensure the patient is not getting it too soon. Many medications come in different milligrams …show more content…
Explain possible limitations in the current technologies such as inadequate quality reporting by electronic health records. Although electronic health records (EHRs) have proven to be more beneficial than paper-based medical records, there are limitations, which could constrain a patient receiving appropriate care or treatment in a timely care. When a facility transitions from paper-based medical records to an electronic system, it must first be determined how the data from the patient’s old chart will be transferred into the electronic chart. Many facilities opt to scan the patient’s medical records in and other elect to input the data in by hand. Then there is the question of how much of a patient’s record should be transferred. According to the American Health Information Management Association (AHIMA) (2010), “Scanning too much information will impede the provider workflow. Providers will not be able to easily locate pertinent information on the patient with multiple pages and entries to review” (para 13). Therefore, having too much information scanned into the database will cause the physicians search for a specific detail longer. Another situation that may arise when data has been scanned into the record is it can become illegible which could result in a diagnosis error. When manually entering the medical information into a patient’s EHR, there could be “typographical entry errors” which may be a result of rushing to get information in, illegible chart notes,
The two of the six rights of medication administration that were violated where the right medication, the right dosage, and the right client. The nurse failed to read the medication order three times before administering the medication, failed to scan for the right count of the medication, and as well failed to match the patient ID with the scanned
...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
• It can also be an advantage for healthcare professionals because their patients are more inform and aware of the medications available on the
Healthcare professionals associated with medical billing and coding know the progress the technology has made so far. In the last few decades, medical billing and coding has switched from being a paper-based system to a computerized format. Under HIPAA laws, medical practitioners had to develop new software in order to send out electronic bills. With the advent of electronic medical records (EMR), with one touch of a button, doctors, Nurse Practitioners and PAs can gain access to all the care a patient has ever received from every healthcare facility the patients visited previously and can figure out possible illnesses. This enables statistical documentation of the population as a whole as well. EMR can also make the healthcare system more transparent and allow integration with reimbursement data. As the healthcare system changes, this will prevent unnecessary costs and make it easier to get the reimbursements needed to treat a patient.
In this paper you will find that the transition from paper health records to electronic medical record is a transition that requires a lot of time and precise preparation and planning. Looking through the paper you will see that there are factors that need to be implemented. You first definitely have to have your medical records. Next you have to know the role that HIPPA will play in your transition because of regulation and violations. Then, you have to prepare for potential problems that you could possibly face. Next, you will see there are several things to evaluate from how long it will take to cost. You will see prices for workstation and the number of staff that you need to carry out your plan of action.
...umented immediately after administration to prevent errors in documentation (Potter, 2013). All six of these rights are to be complete three times before a medication is given (Potter, 2013). The first of these three checks is done when removing the medications from the storage unit (Potter, 2013). The next check is done when removing the medications from the container they are in, and the final check is done at the patient’s bedside just before administration (Potter, 2013).
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
Responsibility and accountability become important when medical staff gives or doses patients with medication. The chance for making a medication error presents itself at all times. Those passing medications must follow established policies and procedures developed and laid forth by t...
Electronic medical records not only effect health care professionals, but the patients of those health care providers as well. However, nurses spend the most time directly using electronic medical records to access patient date and chart. Nurses now learn to chart, record data, and interact with other health care providers electronically. Many assume that electronic means efficient, and the stories of many nurses both agree, and disagree. Myra Davis-Alston, a nurse from Las Vegas, NV, says that she “[likes] the immediate access to patient progress notes from all care providers, and the ability to review cumulative lab values and radiology reports” (Eisenberg, 2010, p. 9). This form of record keeping provides health care professionals with convenient access to patient notes, vital signs, and test results from multiple providers comprised into one central location. They also have the ability to make patients more involved in their own care (Ross, 2009). With the advancement in efficiency, also comes the reduction of costs by not printing countless paper records, and in turn, lowers health care
Sharing patients’ information with manufacturers play very important part in optimizing patients’ health outcomes while on specialty medications. The information will help researchers have further understanding about side effects and mechanism of actions, which were not observed in clinical trial phases. Patients’ authorizations are the keys of disclosing PHI to manufacturers. Therefore, HIM professionals’ roles are to ensure that authorization forms signed by patients must meet HIPAA and state regulations as well as manufacturers’ criteria of collected information.
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).