Medication Error Heath Care

Running head: MEDICATION ERROR 1 Medication Error Sarai Artires Capella University Developing a Heath Care Perspective Applying Research Skills January 2019 MEDICATION ERROR 2 Medication Error Medicine is used worldwide; in hospitals, where a professional is being trusted to administer it, or at home where a patient becomes responsible to take his/her own medication not worrying if their doctor prescribed the wrong name of drug or correct dosage, or simply the doubt of the pharmacist handing you, your monthly dose of blood thinners for your recent diagnosed A-fib or the package next to yours, which contained a monthly dose of steroids instead. Every human being is vulnerable to make a mistake. The only problem is, that a single mistake this small can easily take away the life of a patient. In this annotated bibliography, I will be touching base on some few points to help reduce the amount of yearly deaths due to health care professional’s mistake and show shocking statistics of this common error in our daily work site. Krishnamurthy, M. (2016). J Community Hosp Inter Med Prospect. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. Retrieved from https://www.tandfonline.com/doi/abs/10.3402/jchimp.v6.31758. We often take on the responsibility of continuing our care at home following with the prescribed medication our doctors acknowledge as the best possible treatment. As you can see in this article, a patient was clinically deteriorating due to incorrectly dispersion of Navane (an antipsychotic) instead of Norvasc (a Calcium Channel Blocker). The Swiss Cheese Model is a system in which can demonstrate the accident in a multisystem fallout which reveals which failure happened in which level. A medication error is any error occurring in the medication use process, including during prescribing, transcribing, dispensing, administration, adherence, and/or monitoring (Krishnamurth, M. (2016). Regarding at which level of the model this fault occurred, electronic charting MEDICATION ERROR 3 systems are being enforced to be used by all health care professionals, to help prevent any mistake that could interfere with the care we are trying to provide. Medical use is predicted to thrive as our life expectancy raises, and medicine expands with new complications, along with adverse side effects. Evidently, these issues are identified, and new evidence has been proven to help prevent future disadvantages. Makary, M. (2016). Medication Error Heath Care

ProQuest: Medical Errors- The third leading cause of death in the US. Retrieved from https://search.proquest.com/openview/eabbf73962ed02c6516368f715d9dd6f/1?pqorigsite=gscholar&cbl=2043523. Statistics have demonstrated how medication errors have become the third leading cause of death in the U.S, not including outpatient settings, including nursing homes. The comparison between over 40 years indicates a slight diminish of patient death in an inpatient setting. Although, this has been defined as unintended act we focus on preventable adverse effects causing death from medication administration errors. We can read in this piece, Harvard’s study in 1984 has data informing us of an estimate of nearly 80% of deaths could have been prevented. This issue should be dictated in every heath care framework and develop strict guidelines when it comes to medication administration. However, home medications are scenarios in which data was not collected but are many misguided medications that wind up provoking impairment to a patient. Nute, C. (Nov 2014). Reducing Medical Errors. Retrieved from https://search-proquestcom.library.capella.edu/docview/1784938491?pqorigsite=summon MEDICATION ERROR 4 In this article, multiple factors in which contribute to the cause of medication errors are discussed. From the stress or tiredness of a nurse, to not following properly the 5 rights of drug administration or reinforcing the acronym DRAINS, which can help prevent common mistakes. People have natural tendencies to look for shortcuts (Nute, C. Reducing Medication Errors, 2014). Medication Error Heath Care

But overall it has been proven through a semi-structured questionnaire that the three most common circumstances associated with medication errors included, the physical administration of drugs, preparation of the drug without rechecking and unfortunately, an inexperienced but qualified staff. One of the most frequently reported incident types, is in acute care setting and simple distractions or interruptions due to preoccupied nurses, can easily lead you to make a medication administration error. Additionally, new systems have been demonstrated to aid the prevention of these mistakes. For example, electronic prescribing has excluded the confusion of illegibility, but concurrently exposed new risks at prescribing the wrong dose or route based on the selection of a drop-down menu. In addition, the conventional use of automated dispensing cabinets, which are used in 80% of our hospital settings. Although this improves efficiency and reduces prone risks and confidence in a nurse to administered what is being displayed, a pharmacist can package the medications inaccurately when dispensing in each drug container. I’m aware these aren’t secure to prevent a mistake, but as nurses we must be conscious of every action. MEDICATION ERROR 5 References Krishnamurthy, Mahesh. (2016). J Community Hosp Inter Med Prospect. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. Retrieved from https://www.tandfonline.com/doi/abs/10.3402/jchimp.v6.31758 Makary, Martin A. (May 3, 2016). Medical Errors- The third leading cause of death in the US. Retrieved from https://search.proquest.com/openview/eabbf73962ed02c6516368f715d9dd6f/1?pqorigsite=gscholar&cbl=2043523 Nute, Christine. (Nov 19, 2014). Reducing Medical Errors. Retrieved from https://search-proquestcom.library.capella.edu/docview/1784938491?pqorigsite=summon … Medication Error Heath Care