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2005 Error Free From Full Medication Text

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Examples Of Medication Errors

factor2.634 Published on behalf ofThe Association of Physicians. Medication errors: what they are, how they happen, and how to most common medication errors by nurses avoid them You have accessRestricted access J.K. Aronson DOI: http://dx.doi.org/10.1093/qjmed/hcp052 513-521 First published online: 20 May 2009 ArticleFigures & dataInformation & metricsExplorePDF Abstract A medication error is a failure in the treatment

Consequences Of Medication Errors

process that leads to, or has the potential to lead to, harm to the patient. Medication errors can occur in deciding which medicine and dosage regimen to use (prescribing faults—irrational, inappropriate, and ineffective prescribing, underprescribing, overprescribing); writing the prescription (prescription errors); manufacturing the formulation (wrong strength, contaminants or adulterants, wrong or misleading packaging); dispensing the formulation (wrong drug, wrong formulation, wrong label); administering or types of medication errors ppt taking the medicine (wrong dose, wrong route, wrong frequency, wrong duration); monitoring therapy (failing to alter therapy when required, erroneous alteration). They can be classified, using a psychological classification of errors, as knowledge-, rule-, action- and memory-based errors. Although medication errors can occasionally be serious, they are not commonly so and are often trivial. However, it is important to detect them, since system failures that result in minor errors can later lead to serious errors. Reporting of errors should be encouraged by creating a blame-free, non-punitive environment. Errors in prescribing include irrational, inappropriate, and ineffective prescribing, underprescribing and overprescribing (collectively called prescribing faults) and errors in writing the prescription (including illegibility). Avoiding medication errors is important in balanced prescribing, which is the use of a medicine that is appropriate to the patient's condition and, within the limits created by the uncertainty that attends therapeutic decisions, in a dosage regimen that optimizes the balance of benefit to harm. In balanced prescribing the mechanism of action of the drug should be married to the pathophysiology of the disease. Introduction In 2000, an expert group on learning from adverse events in th

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Types Of Medication Errors In Nursing

ListJ Am Med Inform Assocv.12(4); Jul-Aug 2005PMC1174881 J Am Med

Examples Of Medication Errors In Nursing

Inform Assoc. 2005 Jul-Aug; 12(4): 377–382. doi:  10.1197/jamia.M1740PMCID: PMC1174881Comprehensive Analysis of a Medication Dosing Error Related prevention of medication errors to CPOEJan Horsky, MA, Mphil, Gilad J. Kuperman, MD, PhD, and Vimla L. Patel, PhD, DScAffiliations of the authors: Laboratory of Decision Making and Cognition (JH, VLP), http://qjmed.oxfordjournals.org/content/102/8/513 Department of Biomedical Informatics (JH, GJK, VLP), Columbia University; Department of Clinical Practice Evaluation, NewYork-Presbyterian Hospital (GJK), New York, NY.Correspondence and reprints: Jan Horsky, MA, MPhil, Department of Biomedical Informatics, Columbia University, 622 West 168th Street, Vanderbilt Clinic, 5th Floor, New York, NY 10032-3720; e-mail: <ude.aibmuloc.imbd@yksroh>.Author information ► Article notes ► Copyright and http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1174881/ License information ►Received 2004 Nov 12; Accepted 2005 Feb 21.Copyright © 2005, American Medical Informatics AssociationThis article has been cited by other articles in PMC.AbstractThis case study of a serious medication error demonstrates the necessity of a comprehensive methodology for the analysis of failures in interaction between humans and information systems. The authors used a novel approach to analyze a dosing error related to computer-based ordering of potassium chloride (KCl). The method included a chronological reconstruction of events and their interdependencies from provider order entry usage logs, semistructured interviews with involved clinicians, and interface usability inspection of the ordering system. Information collected from all sources was compared and evaluated to understand how the error evolved and propagated through the system. In this case, the error was the product of faults in interaction among human and system agents that methods limited in scope to their distinct analytical domains would not identify. The authors characterized errors in several conv

it free from error.J Infus Nurs 2005 Mar-Apr;28(2 Suppl):31-6
Jane H Barnsteiner Full Text Link Source Status There may be http://www.pubpdf.com/pub/15965370/Medication-reconciliation-transfer-of-medication-information-across-settings-keeping-it-free-from-er more results - use the "Deep Web Search" button https://www.researchgate.net/publication/7778758_Medication_reconciliation_Transfer_of_medication_information_across_settings-Keeping_it_free_from_error to help find them:Deep Web Search Search public data sources to find the full text document. Web Search Results: Similar Publications Mar2005 Medication reconciliation: transfer of medication information across settings-keeping it free from error.Am J Nurs 2005 Mar;105(3 Suppl):31-6; medication errors quiz 48-51
Jane H Barnsteiner View Full Text PDF Listings View primary source full text article PDFs. Oct2007 The payoff: preventing errors. Medication management.Hosp Health Netw 2007 Oct;81(10):57-8, 60, 2
Amy Buttell Crane To reduce the chance of errors, hospitals are investing in technology that tracks medications from the clinician to of medication errors the pharmacy to the patient. View Full Text PDF Listings View primary source full text article PDFs. Jan2009 Medication reconciliation in hemodialysis patients.CANNT J 2008 Oct-Dec;18(4):41-3
Séadna Ledger, Gail Choma Medication reconciliation is an effective process to reduce adverse drug events (ADEs) and harm associated with the loss of medication information as patients transfer between health care settings. Patients with end stage renal disease (ESRD) are at a high risk of experiencing drug-related problems (DRPs) because they take many medications, have multiple comorbidities, and require frequent medication changes. We evaluated the potential impact of medication reconciliation and optimization in the ambulatory care setting at the time of patient transfer from an in-centre dialysis unit to a satellite dialysis unit. View Full Text PDF Listings View primary source full text article PDFs. Sep2006 Nurses' perceptions of medication safety and medication reconciliation practices.Nurs Leadersh (Tor Ont) 2006 Sep;19(3)

Download Full-text PDF Medication reconciliation: Transfer of medication information across settings—Keeping it free from errorArticle (PDF Available) in Journal of Infusion Nursing 28(2 Suppl):31-6 · April 2005 with 334 ReadsDOI: 10.1097/00000446-200503001-00007 · Source: PubMed1st Jane H Barnsteiner26.97 · University of PennsylvaniaDiscover the world's research10+ million members100+ million publications100k+ research projectsJoin for free ajn@lww.com AJN▼March 2005▼Supplement 31the incidence of medication errors that occur duringcare at points of transition.4-8As part of that process,the accuracy of the list is validated and it is reviewedand amended, if necessary, at specified times.6A rec-onciliation record usually includes the name of themedication, dosage, frequency, and route of adminis-tration, as well as known allergies to medication. This article describes the scope of the problem ofinaccuracy of medication lists and reviews innova-tions that improve the transfer of medication infor-mation within the hospital. SEARCH STRATEGIESThere is little written about medication reconciliationin the health care literature and nothing written aboutit in the nursing literature. I reviewed English-lan-guage health care literature dating from 1965 throughMarch 2004. Because the term “medication reconcil-iation” is of recent currency, it’s likely that the specif-ic term was not used in some older literature. In addi-tion, bibliographies and the Web sites of patient safe-ty organizations were searched. Search terms used forthis report include “medication errors,” “medicationreconciliation,” “medication safety,” and “medica-tion systems.” Medication error is the most commontype of error affecting patient safety,1occurring most often at points oftransition in care—on admission to ahospital, at transfer from one depart-ment to another (such as from critical care to gener-al care), and at discharge home or to another facili-ty. The principal cause of medication error at suchtimes is the incorrect

 

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