Evaluation Of The Joint Commission ( 2016 )

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Medication errors remain one of the most common causes of unintended harm to patients, contributing to adverse events that compromise patient safety and result in a large financial burden to the health service (Cloete,2015). The Joint Commission (2016) addresses medication errors in its National Safety Goals recommending the use of at least two ways to identify individuals served. For example, use the individual’s name and date of birth. This is done to make sure that each individual served gets the correct medicine and treatment. Currently in the proposed setting the cottage parents or foster parents give the medications to the students in the cottages with the students ranging from the age of 1 to 21 years old, and do not wear identification bracelets or name tags. Without having some form of identification on the students it can be difficult to identify the students using two forms of identification which does not currently meet national standards. Last year changes were implemented in the medication administration record (MAR) so that they are more user friendly with the student’s name and date of birth easily identified, in order to identify the students by asking them their name and date of birth at each medication pass. During this process other issues were discovered due to the admission of younger students that are not old enough to verify their name or date of birth, and also having identical twins who will try to confuse the cottage parents during medication time and sharing a date of birth. The possibility of implementing a picture ID system so that each child has an up to date ID with their MAR sheets is being explored for easy student identification to possibly reduce the risk of medication errors due to the me... ... middle of paper ... ...age parents, and possibly in updating policies and procedures related to medication administration. The gathered recommendations from the meetings will provide the nurse with front line information in ways to possibly prevent the same medication errors in the future. The nurse will then develop a plan to educate and direct the cottage parents to safely administer the student’s medications based on the information that is gathered during these meetings and the changes that have been recommended in relation to policies and procedures within the organization. The changes that are made based on the problem solving sessions should provide the nurse with recommendations from the cottage parents of things that need to be reviewed such as medication times occurring during busy times in the cottage or other cottage routines that could be leading to the omission errors.
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