Eliminating Error Medication
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Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Drugs Home Drugs Resources for You Information for Consumers (Drugs) Strategies to Reduce how to prevent medication errors in nursing Medication Errors: Working to Improve Medication Safety Share Tweet Linkedin Pin it More sharing
Ways To Prevent Medication Errors
options Linkedin Pin it Email Print When Jacquelyn Ley shattered her elbow on the soccer field, her parents set out to find reducing medication errors in nursing practice her the best care in Minneapolis. "We drove past five other hospitals to get to the one we wanted," says Carol Ley, M.D., an occupational health physician. Her husband, an orthopedic surgeon, made sure Jacquelyn got
Medication Errors Articles
the right surgeon. After a successful three-hour surgery to repair the broken bones, Jacquelyn, who was 9 at the time, received the pain medicine morphine through a pump and was hooked up to a heart monitor, breathing monitor, and blood oxygen monitor. Her recovery was going so well that doctors decided to turn off the morphine pump and to forgo regular checks of her vital signs.Carol Ley slept in her daughter's hospital how to prevent medication errors in hospitals room that night. When she woke up in the middle of the night and checked on her, Jacquelyn was barely breathing. "I called her name, but she wouldn't respond," she says. "I shook her and called for help." The morphine pump hadn't been shut down, but had accidentally been turned up high. The narcotic flooded Jacquelyn's body. She survived the overdose, but it was a close call. "If three more hours had gone by, I don't think Jacquelyn would have survived," Ley says. "Fortunately, I woke up."Ley was pleased with the way the hospital handled the error. "They came right out and said the morphine pump was incorrectly programmed, they told me the steps they were going to take to make sure Jacquelyn was OK, and they also told me what they were going to do to make sure this kind of mistake won't happen again. And that's very important to me." The hospital began using pumps that are easier to use and revamped nurses' training. Ley believes there were many contributors to the error, including the fact that it was Labor Day weekend and there were staff shortages. "It goes to show that this can happen to anyone, anywhere," says Ley, who now chairs the board of the National Patient Safety Foundation.Multiple FactorsSince 1992
StatisticsEventsMagazinePast IssuesBlogSubscribeFor EmployersMedia KitPost a JobRegisterFAQsPost a Job Select Page 10 Strategies for Preventing Medication Errors by Dexter Vickerie | Dec 31, 2015 | Blog | 0 comments It is important
Medication Error Prevention For Healthcare Providers
for all nurses to become familiar with various strategies to prevent
Common Medication Errors By Nurses
or reduce the likelihood of medication errors. Here are ten strategies to help you do just that.1. medication error prevention strategies Ensure the five rights of medication administration. Nurses must ensure that institutional policies related to medication transcription are followed. It isn’t adequate to transcribe the medication as http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm prescribed, but to ensure the correct medication is prescribed for the correct patient, in the correct dosage, via the correct route, and timed correctly (also known as the five rights).2. Follow proper medication reconciliation procedures. Institutions must have mechanisms in place for medication reconciliation when transferring a patient from one institution to the next or from http://minoritynurse.com/10-strategies-for-preventing-medication-errors/ one unit to the next in the same institution. Review and verify each medication for the correct patient, correct medication, correct dosage, correct route, and correct time against the transfer orders, or medications listed on the transfer documents. Nurses must compare this to the medication administration record (MAR). Often not all elements of a medication record are available for easy verification, but it is of paramount importance to verify with every possible source—including the discharging or transferring institution/unit, the patient or patient’s family, and physician—to prevent potential errors related to improper reconciliation. There are several forms for medication reconciliation available from various vendors.3. Double check—or even triple check—procedures. This is a process whereby another nurse on the same shift or an incoming shift reviews all new orders to ensure each patient’s order is noted and transcribed correctly on the physician’s order and the medication administration record (MAR) or the treatment administration record. Some institutions have a chart flag process in place to highlight cha
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723204/ Help Journal ListBr J Clin Pharmacolv.67(6); 2009 JunPMC2723204 Br J http://www.nccmerp.org/reducing-medication-errors-associated-risk-behaviors-healthcare-professionals Clin Pharmacol. 2009 Jun; 67(6): 651–655. doi: 10.1111/j.1365-2125.2009.03422.xPMCID: PMC2723204Prevention of medication errors: detection and auditGermana Montesi and Alessandro LechiInternal Medicine, University Hospital, Verona, ItalyCorrespondence Dott.ssa Germana Montesi, Medicina Interna C, Policlinico G.B Rossi – P.le L.A. Scuro, 10, 37134 Verona, Italy. medication error Tel: +39-045-8124414 Fax: +39-045-8027465 E-mail: ti.rvinu@isetnom.serolodanamregAuthor information ► Article notes ► Copyright and License information ►Received 2009 Feb 18; Accepted 2009 Mar 18.Copyright Journal compilation © 2009 The British Pharmacological SocietyThis article has been cited by other articles in PMC.AbstractMedication errors have important implications for patient safety, and their identification is to prevent medication a main target in improving clinical practice errors, in order to prevent adverse events.Error detection is the first crucial step. Approaches to this are likely to be different in research and routine care, and the most suitable must be chosen according to the setting.The major methods for detecting medication errors and associated adverse drug-related events are chart review, computerized monitoring, administrative databases, and claims data, using direct observation, incident reporting, and patient monitoring. All of these methods have both advantages and limitations.Reporting discloses medication errors, can trigger warnings, and encourages the diffusion of a culture of safe practice. Combining and comparing data from various and encourages the diffusion of a culture of safe practice sources increases the reliability of the system.Error prevention can be planned by means of retroactive and proactive tools, such as audit and Failure Mode, Effect, and Criticality Analysis (FMECA). Audit is also an educational activity, which pr
Drug Event AlgorithmRecommendations / StatementsFor Consumers Reducing Medication Errors Associated with At-risk Behaviors by Healthcare Professionals It is human nature to look for quicker and easier ways to accomplish tasks, but these actions may lead to, or be a result of, at-risk behaviors. At-risk behaviors are actions taken by some healthcare practitioners that could compromise patient safety. Those who engage in at-risk behaviors may do so because the rewards are immediate and the risk of patient harm seems remote, making it difficult to motivate people to always choose the safest way to work. As healthcare practitioners become comfortable and competent with the tasks at hand, they may have a tendency to engage in at-risk behaviors. These behaviors often result in convenience, comfort, and saved time. The perceived benefits of taking shortcuts rapidly leads to continued at-risk behaviors, despite practitioner's possible knowledge, on some level, that patient safety could be at risk. In addition, as one practitioner has apparent success with an at-risk behavior, s/he will likely influence fellow practitioners until that behavior becomes a standard practice. These behaviors often emerge because of system-based problems and complexities in healthcare organizations. Establishing an Organizational Culture to Help Minimize At-risk Behaviors When patient harm occurs, an organization often focuses on the "sharp end" of the medication-use process, such as at risk behaviors by the front-line practitioners that were linked to the event. However, punishment based only on the outcome, when other instances of at-risk behavior by an individual or group go unnoticed, can send the wrong signal to staff. These behaviors often emerge because of system-based problems within healthcare organizations, for example, an organizational culture with a high tolerance of at-risk behaviors. Unnecessary complexity in processes also provides many opportunities for practitioners to