According to a one year long study conducted at Albany Medical center, the number was medication errors was 3.99 per 1000 medications (Cardinale, 1997, 1).Most medication errors are said to occur owing to problems of both individuals as well the system (Montesi & Lechi, 2009, p652) and in either case these errors hamper the patients adversely. At the individual level health caregivers are prone to misread drugs labels, medicate the wrong patient, and administer wrong dosage or all of these. For example, bottles of cyclopentolate (1%) and tropicamide (1%) are often mistaken for each other. Both the medicines have a red cap which indicated their common drug class (cyclopegics) but makes them appear exactly identical except for their printed labels. Hospital employees often do not understand the color coding of caps and ignore label reading leading to medication error (Cohen, 2013, p72). Physicians too maybe responsible for some of these problems. Many a time’s handwritten prescriptions bearing illegible drug dosage or names are misread by the pharmacists because of whom a potential medication error occurs. The pen and paper system maybe often interpreted wrongly leading to negative impacts on the patient and improper medical care. Dosage miscalculation is another fatal mistake. Dosage conversion from milligrams to milliliters etc are often calculated wrongly and the patient receives improper dose of medicine. Patients often take wrong medicines by themselves. This is a result of dearth of patient counseling and patient education in terms of self-medication. Medication errors are sometimes a product of system errors. The drug dispensing process right from medicine prescription to drug delivery is often not clearly defines and are not continuous. It is often seen that nurses, pharmacist and other employees engage in non-important talks preventing them from focusing on the job at hand. Hospital environmental too play a minor role in medication errors, for example noise level, distractions, poor lighting etc are often the reasons due to which caregivers make mistakes. The most important factor for system based medication error is lack of knowledge and appropriate exposure. Today, medication administration safety is the top priority of any medical institution. Thus several strategies have been employed to minimize the possibility of medication errors worldwide. Several studies have proved that usage of technological advancements can helps reduce medication errors (Kaushal et al,2001) One of the most widely used technologies today is the Bar coded medication administration. A bar code is attached to each patient’s wrist and the nurse responsible for drug administration scans the wrist of the patient before drug administration to ensure the right medicine, dosage and patient. The system has the potential to point out errors in medication, medication administration route, dosage measurement or patient identity (Koppel et al 2008, p 420) The use of Bar code technology helps nurse practitioners avoid common mistakes and efficiently administer the drug. Personal Digital assistant technology is yet another advancement that can help nurses prevent medication administration errors. The device displays the patient details digitally at one time and increases efficiency of service. CPOE or Computer Physicians Order entry is
TITLE OF THE PAPER Name: Institutions name: Introduction Medication is perhaps the most important support of the healthcare industry however even a minor error in medication administration or similar drug related errors will lead to problematic consequences such as greater expenses, increased hospitalization for patient, enhanced discomfort and even increase in mortality rate…
354). The problem with such ideal is that no human being is perfect, and at some point, they may manifest vulnerability that account for errors. The solution can be gained from technological advances, where nurses are aided by technological equipments created for specific nursing functions, as in medication pump technology, “electronic medical records, computerized prescription order entry, bar coding systems” (Rosenkoetter, Bowcutt, Khasanshina, Chernecky, & Wall, 2008, p.
Administration of Medications Introduction The administration of medicine is an ordinary but significant clinical course of action. This process determines the approach in which a medicine is administered, considering whether the patient receives any benefit from the medication or he/she is adversely affected by the medication.
The author explains that nurses are prone to commit an error in medicine administration, especially during the process of transcribing and administering. Nurses are usually assigned to copy the doctor’s prescription for the handing out of the correct dosage.
The term ‘drug safety’ is used when it comes to evaluation of the correct prescription of medicine, as well as administration and dispensation of the same. Medication safety, on the other hand, revolves around errors that occur in the process of prescription, dispensation as well as at the level of administration.
This review used recent articles that were within the range of five years. He used articles from 2000 to 2009 mainly from medicinal areas and specialization in medicine. Hence, the review used relevant materials that are relevant to the topic of study and that can elaborate on the issues of medicinal errors in the intensive care unit.
Therefore, IOM came up with a proposal of introducing the bar code medication administration (BCMA) that research has shown to be more effective in reducing medication errors. However, its impact on nurses have far more reaching
The implication that is developed from this point is that at each stage of the process, there is the likelihood of errors occurring at each stage if the real causes of the errors are not identified and curtailed. Today, nurses are found to make prescription related errors from several contexts including the use of protocols.
Already, it has been established that there are several factors that can bring about medication errors in the nursing setup (Athanasakis, 2010, p. 774). Due to the effects that these medication errors carry, it is always important that the right procedures and interventions be put in place in minimizing their occurrence.
The errors or accidental processes can occur as a result of work created by nurses (Barbara, 2012). The rest of this paper is organized in to barriers to medication problems, conceptual data model for the planned database. The entities planned for the database,
4 pages (1000 words)Research Paper
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