Several ethical issues may arise as a result of medication errors: harm to patients, whether to disclose the error, erosion of trust, and impact on quality care. Nursing Medication Errors: 5 Stories That Will Make Nurses Double-Check Their Dosages Common medication errors yield dangerous consequences in these true stories. Seventy percent of individuals in the U.S. take at least one medication per day, and more than half of all Americans take two.3 Every day at least one death in the U.S. happens a result of a medication error, and approximately1.3 million people annually are injured due to medication errors. SBAR (Situation, Background, Assessment, Recommendation) works like this: Communication is vitally important, as it is the root cause of many sentinel events, according to the Joint Commission (TJC).5. Medication errors, child, pediatric nursing, reporting ABSTRACT Objective The aim of this study was to determine the perspective of pediatric nurses regarding the causes, reporting, and prevention of medication errors. No one avoids this issue. Such drugs are usually taken without doctor’s prescriptions thus are prone to wrong dosage or use. To help you, we found five real-life medication error case studies that involved nurses. So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit. … Examples of Medication Errors These are various types of medication errors that can happen in a nursing home, including: Slicing or cutting a pill that shouldn’t be split. Distraction : A nurse who is distracted may read “diazepam” as “diltiazem.” The outcome is not insignificant-if diazepam is accidentally administered, it could sedate the patient, or worse (e.g., if the patient … Nurse educators and continuing education providers should include all of these prevention tips, and more, in nurse education programs to help nurses avoid medication errors that could have detrimental or even deadly consequences for patients, and significant consequences for nurses, including disciplinary action, job dismissal, criminal charges, and mental anguish. It’s crucial to know your limit when it comes to how much you can work. Don’t make this potentially dangerous mistake- use all of the information at your disposal to ensure patient safety, and avoid shortcuts. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. The focus of this article is on medication errors in nursing. Human beings are prone to errors. Another 10,000 people suffer complications every day. Medication math errors and the nursing student. 1.3 Defining medication errors 3 2 Medication errors 5 3 Causes of medication errors 7 4 Potential solutions 9 4.1 Reviews and reconciliation 9 4.2 Automated information systems 10 4.3 Education 10 4.4 Multicomponent interventions 10 5 Key issues 12 5.1 Injection use 12 5.2 Paediatrics 12 5.3 Care homes 13 6 Practical next … Always ask a colleague or manager for guidance before changing a medication’s dosage or timing. As tempting as it may be to rely on your brain to calculate dosages, remember that we’re all human and we make mistakes—especially if we’re busy or tired. When patients see multiple healthcare providers in different settings-whether by choice or otherwise-the result is often fragmentation of information. Medication errors within the inpatient setting can have severe consequences on patient harm and prolonging length of stay. Accurate documentation is essential and should include accurate recording of the drug information, the name of the drug, the dose, route, time, patient response, and any refusal of the drug by the patient. for example, a drug is given by mouth for a drug ordered as an intramuscular injection. It’s important to note that one of the main conclusions of the Institute’s report is that the majority of medical errors occur not as a result of incompetence or recklessness on the part of nurses and other healthcare workers, but rather as a result of faulty systems, fragmented processes, and working conditions (e.g., nurses exhausted from working double shifts). The patient, who also was a physician, went to the ER with signs of anaphylaxis. Nurses may not have the authority to make infrastructural changes, but they do have the power to suggest needed changes and take precautions to prevent medication errors, including the following: This includes the patient’s name, age, date of birth, weight, vital signs, allergies, diagnosis, and current lab results. In fact, adverse drug events account for almost 700,000 ER visits and 100,000 hospitalizations every year. Home > Health & Medicine > Nursing Medication Errors: Causes and Reporting. The resident was taking the drug, an anticoagulant, because they had a history of developing blood clots. Image courtesy of Unsplash.com/Thought Catalog, The views expressed in this article are those of the author and do not necessarily reflect those of Berxi™ or Berkshire Hathaway Specialty Insurance Company. An overnight nurse administered a dose of an antiarrhythmic medication earlier than instructed, which resulted in the patient receiving two doses too close together. Independent verification of drug doses can prevent mix-ups and misinterpretation. Write out a to-do list, so everything you need to do isn’t swimming in your tired brain. Once she finished administering the first dosage, she headed home—forgetting about the second dose. When she woke up, the patient realized that the nurse had administered the drug via the wrong route. Additionally, the entire care team failed to catch the errors for nine days. More importantly, there have been few recommendations on the specific safeguards that should be imple-mented throughout the medication-use process to prevent such errors. Click here to read our full disclaimer, Have a quote already?View your saved quote. Immediately, the patient felt severe, crushing pain flow through her body that caused her to pass out. A nurse in Seattle performed dosage calculations in her head and accidentally administered a dose to an infant patient that was 10 times higher than the prescribed amount. Medication errors: types, causes and impact on nursing practice. … The error caused mild but reversible damage to the patient’s heart. Exploring medication errors and doctors’ and nurses’ perceptions of them in the Paediatric Intensive Care Unit (PICU) By. that have analyzed wrong-patient medication errors in particular. Common medication errors yield dangerous consequences in these true stories. Ⓒ Copyright 2016-2020 Berxi™ is a part of Berkshire Hathaway Specialty Insurance Company. 6 Missed Nursing Care Elements of Nursing Care % missed Ambulation three times per day or as order 76% Interdisciplinary rounds 66% Mouth care 64% Medications administered on time 60% Feeding patient when the food is still warm 57% Patient teaching 55% Response to call light within 5 minutes 50% Patient bathing/skin … Earlier that day, one of her patients had been diagnosed with cancer, so she was now responsible for administering two doses of their chemotherapy treatment. The baby girl died five days later. As many as 400,000 Americans succumb to medical errors annually. For example OTC drugs containing acetaminophen when administered in wrong dosage can increase risks of liver damage. In a medical profession, especially nursing, the errors can be naturally simple and easy to correct or they can be complex, life-threatening and even catastrophic which requires special attention by experts and legal team. However, due to lack of drug knowledge, overwriting or other causes, care home staff often make medication administration errors. Medication errors can cause harm due to wrong medication while being under the care of a medical practitioner. Many people find that it helps them clarify their question, which in … Medication errors can occur anywhere along the route, from the clinician who prescribes the medication to the healthcare professional who administers the medication. Training should include medication-related policies, procedures, and protocols. MEDICATION ERRORS IN NURSING: COMMON TYPES, CAUSES, AND PREVENTION, Compliance Education for Healthcare Sales Professionals, Mandatory and State-Specific Continuing Education, nurse CE programs that include healthcare videos, http://iom.nationalacademies.org/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf, http://newsnetwork.mayoclinic.org/discussion/nearly-7-in-10-americans-take-prescription-drugs-mayo-clinic-olmsted-medical-center-find/, http://www.fda.gov/Drugs/DrugSafety/MedicationErrors/ucm080629.htm, http://www.jointcommission.org/assets/1/18/Root_Causes_Event_Type_2004-3Q_2015.pdf, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3462065/. Of doing more harm than good to your patients trust that you’re going to get it right the for. Signs of anaphylaxis safeguards that should be imple-mented throughout the medication-use process to prevent accidental overdoses and other medication.. 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