➊ Role Of Medication Error In Nursing

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Role Of Medication Error In Nursing

Medical Care49 12Role Of Medication Error In Nursing She Role Of Medication Error In Nursing shared her knowledge on this topic through local, state and national presentations and publications. Role Of Medication Error In Nursing Practices for Role Of Medication Error In Nursing Identity verification of patients is critical to avoiding medication errors. J Hosp Health Care. Scheepers, R. Nurses provide ongoing assessment and surveillance to detect subtle changes in patient status and prevent complications. Contact Immigrant Workers To Save Costs Summary Submission enquiries: Role Of Medication Error In Nursing biomedcentral.

Medication Errors

By increasing scientific knowledge and adaptive capacity, nurses are better able to identify, interrupt, and correct medical errors and safeguard patients. Study Limitations Low participant response rate was a key limitation to this study. Given the sensitive nature of medical errors and the use of self-report tools, results may be over or under-reported. In addition, respondents who completed the survey may be more engaged in error recovery and again, more likely to bias the findings.

Finally, the nonexperimental, correlational study design focused on relationships of association only and did not allow for inferences regarding causality of variables. Creating a safer healthcare system will depend on the ability of all nurses to fully use their education, expertise and role to identify, interrupt, and correct medical errors to prevent patient harm. Further analysis of the impact of individual nurse characteristics and organizational factors on the recovery of medical errors is needed. Findings from this study suggested additional areas for future research, such as how workload impacts medical error recovery, what is the relationship between nursing role and medical error recovery, what organizational factors increase error recovery by nurses and what is the relationship between informal education and error recovery.

Our study indicated that expert nurses, and those with advanced education, were better able to identify, interrupt, and recover errors. While advanced education can be achieved via graduate-level degrees, these degrees are not required for all nurses to advance their education, and thus their potential scope of practice. Finally, this study suggested that nursing workload is important to patient safety, a factor that can be influenced by nurse advocacy and participation in policy at the organizational and legislative advocacy levels. Greater understanding of individual nurse characteristics and organizational factors that influence error recovery can have important implications for nursing practice.

Additional knowledge in these areas can inform administrative and educational practices to foster development of strategies to detect and correct medical errors. Armed with this knowledge and appropriate strategies, organizations can work to decrease medical errors and reduce negative outcomes. Acknowledgements: The authors received no financial or material support for preparation of this article. Sincere gratitude to Dr.

Naomi Lynn Gerber for her assistance with this study and constructive comments in preparing this manuscript. Theresa Terri A. Gaffney ana. Terri Gaffney, PhD, MPA, RN is a nationally recognized healthcare executive with deep experience helping individuals and organizations realize sustainable growth. Terri is passionate about patient safety and has extensively explored the relationship between nurses, nursing, and safety. She has shared her knowledge on this topic through local, state and national presentations and publications. She leads a team of fifteen who create innovative products as well as develop content for the ANA online library, conferences, workshops, and digital and broadcast media including the National Nurses Week Webinar.

Barbara J. Over the past five years, Dr. Hatcher has been an associate professor of nursing at George Mason University where she teaches courses primarily in health administration and health policy for graduate students. Her health policy teaching efforts have resulted in several innovations, including increased student participation in Washington, DC-area health policy networks and the creation of student-generated health infographics. She currently serves as the coordinator for nursing administration programs in the School of Nursing. Milligan has extensive experience in faculty practice and in grants and project management. She has a long history of working with underserved low-income patients, both as a researcher and a practitioner.

Amber W. She creates, implements, and manages a program of biostatistical and epidemiological services that promote clinical and health services research for the Department of Surgery. Her areas of research expertise include, clinical epidemiology, biostatistics, health services research, and hospital quality and safety. Aiken, L. Transformative impact of Magnet designation: England case study.

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Nurses are legally and ethically responsible and accountable for accurate and complete medication administration, observation, and documentation. Some health care facilities use double locked cabinets to secure controlled substances and others use more sophisticated bar coded entry systems to access controlled substances. When the older model double locked narcotics cabinet is used, the contents are counted and checked by the nurse at the beginning of the shift; this count is then compared to the documented count that was done by the nurse from the prior shift. If there are any discrepancies, these are immediately addressed, explored and corrected if it was a simple oversight or mathematical error.

When the narcotics count cannot be corrected, a report must be filed according to the facility's policies and procedures. At times illegal drug diversion may be the reason for inconsistent narcotics counts. When a bar coded entry system for narcotics and controlled substances are used, each nurse can access these medications because the nurse's identification is automatically processed and the controlled substances are also automatically processed and recorded. When this automated system is not used, the "narcotic keys" are retained by one nurse and, if another nurse has to administer a controlled substances, this nurse will enter the narcotics cabinet with the nurse who is holding the keys. All controlled substances are documented on the narcotics record as soon as they are removed, and all controlled substances, like all other medications, are documented on the client's medication record as soon as they are administered.

If a controlled substance is wasted for any reason, either in its entirety or only partially, this waste must be witnessed or documented by the wasting nurse and another nurse. Both nurses document this wasting. Additional professional responsibilities, in terms of medication administration, include the observation and assessment of the patient prior to the administration of a medication and the observation and evaluation of the patient's responses to the medication including the therapeutic effects, any side effects and adverse drug reactions to the medication.

All medications including all prescription medications, vitamins, over the counter medications, herbal remedies, nutritional and dietary supplements, vaccinations, blood derivatives, diagnostic and contrast agents, and radioactive medications are included in the compilation of the list which contains all current medications and treatments. Titration is defined as adjusting the dosage of a medication according to some ordered and specified parameters or criteria. The most commonly occurring example of a titrated medication is insulin coverage with regular insulin that is based on the client's blood glucose levels. For example, the client's order for regular insulin before a meal may specify that the client take 2 units of regular insulin for blood glucose levels from to Some intravenous medications are also titrated.

For example, an intravenous antihypertensive drug like Hyperstat will be titrated and adjusted according to the client's blood pressure. Refer to your facility's policies and procedures relating to the disposal of unused medications. Clients in the home environment must also be instructed about the proper and safe disposal of unused and expired medications in order to prevent use by others and to protect the environment. The U. Drug Enforcement Administration DEA periodically hosts National Prescription Drug Take-Back days for the disposal of prescription drugs, some local law enforcement departments may have a local take back program, and some local health care agencies and pharmacies may also take back unwanted medication.

When these resources are not available in the community, the home care client should be instructed to contract their local solid waste department to find out how these medications should be discarded. If a controlled substance is wasted, this waste must be witnessed by and documented by the wasting nurse and another nurse. Controlled substances and narcotics are immediately documented on the narcotic record when they are taken from their secure and double locked cabinet. This documentation is NOT done after the medication is administered. Narcotics and controlled substances are then documented in the patient's medication record as soon as they are administered.

During the change of shift, two nurses perform a complete count of all narcotics and controlled substances. If a discrepancy occurs, it is immediately reported for further investigation. All medication orders are evaluated by the nurse in terms of their accuracy and appropriateness of the order. Minority Nurse also stated that nurses should implement a medication reconciliation program for patients transferring between medical units or facilities.

Overarching the many suggestions for medication safety is the need for quality nurse leaders who can help staff nurses accurately distribute medications. For RNs who are wondering why get a masters in nursing, the answer is clear: nurse leaders spearhead changes that promote positive patient outcomes. Students learn from professionals who have clinical experience and broad knowledge of healthcare. Several national leaders for educational excellence have recognized Duquesne University, including U. For more information, contact a Duquesne University advisor today.

Skip to main content. Right medication The names of the medication correspond with the medication orders. Right dose The dosage being administered meets the prescription orders exactly. Right route The way the medication is to be administered matches the prescription orders. Right time The medication is being administered at the correct time intervals. Right response The patient has an appropriate response to the medication. Right to refuse Patients have the right to refuse any medication. Right education Patients should be educated about the types of medication prescribed and possible reactions. Reducing Medication Errors Robinson said the route to reducing errors begins with limiting distractions and interruptions. Robinson recommended these suggestions to help nurse leaders facilitate safe medication disbursements: Remind staff nurses that they should make sure they have all the necessary supplies and documentation before starting rounds.

Sorry, a shareable link is not Role Of Medication Error In Nursing available for this article. Reporting medication administration errors are just a tip of the iceberg Role Of Medication Error In Nursing reduce medication administration errors. Received : 18 January Role Of Medication Error In Nursing The median work experience of the respondent was 2 years ranged from one Skeletal Muscle Structure

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