Medication Error Incidence Canada
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resource About StatCan Breadcrumb trail Home Correlates of medication error in hospitals View the most recent version. Archived Content medication errors in canada Information identified as archived is provided for reference, research or
Medication Error Statistics 2014 Canada
recordkeeping purposes. It is not subject to the Government of Canada Web Standards and has not medication errors in nursing canada been altered or updated since it was archived. Please "contact us" to request a format other than those available. Health Reports >Kathryn Wilkins and Margot ShieldsAbstractKeywordsFindingsAuthorsWhy medication error reporting canada is this study important?What else is known on this topic?What does this study add?AbstractObjectivesThis article examines associations between medication error and selected factors in the workplace of hospital-employed registered nurses (RNs) in Canada.Data sources and methodsData are from the 2005 National Survey of the Work and Health of Nurses, and were weighted to
Canadian Adverse Events Study
be representative of all RNs in Canada who deliver direct care to hospital patients. Correlates of medication error were considered in bivariate and multivariate analyses. Multiple logistic regression modeling was used to examine medication error in relation to work organization and workplace environment, while controlling for personal factors, including nurses' general and mental health, job dissatisfaction, education, years of experience in nursing, and clinical area of employment.
ResultsNearly one-fifth (19%) of hospital RNs reported that medication error involving patients in their care had occurred "occasionally" or "frequently" in the past year. In the fully adjusted multivariate model, medication error was positively associated with usually working overtime, role overload, perceived staffing or resource inadequacy, low co-worker support, and low job security. Usually working a 12-hour shift, compared with shorter shifts, was negatively associated with medication error.KeywordsDrug administration, hospitals, nursing care, resource allocation, workload, workplace FindingsAccumulating evidence from Canada and elsewhere indicates that, during their hospital stay, an aresource About StatCan Breadcrumb trail Home Health Reports Correlates of medication error in hospitals Findings View the most recent version. Archived Content Information identified as archived is provided for reference, research or recordkeeping purposes. It is not subject to prescription errors in canada the Government of Canada Web Standards and has not been altered or updated since cost of medication errors in canada it was archived. Please "contact us" to request a format other than those available. Methods Results Accumulating evidence from Canada and elsewhere
Medication Errors Health Canada
indicates that, during their hospital stay, an appreciable number of patients experience adverse events, such as medication error, injurious falls, nosocomial infection, and other "medical misadventures."1,2 A recent Canadian study reported that medication- or fluid-related error http://www.statcan.gc.ca/pub/82-003-x/2008002/article/10565-eng.htm was second only to surgical error as the most common type of such incidents.1 Most studies of medication error have been based on data gathered from clinical records, which are well known to yield incomplete information. Partly because of fear of reprisal, very few incidents--probably only the 5% or so that are considered potentially life-threatening--are noted in patients' charts.3-6 Therefore, from a review of clinical records, it is not possible to assess the http://www.statcan.gc.ca/pub/82-003-x/2008002/article/10565/5202501-eng.htm true frequency of medication error, nor to identify the circumstances that contribute to such error. Nurses, who typically administer medications to patients in clinical settings, are the usual focus of investigations of medication error. In fact, a key feature of nurses' training is that any failure to administer the "right drug in the right dose at the right time to the right patient by the right route" is the nurse's responsibility, even if it results from compliance with an inappropriate order written by a physician, a pharmacist's dispensing error, or a patient's inability to swallow. The expectation is that the nurse will clarify ambiguous orders; have the requisite knowledge and strength of character to question orders that are inappropriate; double- and triple-check the medication, dosage and identity of the patient; administer the medication at the right time and through the correct route; and closely monitor the patient. Increasingly, however, the literature reflects a shift in focus away from the individual nurse as the "cause" of medication error to a consideration of the broader context. There is growing awareness that a complex interplay of circumstances in the clinical environment, rather than simply an individual's carelessness, contributes to the risk of error.2,7-10 Although the results are mixed, several studies suggest that links exist between medication error and systemic organiz
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ProgramDistribution of Medication SamplesDrug Information ResourcesDrug Warnings for ConsumersInternet Pharmacy StandardsMinimizing Medication ErrorsMandatory Package Page InsertsNotices for PharmacistsOral Contraceptives for Emergency ContraceptionPharmacy Care PlansPrivacy LegislationProduct Endorsements and TestimonialsResponsibility Regarding Alternative Health ProductsResponsibility re: Request for Drug That May Harm the PatientVICS EDI Standards Code SourceInformation for Consumers About Online Pharmacies Home > Pharmacy Practice & Regulatory Resources > Pharmacy Practice Resources > Minimizing Medication Errors Minimizing Medication Errors Minimizing Medication Errors Introduction There is agreement that since neither dispensing discrepancies (a potential error which does not reach the patient) or medication errors (in which the patient actually receives the erroneous prescription) can be eliminated completely, an open process of evaluation and discussion is required each time a mistake occurs. This will result in practice changes to prevent future errors. Procedures for preventing and handling errors are addressed in this unit. According to graduating students and leading edge practitioners, environments in which medication errors are more likely to occur tend to be characterized by: disorganized work flow fatigued staff frequent interruptions and distractions poor physician handwriting emphasis on volume over service quality stress ineffective communication with patients improper technician training a pattern of inadequate staffing. As pharmacists devote more time to counselling and providing cognitive services in order to achieve desired health outcomes, the need to implement procedures and policies to prevent errors should not be forgotten. Leading edge practitioners commented that all pharmacy practices are prone to medication error, which is due, after all, to the human element inherent in pharmacy practice (i.e. we're people!). It was felt that consumers accept the fact that pharmacists are human and errors will be made, but that the way an error is handled is critical. Standards of Practice Practice Unit #8 supports in general Standard #6 of NAPRA's "Model Standards of Practice for Canadian Pharmacists""The pharmacist applies knowledge, principles and skills of management as they pertain to the site of pharmacy practi