medication error nasha’at jawabreh and yousef. what is the definition of medication error ?
TRANSCRIPT
Medication Error
Nasha’at Jawabreh And yousef
What is the definition of medication
error?
“..any preventable event that may cause or lead to in inappropriate medication use or patient harm , while the medication is in the control of health care professional, patient, or consumer, Such events may be related to professional practice, health care products, procedures, and systems including : prescribing; order communication; product labeling; packaging and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use”. (NCCMERP)
The safe and accurate administration of medications is
one of the nurses most important responsibilities.
Drugs are the primary means of therapy for clients with health problems, but a drug may have
the potential for causing harmful effects when administered
improperly .
How mistakes are madeHow mistakes are made? ?
• Omission : the patient fails to receive unordered drug dose.
• Wrong dose : the patient receives a dose that’s at least 5% more or less than the dose ordered.
• Extra dose : the patient receives more doses tan the doctor ordered.
• Unordered drug : the patient receives a drug that wasn’t ordered for him.
• Wrong root• Wrong time: the patient receives a drug too early or too
late.
Medication errors fall into these categories :Medication errors fall into these categories :
The nurse is responsible for understanding a drugs action and it’s side effects, administering it correctly, monitoring the client’s response and helping the client self administer drugs correctly
and knowledgably (Proulx, 1993).
Ways to Prevent Medication Errors
Despite repeated emphasis on the “five Rights of Drug”
administration, too many patients receive the wrong medication. So the ways to prevent these errors
are:
1.Don’t administer any drug-including over the counter drug, without a doctor’s order.
2.Always check the label to identify a drug. Don’t rely on the drugs color, shape, or location in the medication cassette.
3.Check the label against the doctors order and the patient’s medication administration record (MAR) three times: when obtaining the drug, when preparing the dose, and when returning the container to storage or discarding it.
4.When you check the drug name, pay particular attention to the spelling many drugs have similar names. If you have any doubts about the drug you are giving, call the doctor or pharmacist.
5.Check expiration dates, and return out dated drugs to the pharmacy.
6.Prepare drugs in a quiet , well-lit area where you will not be distracted.
7.Ask another nurse or a pharmacist to double check your dosage calculations.
8.Don’t give drugs another nurse has prepared.
9.The nurse should have verified the dosage before giving the drug-and she should to followed a basic administration rule, “If you don’t know a drug and it’s dosage, don’t give it until you find out (Martha, 1995)
10.Don’t try to interpret illegible handwriting even in ask the physician.
11.Identify the patient by his ID band- don’t just ask his name or check his bed number.
12.Use appropriate documentation system Documentation on the MAR (Medication Administration record helped prevent errors. That’s because the nurse have the chance to check previous therapy, read any notes that apply to a specific patient, and see what occurred the last time the drug was given.
13.Store preparations meant for external use separately from other medications, and make sure they are labeled for external use only (Carr, 1996).
Errors in medication administration Errors in medication administration often arise due to combination of often arise due to combination of
factors that are :factors that are :1.Poor communication between pharmacists and
nurses.
2.Lack of knowledge in drug administration.
3.Multiple interruptions the nurse have during preparing medication.
4.Stress an fatigue.
5.Poor working conditions.
6.Carelessness from nurse.
Medication errors should not Medication errors should not happen. But they occur due to happen. But they occur due to
the fact that every human the fact that every human being is capable to doing being is capable to doing
mistake here and those that mistake here and those that happen where you work- can happen where you work- can add to your knowledge and add to your knowledge and
skill. skill.
yousef
Gender Of RespondentsGender Of Respondents
gender
femalemale
Co
un
t29
28
27
26
25
24
23
22
21
Type of ErrorType of Error
type of error
all of the above
w rong Patient
w rong rout
w rong dose
w rong Name
Pe
rce
nt
30
20
10
0
MD .E and Incident MD .E and Incident ReportReport
No
yes
Incident reported To Incident reported To AdminsrationAdminsration
when the error Hapined an incident report was wretten to the hosp. admin
Noyes
Pe
rce
nt
50
40
30
20
10
Hospital type
govermental
non-govermental
Educational levels and Educational levels and MD.EMD.E
educational level
Regesterd nursePractical nurse
Co
un
t
30
20
10
0
Medication Errors ex
yes
No
TYPE OF HOSP AND MD TYPE OF HOSP AND MD EE
Hospital type
non-govermentalgovermental
Co
un
t
30
20
10
0
Medication Errors ex
yes
No
Experience and MD.EExperience and MD.E
Experience
+1511-156-101-5
Co
un
t
20
10
0
Medication Errors ex
yes
No
Complication Happened And Complication Happened And TreatedTreated
No
yes
Thank you
Yousef
Nashat