Article On Nursing Medication Error
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Nursing Medication Error Stories
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2013PMC3748543 Iran J Nurs Midwifery Res. 2013 May-Jun; 18(3): 228–231. PMCID: PMC3748543Types and causes of medication errors from nurse's viewpointMohammad http://journals.rcni.com/doi/pdfplus/10.7748/ns.29.20.50.e9507 Ali Cheragi, Human Manoocheri,1 Esmaeil Mohammadnejad,2 and Syyedeh R. Ehsani1Nursing and Midwifery Care Research Center, Tehran Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran1Department of Nursing Management, Shahid Beheshti Nursing and Midwifery Faculty, Shahid Beheshti University of http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748543/ Medical Sciences, Tehran, Iran2Nursing Office, Imam Khomeini Clinical and Hospital Complex, Tehran University of Medical Sciences, Tehran, IranAddress for correspondence: Mr. Esmaeil Mohammadnejad, First Floor, No. 9, Kavusi Alley, Urmia St, South Eskandari St, Tehran, Iran. E-mail: moc.oohay@8531onersaAuthor information ► Copyright and License information ►Copyright : © Iranian Journal of Nursing and Midwifery ResearchThis is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.This article has been cited by other articles in PMC.AbstractBackground:The main professional goal of nurses is to provide and improve human health. Medication errors are among the most common health
In Join CBSNews.com Sign in with CBSNews.com - Breaking News Video US World Politics Entertainment Health MoneyWatch SciTech Crime Sports Photos More Blogs Battleground The WH http://www.cbsnews.com/news/oregon-hospital-medication-error-kills-patient/ Web Shows 60 Overtime Face to Face Resources Mobile Radio Local In Depth CBS News Store CBS/AP December 4, 2014, 6:11 PM Hospital medication error kills patient in Oregon Comment Share Tweet Stumble Email A http://ajcc.aacnjournals.org/content/20/1/36.short hospital in Bend, Oregon, says it administered the wrong medication to a patient, causing her death.Loretta Macpherson, 65, died shortly after she was given a paralyzing agent typically used during surgeries instead of an anti-seizure medication error medication, said Dr. Michel Boileau, chief clinical officer for St. Charles Health System.He said Macpherson stopped breathing and suffered cardiac arrest and brain damage.Macpherson came into the ER two days earlier with medication dosage questions after a recent brain surgery.Three employees involved in the error have been placed on paid leave. The organization is conducting an investigation, but doesn't yet know how the error occurred, Boileau said.The investigation is looking at nursing medication error every step of the medication process: from how the medication was ordered from the manufacturer, to how the pharmacy mixed, packaged and labeled the drug, to how it was brought to the nurses and administered to the patient."We're looking for any gaps or weaknesses in the process, or to see if there has been any human error involved," Boileau said.The hospital notified the Deschutes County district attorney, who did not immediately return a call for comment.According to the Bend Bulletin, the doctors determined Macpherson needed an intravenous anti-seizure medication called fosphenytoin, but instead accidentally administered rocuronium, which caused Macpherson to stop breathing and go into cardiac arrest, leading to irreversible brain damage. The hospital took Macpherson off life support Wednesday morning.The patient's son, Mark Macpherson told the newspaper he'd recently moved to closer to care for her. "We didn't get the answer for a couple of days about what had happened, but when they first told us, it was pure anger," he told the paper, adding that he wasn't sure if the family planned to pursue legal action. Boileau told the newspaper this was the first time the hospital has dealt with a situation like this. "We are in the process of that analysis right now. Before we say exactly
MSc, PhD, Mary Karga, RN, MSc, PhD, Chrisoula Lemonidou, RN, MSc, PhD, Diamanto Aretha, MD and Menelaos Karanikolas, MD, MPH Panagiotis Kiekkas is an assistant professor in the nursing department at the Highest Technological Educational Institute of Patras, Patras, Greece. Mary Karga is an infection control nurse at Patras University Hospital, Patras, Greece. Chrisoula Lemonidou is a professor in the nursing department at the University of Athens, Athens, Greece. Diamanto Aretha is an anesthesiologist at Pyrgos Hospital, Pyrgos, Greece. Menelaos Karanikolas is an assistant professor of anesthesiology and critical care medicine in the University of Patras School of Medicine, Patras, Greece Corresponding author: Panagiotis Kiekkas, 76 Stratigou Konstantinopoulou Str., Aroi, Patras 263-31, Greece (e-mail address: kiekkpan{at}otenet.gr). Abstract Objective To systematically review clinical evidence gathered by direct observation of medication errors in adult patients in intensive care units. Methods Articles published between 1985 and 2008 in English-language journals indexed by the Cumulative Index for Nursing and Allied Health Literature and PUBMED were searched for studies on medication errors made by intensive care unit nurses. Studies in which errors were detected via direct observation were included. Results Six studies met the inclusion criteria, and error incidence varied considerably among them. Wrong dose, wrong administration time and rate, and dose omission were the most common errors. Antibiotics, electrolytes, and cardiovascular drugs were commonly associated with errors, but the evidence about factors contributing to errors was inconclusive. Increased monitoring was the most common consequence of medication errors, whereas life-threatening and fatal adverse events were rare. Conclusions Identification of patterns and characteristics of medication errors can guide preventive interventions. Factors contributing to errors, as well as drugs and error types associated with severe adverse events, deserve further investigation. ©2011 American Association of Critical-Care Nurses Responses to this article Mark Stambovsky Error-free care: an elusive goal Am J Crit Care published online June 15, 2011 Full Text Marylynne Friel Medication errors in critically ill adults Am J Crit Care published online June 15, 2011 Full Text « Previous | Next Article » Table of Contents This Article doi: 10.4037/ajcc2011331 Am J Crit Care January 2011 vol. 20 no. 1 36-44 » Abstract Full Text Full Text (PDF) Classifications Patient Safety Issu