Medication Error Reduction
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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 Medication Errors: Working to Improve Medication Safety how to prevent medication errors in nursing Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print When Jacquelyn
Ways To Prevent Medication Errors
Ley shattered her elbow on the soccer field, her parents set out to find her the best care in Minneapolis. "We drove past five most common medication errors by nurses 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 the right surgeon. After a successful three-hour surgery to repair the broken bones, medication errors statistics 2015 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 room that night. When she woke up in the middle of the night and checked on her, Jacquelyn was barely
How To Reduce Medication Errors By Nurses
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, the Food and Drug Administration has received nearly 30,000 reports of medication errors. These are voluntary reports, so the number of medication errors that actually occur is thought to be much higher. There is no "typical" medication error, and health
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Medication Error Statistics 2014
(includes Medi-Cal)State Agencies Directory Home > Programs > Licensing and Certification > Medication Error Reduction Plan Program Medication Error Reduction Plan (MERP) Program Program’s Mission The MERP Program http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm endeavors to promote safe and effective medication use in General Acute Care Hospitals (GACH) through reduction of preventable medication-related errors and adverse events. The program's objectives will be achieved through:The Department's survey activities whereby each hospital's MERP will be assessed for implementation and compliance in accordance with Health and Safety Code Section 1339.63, including https://www.cdph.ca.gov/PROGRAMS/LNC/Pages/MERP.aspx California Code of Regulations, Title 22; and, ongoing collaborative efforts with stakeholders to advance medication safety strategies statewide to decrease identified system vulnerabilities. MERP E-mail In our ongoing efforts to provide transparency and collaboration with providers and the public, CDPH, has email address for individuals to submit MERP related questions or comments. The email address will provide a central point of contact where facilities and other interested parties can send emails in regards to MERP surveys and/or the MERP survey process. The email address is: MERP@cdph.ca.gov. Each email received will be acknowledged and the appropriate response subsequently sent by return email. Email responses from the MERP mailbox will be sent under the name “CDPH L&C MERP” unless the incoming email is forwarded for further research and specific individual response. MERP Survey Documents MERP Entrance Conference Documents Request (Attachment A)rev.6/14 MERP Survey Facility Questionnaire (Attachment B) MERP Survey Evaluation Form (Attachment C) Program Related All Facilities Letters (AFLs) BULLETIN NUM
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, http://www.nccmerp.org/reducing-medication-errors-associated-risk-behaviors-healthcare-professionals 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 http://www.pharmacist.com/leveraging-error-reduction-strategies 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 medication error 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, to prevent medication 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 take risks when providing care to a patient. The National Coordinating Council on Medication Error Reporting and Prevention makes the following recommendations to reduce medication errors associated with at-risk behaviors: Eliminate organizational tolerance of risk. Organizatio
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