Great pharmacy starts when you are a student. They talk about pharmacy students' knowledge and comfort in collaborating, supervision, and avoiding medication errors. They used cross-sectional design, a survey instrument was giving to fifth-year pharmacy students. Both open- and close-ended questions was giving in the survey to describe and examine reasons related with information and comfort in communication of medication mistakes. The survey was done by 93 students (90% response rate). Approximately 80% informed not having received training in communicating medication errors. The observation of having extra adequate training was associated to greater knowledge in the communication of medication mistakes (p ≤ 0.001). Having the knowledge was
This is a journal study to investigate the perceptions and opinions of the professional community pharmacy staff about the causes of dispensing errors and strategies to prevent these errors. A survey was completed by pharmacists and pharmacy technicians in 49 community pharmacies and the response rate was 90.9% (Lopes, Joaquim, Matos & Pires, 2015). Handwritten prescriptions were the most single cause of medication errors 51.5% and drugs with similar packages 45.6% (Lopes et al., 2015). Checking prescriptions and confirmation of drugs through barcodes was 97% which were the most agreed prevention methods (Lopes et al., 2015). This article would not only be useful to pharmacy personnel but to other health practitioners or students performing research. In addition, a study similar to this could serve as an example (initiative) that may benefit management. Such initiative would be implemented to help improve medication
Excellent outline for your quality improvement initiative that addresses medication errors. I like how you describe the closed-loop medication administration process that includes all members of the interprofessional team. Your references are also well researched and current. From the outline, it is unclear what the barriers and implementation strategy are to reduce medication errors. One suggestion I would make is to look at the grading rubric. There are four main points that the rubric requires to complete the objectives for the paper. I usually create headings that align with the rubric, this helps me organize my thoughts and to meet the objectives of the assignment.
Medication errors are a major issue affecting patient safety in hospitals, which can create deadly consequences for patients. It is crucial to identify and analyzed medication errors so healthcare professionals can pinpoint why medication errors occur and provide insight into how to prevent or reduce them.
McComas, Riingenm and Kim (2014), conducted a study that investigated the occurrence of medication errors and the efficiency of medication administration following the implementing an eMAR system. The study was conducted in an appropriate setting and all observed nurses volunteered for the study. Before implementing the eMARs mandatory class were provided and nurses were evaluated for competency. Data was collected by observation and nurses were randomly followed throughout a medication pass. Collected data consisted of medication errors, distractions during medication pass and amount of time spent administering medications.
The issues addressed are Findings 1 and 3: Finding 1 is patient medication errors are up and there is a perception of shady hiring practices and playing favorites. All employees are responsible for compliance. Policies and professional standards exist for the medical profession. The challenges will be reintroducing employees to Federal and state law that govern the profession. For hiring practices and playing favorites the challenges faced are the lack of compliance reporting structure or training for understanding compliance. There is a perception that work rules are not being enforced. Finding 3 is high job turnover and low employee morale. The challenges faced will be building communication strategies, building confidence in leadership,
Medication errors are among the most common medical errors, harming and costing millions of patients in the world very year. Prevention of medication errors is, therefore, a high priority worldwide. Nowadays, various information technology (IT) systems are widely used to prevent and reduce medication errors. Computerized physician order entry (CPOE) with patient-specific decision support is one of the most powerful IT systems used by physicians to improve patient safety in various healthcare settings. As an example, application of CPOE systems has significantly reduced errors related to dosing of psychoactive medications. Pharmacy dispensing systems, including drug-dispensing
The problem that the community is experiencing related to medication administration is that there is no system that can be used to check the medication before administering except the RNs and LPNs themselves. Staff members are using picture of patients in the system as a way to identify patients before administering medications. They do not have barcode reader to alert them when they are about to administer wrong medications. The community is aware of this problem and started to use the same process except that the medication is checked by three nurses instead of two after entering the information into the system.
It is revealed that more mistakes are made in prescription and these mistakes associated with adverse drug reaction (ADR). To avoid prescription mistakes, in some health care settings pharmacist take that responsibility of correcting medication errors related with wrong drug, wrong dose, and prescription of allergic
Understanding medication error means understanding the impact an error can have on the medical community and patient care. When a medication error occurs, stress is often placed on the medical facility, as well as the effected patient and family. Regarding a medication error one can assess that an error has in the medication process- rather it be missing actions or wrong actions, the medical facility must undergo an investigation (Lisby, 2004). During the investigation, depending on the severity of the error, the person or people who are involved with the
The health information technology (HIT) topic selected is medication errors. In his March 17, 2017 article titled, “Poorly Implemented IT systems lead to medication errors” author Evan Sweeny discusses a the findings of Pennsylvania Safety Advisory which found that information technology (IT) systems implemented to prevent medication errors, may in fact contribute their occurrence. This paper will examine how HIT can both prevent and contribute to medication errors. The following elements are included, introduction, the rationale for selection, positive and negative impact of health information technology on medication errors, how informatics skill was relevant in assignment development, and
A medication error is any preventable event that could cause patients harm while the medication is in the control of the health care professional, patient, or consumer. Some common cause for medication errors include ineligible handwriting, similar packaging design, similar names, or similar characteristics. These include drug strengths, dosage forms, and dosage intervals. The (DMEPA) Division of Medication Error Prevention and Analysis main priority is the premarket review of proposed proprietary medication names, labeling, and packaging, and Human Factor Studies in order to prevent medication errors. They also provide guidance and advise industries on the development of drugs and considerations from a medication error perspective. Fully writing
Over past decade, several investigator groups have attempted to create, validate, and implement screening tools to detect prescription errors, and listing the drugs that carry a high risk of inappropriate in elderly patients. Screening tools including USA Beers Criteria [6], Medication Appropriate Index (MAI) [7] and the European Screening Tool of Older Person's Potentially Inappropriate Prescriptions (STOPP) and Screening Tool to Alert doctors to the Right Treatment (START) [8] are the most widely used criteria for the detection of prescription errors. Explicit criteria of STOPP/START criteria contains specific clinical and drug recommendations that can reduce PIP in older patients and was considered ‘most promising’ compared to other existing
Before the end of this course, we had group presentation where we had real cases with patient prescription error, and we had to present to the class the cause, effect of that error. My team project was really excellent. Several things I did to perform excellently in this project was teamwork-getting along with my teammates and trying to understand their opinion, I was the leader of it who decided when to do it, where to meet, how to do specific things, and what to do. I was extremely responsible with this work which took our group to the right path. Something I excelled was being confident when presenting in front of my classmates and instructor, I had enough confident to present my point and was ready for any question coming toward me; however,
Medication error is one of the biggest problems in the healthcare field. Patients are dying due to wrong drug or dosage. Medication error is any preventable incident that leads to inappropriate medication use or harms the patient while the medication is in the control of the health care professional,or patient (U.S. Food and Drug Administration, 2015). It is estimated about 44,000 inpatients die each year in the United States due to medication errors which were indeed preventable (Mahmood, Chaudhury, Gaumont & Rust, 2012). There are many factors that contribute to medication error. However, the most common that factors are human factors, right patient information, miscommunication of abbreviations, wrong dosage. Healthcare providers do not intend to make medication errors, but they happen anyways. Therefore, nursing should play a tremendous role to reduce medication error
“The medication error reporting project (MERP) estimates that confusion surrounding drugs with similar names accounts for up to 25 percent of medication errors.”(www.jcaho.org). The Food and Drug Administration (FDA) says that” about 10 percent of all medication errors reported result from drug name confusion. A patient taking the wrong drug is an impact to the safety goal.”(www.fda.gov)