Medication Administration Error
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therapy or failing to receive it as prescribed or intended. Medication errors happen for many reasons. However, failing to follow the six rights of medication administration is probably the http://www.atitesting.com/ati_next_gen/skillsmodules/content/medication-administration-1/equipment/error.html most basic cause. Whether or not the patient was harmed or had an adverse reaction as a result of the error, all medication errors must be reported, not only for patient http://bmcnurs.biomedcentral.com/articles/10.1186/s12912-015-0099-1 safety but for quality-improvement purposes. When you or a colleague makes a medication error, the patient’s safety and well-being are your first priority. Monitor the patient closely and notify the provider medication error and your nurse manager as soon as possible. Once the patient is stable, the person who made the error must complete an incident, variance, or quality-assurance report as soon as possible, but generally within 24 hours of the incident. The report should include the following information and any additional information required by facility policy: patient information, the location and time of the incident, medication administration error a description of what happened and what was done about it, the condition of the patient, and the nurse’s signature. The incident report does not become a permanent part of the patient’s medical record; do not mention it in your documentation on the patient’s chart. The intent of this is not to hide the fact that an error occurred, but to protect the nurse and the facility. Depending on the error that occurred and the outcome, the facility may be required to report the incident to the Joint Commission. Nurses should feel comfortable reporting a medication error and not fear disciplinary action. Incident reports should not be used for disciplinary purposes but to improve systems and processes. Managers who use incident reports for disciplinary purposes run the risk of increased failure to report errors and of the same mistakes being made again and again. Medication incident report form References Bentz, P. M., & Ellis, J. R. (2007). Modules for basic nursing skills (7th ed.). Philadelphia: Lippincott Williams & Wilkins. p. 828. Duell, D. J., Martin, B. C., & Smith, S. F. (2004). Clinical nursing skil
Open Peer Review This article has Open Peer Review reports available. How does Open Peer Review work? Medication administration error: magnitude and associated factors among nurses in EthiopiaSenafikishAmsaluFeleke1Email author, MuluadamAbebeMulatu2 and YeshanehSeyoumYesmaw3BMC Nursing201514:53DOI: 10.1186/s12912-015-0099-1© Feleke et al.2015Received: 26October2014Accepted: 30September2015Published: 21October2015 Open Peer Review reports Abstract Background The significant impact of medication administration errors affect patients in terms of morbidity, mortality, adverse drug events, and increased length of hospital stay. It also increases costs for clinicians and healthcare systems. Due to this, assessing the magnitude and associated factors of medication administration error has a significant contribution for improving the quality of patient care. The aim of this study was to assess the magnitude and associated factors of medication administration errors among nurses at the Felege Hiwot Referral Hospital inpatient department. Methods A prospective, observation-based, cross-sectional study was conducted from March 24–April 7, 2014 at the Felege Hiwot Referral Hospital inpatient department. A total of 82 nurses were interviewed using a pre-tested structured questionnaire, and observed while administering 360 medications by using a checklist supplemented with a review of medication charts. Data were analyzed by using SPSS version 20 software package and logistic regression was done to identify possible factors associated with medication administration error. Result The incidence of medication administration error was 199 (56.4%). The majority (87.5%) of the medications have documentation error, followed by technique error 263 (73.1%) and time error 193 (53.6%). Variables which were significantly associated with medication administration error include nurses between the ages of 18–25 years [Adjusted Odds Ratio (AOR) = 2.9, 95% CI (1.65,6.38)], 26–30 years [AOR = 2.3, 95% CI (1.55, 7.26)] and 31–40 years [AOR = 2.1, 95% CI (1.07, 4.12)], work experience of less than or equal to 10years [AOR = 1.7, 95% CI (1.33, 4.99)], nurse to patient ratio of 7–10 [AOR = 1.6, 95% CI (1.44, 3.19)] and greater than 10 [AOR = 1.5, 95% CI (1.38, 3.89)], interruption of the respondent at the time of medication administration [AOR = 1.5, 95% CI (1.14, 3.21)], night shift of medication administration [AOR = 3.1, 95% CI (1.38, 9.6