CAUSES OF MEDICATION CAUSES OF MEDICATION ADMINISTRATION ERRORS ADMINISTRATION ERRORS AND NURSING ACTION IN AND NURSING ACTION IN

REPORTING AND REPORTING AND PREVENTING ERRORSPREVENTING ERRORS

Kaire KirikmäeKaire Kirikmäe

North Estonia Medical CentreNorth Estonia Medical Centre

20102010

MMedication errors result edication errors result from many different causesfrom many different causes

specific of the unitspecific of the unit

•work dynamics, team-workwork dynamics, team-work, , communicationcommunication

•person-centered factorsperson-centered factors underlying system factorsunderlying system factors

Classifications of erroClassifications of errorr

•PsychologicalPsychological: : knowledgeknowledge, , rulerules,s, performance performance and and memory memory

•according to consequences according to consequences

•period of the way in which errors period of the way in which errors occurredoccurred:: prescribing prescribing,, transcribing, dispensing, transcribing, dispensing, administeringadministering..

The main causes of The main causes of medication administration medication administration errorserrors

•omitted omitted drugdrug•wrong drug errorwrong drug error•wrong timing of drug wrong timing of drug

administration, administration, •wrong patient error. wrong patient error.

Action and managing Action and managing of of nursing practice errorsnursing practice errors

•reporting reporting

•ddealing with the error quickly ealing with the error quickly and efficiently and efficiently

•documentationdocumentation

•analysing analysing •the counselling anthe counselling and d supportingsupporting

PreventionPrevention

renovation ofrenovation of organizational model organizational model education and training education and training researches researches technological innovationtechnological innovation ““5-rights”5-rights” error reportingerror reporting

Thank you!Thank you!