Consequence Of Medication Error
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Nursing Medication Error Consequences
Volume 105 Issue 1 Pp. 76-82. Drug errors: consequences, mechanisms, and avoidance R. medication error articles J. Glavin* Victoria Infirmary, Glasgow G42 9TY, UK *E-mail: ronnie.glavin{at}ggc.scot.nhs.uk Next Section Abstract Medication errors are common throughout healthcare and result
Medication Error Stories
in significant human and financial cost. Prospective studies suggest that the error rate in anaesthesia is around one error in every 133 anaesthetics. There are several categories of medication error ranging from slips and lapses medication error definition to fixation errors and deliberate violations. Violations may be more likely in organizations with a tendency to blame front-line workers, a tendency to deny the existence of latent conditions, and a blinkered pursuit of productivity indicators. In these organizations, borderline-tolerated conditions of use may occur which blur the distinction between safe and unsafe practice. Latent conditions will also make the error at the ‘sharp end’ more likely to result in medication error statistics actual patient harm. Several complementary strategies are proposed which may result in fewer medication errors. At the organizational level, developing a safety culture and promoting robust error reporting systems is key. The individual anaesthetist can play a part in this, setting an example to other members of the team in vigilance for errors, creating a safety climate with psychological safety, and reporting and learning from errors. Key words attitude of health personnel medical errors medication errors/prevention and control medication errors/psychology risk management/standards Key points Drug errors in anaesthesia are common but resulting serious adverse outcomes are rare. Active errors and latent conditions in combination are more likely to result in patient harm. Incident reporting systems can help to identify latent conditions. Consultants, as individuals, have considerable capacity to modify local practice. Drug errors continue to exact a high cost in modern medical practice in terms of both human suffering and additional costs of healthcare. Drug-related errors cause an estimated 7000 deaths per year in the USA.1 Also in the USA, it has been estimated that adverse drug events cost a single teaching hospital $5.6 million of which $2.8 million was preventable.2 As a speciality, the preparation and administration of drugs is a core clinical activity. Also
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Medication Error Prevention
Click here for more information Close ➤ Open letter to the allnurses community types of medication error regarding the Achieve Test Prep Litigation LatestArticlesConferences Nurses › General Discussions › consequences of medication errors by babsRN May 22, '02
Medication Error Reporting
| 13,541 Views | 12 Comments 0 I'm interested in hearing what the various consequences are out there for medication errors. From ya'lls perspective....how do we hold professionals accountable without creating situations where http://bja.oxfordjournals.org/content/105/1/76.long errors are swept under the rug to avoid punishment? HELP!!! 12 Comments Topic Closed #1 0 May 22, '02 by fedupnurse A lot depends on the type and severity of the error. We had a case at a hospital in my area where a doctor wrote an order for chemo for baby and he forgot to put the decimal point. I forget how many times more http://allnurses.com/general-nursing-discussion/consequences-of-medication-17275.html drug the order was for. Two pharmicists signed off on the order without questioning it and the nurse gave it. Apparently she didn't usually work Pedi Onc. The baby died. Only the nurse was fired. I guess they reprimanded the pharmacists and doc but it was the nurse that was hung out to dry. The usual in my hospital is an incident report, call to the doc and a write up. Again it would depend on the severity. I was "spoken to" after a resident kept ordering Atropine on a patient that was coding for the fourth time in 3 or 4 hours. Had the patient been viable, he would have died from the amount of Atropine he recd. I had the audacity to question the idiot during the code by saying how much atropine has he gotten all told in the past 24 hours? There is a max amount. He said it was pe code and I corrected him. And the manager spoke to me...scary huh? #2 0 May 22, '02 by capgirl in the nursing home where i do per diem, there is a point system for med errors. I dont know how many points can be accumulated
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