medication administration

23
Clifton John S. Bareng, RN Jhessie L. Abella, RN, RM, MAN KNH Nurse Educators MEDICATION ERRORS: A THREAT TO PATIENT’S SAFETY AL KHAFJI NATIONAL HOSPITAL NURSING TRAINING AND EDUCATION

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Medication Administration

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Page 1: Medication Administration

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

Page 2: Medication Administration

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

Page 3: Medication Administration

The Impact of Medication Error

Page 4: Medication Administration

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

Page 5: Medication Administration

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

Page 6: Medication Administration

Gender of Patients Affected by Errors

MALE; 51FEMALE; 55

Page 7: Medication Administration

In which PROCESS does it occurs?

PRESCRIBINGDISPENSINGADMINIS-TRATION

Page 8: Medication Administration

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

Page 9: Medication Administration

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.

Page 10: Medication Administration

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

Page 11: Medication Administration

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.

Page 12: Medication Administration

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.

Page 13: Medication Administration

acetaZOLAMIDE acetoHEXIMIDE

clonaZEPAM LORAzepam

cochiCINE cloniDINE

DOXOrubicin DAUNOrubicin

Page 14: Medication Administration

Same Label and Packaging

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New Technology in Drug Administration

•  Patient Safety Improvements

Page 19: Medication Administration

New Technology in Drug Administration

• Improved nursing staff satisfac-tion.

• Patient satisfaction. • Improved community relations.

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THANK YOU AND HAVE A GREAT

DAY!