If you do have an actual medication error, contact the provider and your manager right away. Almost all nurses used the new software correctly. On another note - most hospitals have a system for reporting and tracking any kind of error or near miss. Healthline Medical Team Answers represent the opinions of our medical experts. Direct observation studies placed the estimate of total incorrect doses between 19 percent and 27 percent, and when an extra review was done to separate the errors into stages of the medication process, between 6 percent and 8 percent of doses were in error because of administration. They desperately want evidence that will assist them in knowing which of these activities to focus on. Nurses need to take the time to identify and address sloppiness in their work place and in other professionals.
Many hospitals have adopted this system of medication administration. A nurse also has to double-check themselves. Nurses should always make sure their patients can swallow pills okay and make sure the medication is given the right route. With all of this responsibility falling to one person, it is no wonder that errors happen. Laboratory studies are equally impossible. These rates could be expected to be higher once patient safety organizations begin to collect nationwide errors and health care clinicians become more comfortable and skilled in recognizing and reporting all medication errors. The thought processes of nurses during medication administration was assessed in two studies.
The first specifically investigated the effects of fatigue and sleep loss on errors using a national sample of nurses over a 2-week period. Verify the right medication Ask questions if the medication looks different than usual. Apply the nursing process: assess, plan, and evaluate both before and after giving a patient a medication and you both should come out safely. We will show that while we have an adequate and consistent knowledge base of medication error reporting and distribution across phases of the medication process, the knowledge base to inform interventions is very weak. For-profit hospitals were more likely than not-for-profit hospitals to have unit-dose medication distribution systems 93.
The second area about which there is some consensus in the literature is the rate and types of medication administration errors that commonly occur. At all these points along the chain, a nurse has to step in and double-check that everyone, from the doctor to the pharmacist, performed their job correctly. However, nurses are human, and medication errors can happen. Policies, procedures, and protocols Lack of appropriate policies, procedures, and protocols can impact medication safety, as seen in a few small studies. The other study reviewed 88 incident reports from a long-term care facility submitted during a 21-month period. Common errors in addition to wrong time were wrong dose preparation and wrong administration technique.
Threats to medication safety include miscommunication among health care providers, drug information that is not accessible or up to date, confusing directions, poor technique, inadequate patient information, lack of drug knowledge, incomplete patient medication history, lack of redundant safety checks, lack of evidence-based protocols, and staff assuming roles for which they are not prepared. However, the sources of the data for determining these decreases are not known. A small observational study of 12 nurses found that they communicated with other nurses about information resources on medications, how to troubleshoot equipment problems, clarification in medication orders, changes in medication regimens, and patient assessment parameters when handing over patients. Pharmacists are the drug experts and nurses should have access to a pharmacist no matter what time of day. Please add any of your own tips and medication safety advice by leaving a comment. Pharmacies process and distribute an incredible volume of medications daily.
Three studies have used direct observation; however, each evaluated the implementation of a different set of technology. Certain aspects of shift work can also impact medication safety, as shown in a review of research conducted in the 1980s and early 1990s that indicated that there was a difference in the number of errors by shift, but no difference in the number of hours worked 8 versus 12 hours. You thought there were only 5 Rights of Medication Administration, didn't you? Hofmann and Mark did find that the safety climate on patient care units was linked to the rate of harm-producing medication errors in a study using data collected from 82 units in 41 hospitals. However, the complexity of the medication process has led to the formulation of the rights of nurses in the area of medication administration. Even pharmacies can make mistakes. The Massachusetts Hospital Coalition recommends physicians use computers to directly order medications.
Dennison reported the results of a medication safety training program for nurses. And they should not administer that drug until they have enough information to be comfortable doing so. Complicating matters is the increased acuity of the patients they serve, and the decrease in the resources available to nurses to ensure safe practice. Be sure that medications ordered q8 hours are actually timed for q8 hours. German nurses are not trained to do intravenous medications.
Double-checking policies are commonly used as a strategy to ensure medication safety. Read on to learn the importance of using medication as directed. Orders should be legibly written. The rights of medications administration are there not only to reduce The 10 Rights of Medications Administration 1. Any number of things can happen when you go in a room to give medications that might prevent you from giving the med. While it was not possible to determine the effect of organizational climate on violations, distress was positively associated with violations, while quality of working life, morale, and organizational climate had a negative association.