medication administration
Post on 27-Jan-2016
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Clifton John S. Bareng, RNJhessie L. Abella, RN, RM, MAN
KNH Nurse Educators
MEDICATION ERRORS: A THREAT TO PATIENT’S
SAFETY
AL KHAFJI NATIONAL HOSPITALNURSING TRAINING AND EDUCATION
Objective of the Lecture• To update the Nursing Service staff on the current statistics of medi-
cation errors of KNH as a healthcare institution.• To give a bird’s eye view on the global perspective of medication er-
rors.• To reorient the nursing staff on the policies and guideline of KNH on
medication administration (CBAHI standards)• To apply appropriate nursing action in recognizing adverse medica-
tion reaction and to apply preventive action to eliminate medication errors
• Bring up to date technology in medication administration system
The Impact of Medication Error
Common Location of Medication Errors
ER
NIC
U
OP
D-O
RT
H
OP
D-C
AR
OP
D-O
B
OP
D -
DE
R
OP
D-I
NT
ER
OP
D-P
ED
OP
D-U
RO
OP
D-E
NT
OP
D-D
EN
T
PH
AR
MA
MA
LE
WA
RD
FE
ML
E W
AR
D
PE
DIA
0
4
8
12
16
20
Age Bracket of the Patients Affected
0-10y/o 11-20y/o
21-30y/o
31-40y/o
41-50y/o
51-60y/o
60 above
0
5
10
15
20
25
30
35
Gender of Patients Affected by Errors
MALE; 51FEMALE; 55
In which PROCESS does it occurs?
PRESCRIBINGDISPENSINGADMINIS-TRATION
Type of ERROR
PATIEN
T
DRUG
DOSAG
E FO
RM
DOSE
ROUTE
IV S
OL.
TIM
E
INCO
MPLE
TE
USE OF
ABB.05
10152025303540
Medication Error
• Any preventable event that may lead to inappropriate medication use or patient harm while the medica-tion is in the control of the health care professional, patient, or consumer.
Global Perspective of Medication Errors
• Conservatively at least 1.5 millions people per year are harmed by medications. Many medica-tion errors are never reported.
• 100,000 people each year die each year as a result of medication errors
• At least 400,000 drug related injuries occurs each year in hospital or approximately one medication error per patient per day
Global Perspective of Medication Errors• The proportion of medication errors attributable to the
ordering/prescribing stage range from 79 percent.• Transcribing errors accounts 14 percent of the total ADE’s• 60 percent of the medication administration errors were
mainly in form of WRONG TIME, WRONG RATE or WRONG DOSE
• FDA had reported that injectable drugs were most often the problems, the most common type of errors was drug overdose and the second most common type is administering the wrong drug to a patient.
Factors Associated with Medication Errors
• Medication with similar names or packaging• Medications that are not commonly used or
prescribed• Commonly used medication to which many
patients are allergic• Medication that requires testing to ensure proper therapeutic levels are maintained.
acetaZOLAMIDE acetoHEXIMIDE
clonaZEPAM LORAzepam
cochiCINE cloniDINE
DOXOrubicin DAUNOrubicin
Same Label and Packaging
New Technology in Drug Administration
• Patient Safety Improvements
New Technology in Drug Administration
• Improved nursing staff satisfac-tion.
• Patient satisfaction. • Improved community relations.
THANK YOU AND HAVE A GREAT
DAY!
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