How To Prevent Medication Error
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How To Prevent Medication Errors In Hospitals
this article. Safe medication use is achievable and affordable if you follow these recommendations.Russell how to prevent medication errors in pharmacies H. Jenkins, MD, Allen J. Vaida, PharmDFam Pract Manag. 2007 Feb;14(2):41-47.This content conforms to AAFP CME criteria. See FPM CME Quiz.Article Sections Introduction Patient informationDrug how to prevent medical errors in healthcare informationCommunicationLabeling and storageDrug devicesPatient educationCulture changeConclusionReferences EnlargeIn any given week, four out of five U.S. adults will use prescription medicines, over-the-counter drugs, or dietary and herbal supplements. Nearly one-third of adults take five or more different medications.1 Given the volume of medications being taken, medication-related injuries may seem
How To Prevent Medication Errors In Nursing Homes
inevitable; however, injuries due to errors in medication prescribing, dispensing and administration are preventable.It is difficult to estimate how often preventable adverse drug events occur. The Institute of Medicine (IOM) report Preventing Medication Errors estimated that 1.5 million preventable adverse drug events occur each year in the United States.1 Another study estimated that 530,000 preventable adverse drug events occur each year among outpatient Medicare beneficiaries.2 The annual cost of treating preventable adverse drug events in Medicare enrollees aged 65 and older is estimated at $887 million.3Although significant efforts are occurring in physician offices to improve medication safety, we are not where we should be. This article will focus on simple, low-cost strategies for safe medication use that can be incorporated into office-based practice. The recommendations are drawn from research conducted by the Institute for Safe Medication Practices (ISMP).Patie
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 medication error prevention strategies (Drugs) Strategies to Reduce Medication Errors: Working to Improve Medication Safety Share Tweet different types of medication errors Linkedin Pin it More sharing options Linkedin Pin it Email Print When Jacquelyn Ley shattered her elbow on the soccer field,
Preventing Medication Errors Institute Of Medicine
her parents set out to find 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. http://www.aafp.org/fpm/2007/0200/p41.html Her husband, an orthopedic surgeon, made sure Jacquelyn got 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 http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm forgo regular checks of her vital signs.Carol Ley slept in her daughter's hospital 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 sho
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DisorderCardiovascular HealthCOPDCough and ColdDiabetesEpilepsyFluGlaucomaGoutHeart FailureHepatitis CHIVInfectious DiseaseNeutropeniaOsteoporosisPain ManagementVitamins and SupplementsWomen's HealthContinuing EducationCommunityContributorsBlogsPublications 10 Strategies for Minimizing Dispensing Errors Rama P. Nair, RPh; Daya Kappil, RPh; and Tonja M. Woods, PharmD Published Online: Wednesday, January 20, 2010 Mrs. Nair and Ms. Kappil are both PharmD candidates at the University of Florida Working Professional Doctor of Pharmacy Program. Dr. Woods is a clinical assistant professor at the University of Wyoming School of Pharmacy, Laramie. Medication errors are a leading cause of mortality in the United States.1 Dispensing errors account for ~21% of all medication errors.2 In addition to causing serious morbidity and mortality, dispensing errors increase the economic burden on society by adding to health care costs. Faulty dispensing may also result in litigation, which can be expensive and lead to increased costs for professional liability insurance coverage. Dispensing in error is traumatic for the pharmacist as well as the patient; therefore, the goal of every pharmacy is to reduce the amount of dispensing errors. Fortunately, only about two thirds of dispensing errors reported actually reach the patient, with relatively few causing harm.2 Dispensing errors include any inconsistencies or deviations from the prescription order, such as dispensing the incorrect drug, dose, dosage form, wrong quantity, or inappropriate, incorrect, or inadequate labeling.3 Also, confusing or inadequate directions for use, incorrect or inappropriate preparation, packaging, or storage of medication prior to dispensing are considered to be errors.3 Errors occur at a rate of 4 per day in a pharmacy filling 250 prescriptions daily, which amounts to an estimated 51.5 million errors out of 3 billion prescriptions filled annually nationwide.4 Dispensing errors committed by individuals are often the result of error-prone systems and processes.5 Therefore, the main strategy to reduce dispensing errors is to implement a systemoriented approach rather than a punitive approach targeted at an individual. The following is a list of strategies for minimizing dispensing errors: 1. Ensure correct entry of the prescription. Transcription errors (eg