Nursing Medication Time Error
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Medication Errors Articles
list Help Journal ListIran J Nurs Midwifery Resv.18(3); May-Jun how to prevent medication errors 2013PMC3748543 Iran J Nurs Midwifery Res. 2013 May-Jun; 18(3): 228–231. PMCID: PMC3748543Types and causes of reducing medication errors in nursing practice medication errors from nurse's viewpointMohammad Ali Cheragi, Human Manoocheri,1 Esmaeil Mohammadnejad,2 and Syyedeh R. Ehsani1Nursing and Midwifery Care Research Center, Tehran Nursing and Midwifery Faculty, http://www.medscape.com/viewarticle/772501_2 Tehran University of Medical Sciences, Tehran, Iran1Department of Nursing Management, Shahid Beheshti Nursing and Midwifery Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran2Nursing Office, Imam Khomeini Clinical and Hospital Complex, Tehran University of Medical Sciences, Tehran, IranAddress for correspondence: Mr. Esmaeil Mohammadnejad, First Floor, No. 9, Kavusi Alley, Urmia https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748543/ St, South Eskandari St, Tehran, Iran. E-mail: moc.oohay@8531onersaAuthor information ► Copyright and License information ►Copyright : © Iranian Journal of Nursing and Midwifery ResearchThis is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.This article has been cited by other articles in PMC.AbstractBackground:The main professional goal of nurses is to provide and improve human health. Medication errors are among the most common health threatening mistakes that affect patient care. Such mistakes are considered as a global problem which increases mortality rates, length of hospital stay, and related costs. This study was conducted to evaluate the types and causes of nursing medication errors.Materials and Methods:This cross-sectional study was conducted in 2009. A total number of 237 nurses were randomly selected from nurses working in Imam
Me Forgot Password? Login or Sign up for a Free Account My Topics of Interest My CME My Profile Sign Out Home Topics Issues WebM&M Cases Perspectives Primers Submit Case CME / CEU Training Catalog Info https://psnet.ahrq.gov/webmm/case/385 Glossary About PSNet Help & FAQ Contact PSNet Email Updates Editorial Team Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy Policy External Link Disclaimer Cases & Commentaries Published September 2016 Wrong-Time http://journals.lww.com/nursingmadeincrediblyeasy/Fulltext/2013/03000/How_to_avoid_the_top_seven_nursing_errors.4.aspx Error With High-Alert Medication Commentary by Annie Yang, PharmD, and Lewis Nelson, MD Sections The Case The Commentary References Topics Resource Type Cases & Commentaries Approach to Improving Safety Regulation Structured Hand-offs medication errors Continuing Education Safety Target Medication Errors/Preventable Adverse Drug Events Specific to High-Risk Drugs Setting of Care Hospitals Clinical Area Cardiology Target Audience Health Care Providers Error Types Cognitive Errors ("Mistakes") More Share Facebook Twitter Linkedin Email Print The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During the admission process in the early evening, the surgical resident restarted his maintenance medication errors in home medications, including oral dofetilide (an antiarrhythmic agent) taken every 12 hours. In the electronic health record, drugs ordered for "q12 hour" dosing are scheduled for 6 AM and 6 PM by default. The overnight nurse saw that the morning dose was scheduled to be given at 6 AM, but the patient was scheduled to leave for the operating room before 6 AM, so she gave the dose early, at 4 AM. During his preoperative assessment at around 6 AM, the patient was noted to have severe QTc prolongation on his electrocardiogram, putting him at high risk for torsades de pointes, a sometimes fatal arrhythmia. Considering the acute ECG changes (prior QTc intervals were normal), surgery was canceled and the electrophysiology service was consulted. The electrophysiology fellow felt that the 4 AM dofetilide administration likely contributed to the arrhythmia. Dofetilide is known to be associated with QTc prolongation if administered too early or at excessive doses. Further investigation revealed the patient also took his previous night's dose later than usual, at 10 PM. Consequently, rather than having received his dofetilide doses 12 hours apart, the 2 doses had been given only 6 hours apart. Neither the
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