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Research paper on medication errors
Medication error risks
Research paper on medication errors
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Medication Errors in Healthcare A medication error is defined as an event that can be prevented that may cause or lead to harm occurring in a patient (FDA, 2009). These errors are a more common thing than one would think. In the United States alone, it is estimated that approximately 1.5 million patients every year have harm due to a medication error (Agrawal, 2009). Because of this, prevention of medication errors has become of increasingly high importance. Medication errors are costly, not only to the healthcare facilities, but also the patients and families as well. For this reason, it has become of great importance for healthcare facilities to prevent these errors. It is estimated that approximately $3.5 billion is spent on drug related injuries occurring in hospitals alone (MedLaw, 2006). This price includes not only the cost of treatment after the fact, but also the cos t of the incorrect medication used for administration. Regarding the costliness to patients and their families, patient injury or death may occur as a result of a medication error. This may be due to an incorrect drug or perhaps an incorrect dose being administered. The possibility of the patient having an allergy to this incorrect drug administration could also further cause damage as well. When passing medications, ensuring safety and quality in the administration …show more content…
Medication errors occur during prescription, medication delivery, or during administration. This final step, administration, causes the most errors but is the least well studied category in all of the steps. The only ways to detect these errors are by spontaneous reporting, direct observation, or a review of the patient’s chart (Berdot, 2016). Studies and estimates of cases used for statistical purposes are only those who have been detected, and therefore rates could be even greater than
For my research paper, I will be discussing the impact of medication errors on vulnerable populations, specifically the elderly. Technology offers ways to reduce medication errors using electronic bar-coding medication administration (BCMA) systems. However, skilled nursing facilities (SNFs) are not using these systems. Medication is still administered with a paper or electronic medication administration record (eMAR), without barcode scanning. In contrast, every hospital I have been in: as a patient, nursing student, and nurse uses BCMA systems. The healthcare system is neglecting the elderly. Nursing homes should use BCMAs to reduce the incidents of medication errors.
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
Hospital medical errors can involve medicines (e.g., wrong drug, wrong dose, bad combination), an inaccurate or incomplete diagnosis, equipment malfunction, surgical mistakes, or laboratory errors. High medical error rates with serious consequences occurs in intensive care units, operating rooms, and emergency departments; but, serious errors that harmed patients may have prevented or minimized. Understand the nature of the error
A medication error is any preventable event that may cause or lead to inappropriate medication use or harm to a patient (NCCMERP 2014). The death rate for medication errors averages around 7,000 deaths per year. Lawsuits for medication errors were mainly made against registered nurses because nurses are the last people to check a medication before it is administered. 426 medication error related lawsuits were made against registered nurses. (RightDiagnosis 2014).
The authors of Computerized Physician Order Entry and Medication Errors in a Pediatric Critical Care Unit explored the effectiveness of computerized physician order entry (CPOE) systems on medication errors. The study’s stated purpose was “to see the impact of CPOE on the frequency of medication errors at the degree of physician ordering in a pediatric critical care unit (PCCU)” (Potts, A.L., Barr, F. E., Gregory, D. F., Wright, L., & Patel, N. R., 2004). The work was set in the PCCU of an academic foundation and included medication errors from the two month period before the implementation of CPOE – October 4, 2001 to December 4 2001 – and a two month period after CPOE – January 4, 2002 to March 4, 2002 – with a one month period in between when no information was garnered in order to acclimate hospital staff (Potts et al., 2004). Each error was categorized into one of three groups: potential adverse drug effects (ADEs), medication ordering errors (MPEs), and rule violations (RVs). The results
It is very disturbing at the number of errors that occur in children who receive medication in the ambulatory care setting. According to Medication Dosage Error...
A newly employed critical care nurse was just about to finish a 12-hour night shift when she realized she had one more patient to administer medication to. It was the busiest Friday night shift she has ever worked due to a poor nurse-patient ratio, and the workload felt impossible. She gave her last patient the properly prescribed medication, but failed to notice that the physician hastily wrote an updated dosage for a high risk medication, Digoxin. The patient’s heart rate began to slow down and life-saving procedures had to be performed. Medication errors are “any preventable event that may cause, or lead, to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer (About Medication Errors, 2015)”.
In regards to adverse patient events, medication errors (44.5%) and patient falls (38.2%) are the most frequently reported adverse patient events by nurses. Sixty-one percent of nurses perceived that patients in their unit experienced one of these adverse events during their hospital stay (Bae,
Medication errors pose the greatest risks and consequences in many health care settings, there are many different factors that play a role in medication error. Distractions and frequent interruptions increase the risk of medication error when caring for patients. Multitasking is a major contributing factor to these human factors, it is has been documented that distractions and interruptions along with multitasking leads to medication administration errors (MAEs) (Nelms and Jones, 2011). Medication errors post a major threat to the lives of patients, by increasing the chances of harm, a live changing injury, and even cost the patients their life .
For many patients the scariest part of being in the hospital is having to rely on other people to control their life changing decisions. There are multiple causes of patient harm, one of the major contributors are medication errors made by health care professional. Medication errors are inappropriate dispensing and administration of drugs which cause harmful effects such liver damage and excessive bleeding. Most cases of medication errors in hospitals occur as a result of wrong diagnosis by the doctors leading administration of inappropriate drug, poor communication between doctors and nurses and between patients and nurses who issue the drugs. However in an article by the International Journal of Nursing practice, in Australia many occurrences
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...
The goal of any medication practice and dispension is to improve the quality of life of the patients while minimizing the medication risk to the patient. Patients are always subject to errors and risk during the medication period. Medication errors include among others prescription errors, dispensing errors, medication administration errors, omission of ordered drugs, timing, and even patient compliance errors (Goldspiel et al., 2015). Health care organizations are centers for care and rescue for patients suffering from different health issues. Therefore, it is the duty of the health care managers and providers to ensure that patients do not develop further health issues and complication due to the medical errors.
The reality that medical treatment can harm patients is one that the healthcare community has had to come to terms with over recent years. In particular, adverse events associated with medication appear among the chief causes of this harm while patients reside in hospitals and are known to be responsible for a large proportion of hospital admissions. Preventable adverse drug events (ADEs) occurring during the medication use process in hospitals are associated with additional length of stay and healthcare costs. Prescribing and drug administration appear to be associated with the greatest number of medication errors (MEs), whether harm is caused or not. Recent systematic reviews of medication administration error (MAE) prevalence in healthcare
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).