medication error nasha’at jawabreh and yousef. what is the definition of medication error ?

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Medication Error Nasha’at Jawabreh And yousef

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Page 1: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

Medication Error

Nasha’at Jawabreh And yousef

Page 2: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

What is the definition of medication

error?

Page 3: 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)

Page 4: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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 .

Page 5: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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 :

Page 6: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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).

Page 7: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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:

Page 8: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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.

Page 9: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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.

Page 10: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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).

Page 11: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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.

Page 12: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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.

Page 13: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

yousef

Page 14: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

Gender Of RespondentsGender Of Respondents

gender

femalemale

Co

un

t29

28

27

26

25

24

23

22

21

Page 15: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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

Page 16: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

MD .E and Incident MD .E and Incident ReportReport

No

yes

Page 17: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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

Page 18: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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

Page 19: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

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

Page 20: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

Experience and MD.EExperience and MD.E

Experience

+1511-156-101-5

Co

un

t

20

10

0

Medication Errors ex

yes

No

Page 21: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

Complication Happened And Complication Happened And TreatedTreated

No

yes

Page 22: Medication Error Nasha’at Jawabreh And yousef. What is the definition of medication error ?

Thank you

Yousef

Nashat