Medication errors in nursing journal articles

    N = 184, * p ≤ 0. AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 29 Number 4 28 RESEARCH PAPER Causes, reporting, and prevention of medication errors from a pediatric nurse perspective AUTHORS Ebru Kilicarslan Toruner PhD, RN Assistant Professor, Gazi University Health Sciences Faculty, Nursing Department 06500 Ankara, Turkey. This is the term used when describing the process of dispensing medication to nursing facility residents according to order. (2006). received in a particular year by papers published in the journal during the two Among all types of clinical errors, medication administration errors (MAEs) are reported as the second most frequent cause of injury. , Davidson, P. Case reports are defined as the scientific documentation of an individual patient. It is also why our HealthDirect team implements pharmacy management solutions with the latest prescription technology. 16 These increases are not surprising—in recent years hospitals have An inside look into the factors contributing to medication errors in the clinical nursing practice. Medication errors in hospitals are common1,2 and often lead to patient harm. I am sure there are many other places to find free, full-text nursing articles. A medication safety education program to reduce the risk of harm caused by medication errors. Reasons for Common Medication Errors. F. Here are ten strategies to help you do just that. 8 Tomietto, M. This survey aimed to study the factors influencing not reporting on medication errors from the nurses&#x2019; viewpoints in Abbasi Hospital of Miandoab, Iran. Advertisements on this site do not constitute a guarantee or endorsement by the journal, Association Bar-Code Technology for Medication Administration: Medication Errors and Nurse Satisfaction Administration of medications takes up to 40% of nurses’ time in pro-viding patient care (Armitage & Knapman, 2003). 16; 2, 245-254. . Australian Journal of Advanced Nursing, 23(3). , &amp; Foureur, M. Medication Errros are unintended errors occurred in the prescribing, dispensing, and administration of a medicine that leads harmful effect to patient. (2007). Note. tr , ebrudan More frequent engagement by nurses in interception practices was associated with fewer documented medication errors per 1,000 patient days; for example, for 100 units of interception practice for 1,000 patient days, medication errors decreased by an average of 19. Articles from Journal of Medicine and Life are provided here courtesy of  FRONTLINE NURSES spend much of their time administering medications. . There are many different types of medication errors that can occur in nursing homes. Medication administration errors represent one of the major concerns in patient safety. S. The most likely occurrence of errors in intern nursing students was in the field of multi-drug infusion in both cases regardless of medication interactions and giving the medication by wrong number. Almost half of the fatal medication errors occurred in people over the age of 60. Medication errors can happen anywhere along the chain of the process. To assess the prevalence of errors leading to hospitalisations and deaths in nursing home residents, and to determine the factors associated with these errors, the researchers carried out a literature review of relevant studies published between 2000-2015. A report commissioned by the Department of Health estimated the costs of preventable errors in the NHS, particularly relating to improper use of medication, to be around £770 millions a year, but most importantly, medication errors can cost lives. R. The report To Err Is Human: Building a Safer Health System estimated that, in the United States, 44,000 to 98,000 patients die annually because of medication errors, with an estimated cost of 17–29 billion dollars . Below are links to journal articles. Characteristics of medication errors made by students during the administration phase: A descriptive study. The Administration of Medication in the Nursing Home. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. As nurses, we are often the last “gatekeeper” in the administration process to prevent medication errors. There are many types of medical errors, and they can occur anywhere in the healthcare system-from hospitals, to nursing homes, to pharmacies. We'll examine different types of medication errors, how they occur, and prevention measures for reducing these errors. As nursing students work to gain independence and acclimate to clinical practice, they are particularly vulnerable to committing medication errors (Schneidereith, 2014 x Schneidereith, 2014 Schneidereith, T. 0217023 This is an open access article distributed under the terms of the  18 Jul 2018 Heather Gluyas Doctor of nursing and honorary research fellow, School This article recognises the complexity of why medication errors occur  The focus of this article is on medication errors in nursing. Medication administration errors (MAEs) often result from multiple environmental and individual factors. Benjamin, PhD, FCP, outlines "5 rights" in delivering drug therapy: (1) the right drug, (2) the right dose, (3) the right route, (4) the right time, and (5) the right patient. Loretta Macpherson, 65, died shortly after she was given a paralyzing agent typically used It is important for all nurses to become familiar with various strategies to prevent or reduce the likelihood of medication errors. org, 1-800-FAIL Safe, or ismpinfo@ismp. Nursing Joint Commission, National Council of State Boards of Nursing, and Institute for Safe Medication Practices) that addresses the causes of medication errors and promotes the safe use of medications. Medication errors were frequent, occurring at a rate of nearly 1 of every 5 doses in the typical hospital and skilled nursing facility. In September 2006, nurses in HealthDay News — According to a review published in the Journal of the American Geriatrics Society, medication errors (MEs) occur frequently among nursing home residents, but they rarely have serious effects. Nurses' Six Rights for Safe Medication Administration. Investigating the Causes of Medication Errors and Strategies to Prevention of Them from Nurses and Nursing Student Viewpoint Enam Alhagh Charkhat Gorgich 1, Sanam Barfroshan , Gholamreza Ghoreishi1 & Maryam Yaghoobi2 1 Student Scientific Research Center, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran Nursing students received education on causes of medication errors, along with awareness of the numerous contributing factors in such errors. " Barker KN, Mikeal RL, Pearson RE, Illig NA, Morse ML. Nurses must ensure that institutional policies related to medication transcription are followed. Those factors were individual   16 Mar 2018 Commentary - Journal of Intensive and Critical Care Nursing (2018) Visit for more related articles at Journal of Intensive and Critical Care Nursing. Medication errors in nursing homes and small hospitals. 18(4) 559-569. Check back often to see Journal of Clinical Nursing Volume 22, Issue 3-4. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. Such efforts explain the roles of nurses in ensuring medication safety by emphasizing the ‘Five Rights’ including; right drug, right patient, right dose, right route, and right time for safety medication. org/10. Factors Influencing Nurse Medication Errors Skip Morelock PhD, RN, NEA-BC Clinical Professor of Nursing Collin College This article explores the medication errors and the phenomena of nurse distractions. The effect of family training and support on the quality of life and cost of hospital readmissions in congestive heart failure patients in Iran Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era Hua-fen Wang,1 Jing-fen Jin,1 Xiu-qin Feng,1 Xin Huang,1 Ling-ling Zhu,2 Xiao-ying Zhao,3 Quan Zhou4 1Division of Nursing, 2Geriatric VIP Ward Medication Errors Among Nurses in Government Hospital Hariati Johari 1 , Fatihah Shamsuddin 2 , Norziyana Idris 3 & Ahla Hussin 4 1 (Nursing Department, Faculty of Health Sciences (UiTM), Malaysia), 2 Faculty of Health Medical Errors in Nursing: Preventing Documentation Errors. Online Journal of Nursing Informatics: Started in 1996, this UK journal focuses on "theoretical and practical aspects of nursing informatics as it relates to the art of nursing. The review on medication errors and nursing curricula suggests the need for a holist approach to the health care system in addressing medication errors. This endeavor is dependent upon meaningful and effective Older adults in nursing homes can be especially vulnerable to the harms caused by medication errors. Included in these Medication errors can also be made by patients and their family members if they are administering the medication themselves. 31(4) Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administration Errors. Paradoxical effects of a hospital-based, multi-intervention program aimed at reducing medication round interruptions. Medication errors can happen to anyone in any place, including your own home and at the doctor's office, hospital, pharmacy and senior living facility. Most are accidental and due to miscommunication or related to the professional staffing constraints of nursing facilities. President of the Institute for Safe Medication Practices. Australian Journal of Advanced Nursing, 29, 30-39. Errors occurred most commonly at the stage of drug ordering. Studies suggest that one in five nursing home residents suffer from medical errors, and 37% of those medical errors are medication errors. As illustrated by the case reports, many administration technique errors involve the IV route of administration. One third of the errors that harm patients occur during the nurse administration phase: administering medication to patients is therefore a high-risk activity. Medication errors were common, involving 16 percent to 27 percent of residents in studies examining all types of medication errors. Two hundred and two responded. Transfer-related medication errors occurred in 13 percent to 31 percent of residents, while 75 percent of residents were prescribed at least one potentially inappropriate medication. doctor was called and he paged the anesthetist as he made his way to Elizabeth’s room. American Medical Association vol 170, No. Journal of Nursing care quality, Journal of Patient safety, European Journal of Clinical Pharmacology, American Journal of Medical Quality, British Journal of Clinical Pharmacology, The Journal of American Medical Association, American Journal of Nursing This study describes nurses' perceptions about medication errors. Make our Recommended Reading for Nurses your first stop for the latest research. Medication errors can cause considerable harm, and older adults in nursing homes may be especially vulnerable. Medication errors (MEs) are among the most prevalent health errors threatening patients’ safety and are regarded as an index for determining patients’ well-being in hospitals. 3% of electronic summaries contained medication errors. Related Journals of Medication Errors. NAVIGATING IDC FOR SAFER CARE i Abstract The purpose of this study was to explore registered nurses’ understanding and practice of “independent double-checks” prior to administration of high-alert medications. In some scenarios, medication errors are not caused by a mistake. Given that nursing students have reported errors or experiences of near misses, their practices, as well as the supervision they receive from RNs, also deserves investigation. The influence of human factors in medication errors: a root cause analysis Healthcare organizations strive to provide safe, quality care in every patient setting. Possible solutions have been implemented, but recent reports show that an increasing number of errors are endangering patients and costing the healthcare system billions of dollars. Reporting of medication errors by pediatric nurses. It is evident that nursing curricula needs strengthening such that its graduates are sufficiently equipped with competencies for preventing medication errors. Considering the volume of medication a nurse must administer, medication errors and adverse drug effects may seem inevitable. Medication Errors?An Overview. Nephrology Nursing Journal, 41(5), 447-456, 505. In an article published in the Journal of Clinical Pharmacology, David M. The Food and Drug Administration estimates that 1. Implementing best practice in medication management in a nursing home Aderonke Oluwatoyin Agboji Royal College of Surgeons in Ireland, aderonkeagboji@rcsi. 280, p ≤ 0. In a 2010 retrospective analysis of 966 handwritten and 842 electronically generated discharge summaries prepared by an Australian metropolitan hospital, 12. Such errors persist even after the IOM’s 2006 report Preventing Medication Errors found medication errors harm 1. 1. 3 Yet, the system is far more complex. Stratton KM , Blegen MA, Pepper G, Vaughn T (2004). A hospital in Bend, Oregon, says it administered the wrong medication to a patient, causing her death. Moreover, the references of the articles which This paper will start with three summaries of journal articles related to medication errors. Adverse events are defined as injuries caused by medical management rather than by the underlying disease or patient condition. Aggregated data from IV safety systems in 18 hospitals documented that 1. Prevention of Medication Errors in Nursing Practice Breton Sloop NU 332 Foundations of Nursing November 11, 2015 Teresa Faust Prevention of Medication Errors in Nursing Practice Mary is a critical care nurse at a busy urban hospital, who is trying to catch up on her morning medication administrations. Context Research has documented the problem of medication administration errors and their causes. tracked using daily goal forms, completed by both physicians and nurses. Medication Management Guidelines for Nurses and Midwives. This position statement was archived on 11/7/2012 because it is now a standard of practice. In 1999, they issued recommendations to enhance the accuracy of medication administration in the inpatient setting [7]. 2(3)8-13(Persian). 378),; this is also true for nursing. Medication error, Nursing homes, Nursing staff, Pharmacological  22 May 2019 Medical errors refer to preventable events resulting from healthcare interactions, nurses, physicians, dentists, radiographers, hospital administrators, surgeons, PLoS ONE 14(5): e0217023. Administration errors can be caused by prescription mistakes (dose errors) and/or dispensing errors (storage mistakes). medication errors post-implementation in a neonatal ICU due to a large increase (117%) in timing errors 5. instilling a culture of safety have a greater impact on reducing medication errors. Ensure the five rights of medication administration. The term 'prevalence' of Medication errors usually refers to the estimated population of people who are managing Medication errors at any given time. Cadwell. Nursing2012, 42(2), 54-58. There was a moderate inverse relationship between recovered medical errors and the patient ratio (r s = -0. 28 Apr 2019 These ordering errors account for almost 50% of medication errors. The title, abstract and full article were reviewed for relevance. The prevention of medication errors, which can happen at every stage of the medication preparation and distribution process, is essential to maintain a safe healthcare system. In most nursing facilities, the medication is given when the nursing staff member completes what is known as a “med pass”. 7%. Prof. Here are strategies on how to prevent medication errors in nursing: • The rights of medication administration View the Current Featured Journal. Nurses are intimately involved in the medication administration process. 17 This initiative aimed to raise awareness of causes and risk of medication errors, along with prevention strategies among student nurses. , Jackson, D. Dosage Errors in Nursing Homes. ismp. Accurate and safe medication administration depends on nurses' pharmacologic   12 Mar 2018 The proportion of medication error reporting among nurses in this study Research article; Open Access; Open Peer Review; Published: 12  The patient's nurse picked up what she thought was an infusion bottle of acetaminophen Make staff aware of the potential for this dangerous medication error. American Journal of Hospital Pharmacy 39:987–991. Medication errors can drive nurses to feelings of guilt, and sometimes worse. Nurses' fear of blame following a medication event and confusion about the error-reporting requirements of multiple regulatory bodies that oversee nursing practice and nursing home operations can stifle the discussion and analysis of medication administration events to promote patient safety. Reading the CPD article helped me to understand the many different patient factors that contribute to the risk of medication errors, including multiple medication use, poor communication, passive involvement and complicated drug calculations. To assess the prevalence of medication errors leading to hospitalizations and deaths Alemu W, Belachew T, Yimam I. In addition, improving the medication administration process and reducing medication errors will reduce patient care costs by avoiding unnecessary problems associated with medication errors, The Journal of Nursing Education is a monthly, peer-reviewed journal publishing original articles and new ideas for nurse educators in various types and levels of nursing programs for over 50 years. The importance of proper documentation in nursing cannot be overstated. Double-checking requires two qualified health professionals to We found that medication errors were common in the inpatient pediatric setting. From the PICOT question, the purpose of the study was to establish the link between medication errors and the ratio of nurses to patients. Using discourse analysis within a framework of an interpretive research design, the phenomenon of a not too uncommon occurrence in nursing practice was examined. , hutchinson a. However, nursing staff are also the most likely health care professionals to catch errors before they occur. SitePass - You may access all content in AACN Advanced Critical Care (from the computer you are currently using) for 15 day for US$30. Journal of Clinical Nursing. Cleary-Holdforth JC, Leufer T (2013) The strategic role of education in the prevention of medication errors in nursing. Need of Study/Project Phase 1 (Problem identification) The data of high alert related medication errors during Januar y 2017 to April 2017 were prospectively collected. Journal of Continuing education in Nursing, 38(4), 176-184. The percentage of errors rated potentially harmful was 7%, or more than 40 per day per 300 inpatients, on the average. , Chaudhury, H. Medication errors are a serious and pervasive problem. edu. By Michelle Colleran Cook. An estimated 80 percent of the most serious medical errors can be linked to poor communication between clinicians, particularly during shift changes. Strategies for reducing medication errors in the emergency department Kyle A Weant,1 Abby M Bailey,2 Stephanie N Baker2 1North Carolina Public Health Preparedness and Response, North Carolina Department of Health and Human Services, Raleigh, NC, 2University of Kentucky HealthCare, Department of Pharmacy Services, Department of Pharmacy Practice and Science, University of Kentucky College of Medication Errors: an Increasing Cause of Morbidity and Mortality in Us Hospitals. The focus of this article is on medication errors in nursing. examine medication error in relation to work organization Drug administration, hospitals, nursing care, resource The Journal of Nursing Administration. In this article, we present two case studies that illustrate how medication errors, as well as systemic medication administration problems, may subject health-care professionals to criminal prosecution and further serious consequences. A national critical incident and near miss reporting database which ensures the whole haematology community learns lessons about latent conditions and active errors is essential. Not all adverse events, such as adverse drug reactions, are the result of errors. We aimed to study the This Australian study identified and described the incidence of medication errors among registered nurses, the type and causes of these errors and the impact that administration of medications has on the professional practice of registered nurses. Malice or Neglect by Staff. For this research paper, each student will be asked to find a current article (within 5 years) related to Medication Errors: Ethical/Legal Issues in Nursing Practice, focusing on patient care errors and solutions, in a peer-reviewed journal. Medication administration is considered as one main function for nurses, and that nurses competency and following guidelines of medication administration is a warranty for patients’ safety and a quality of nursing care []. Medication Errors and Secondary Victims. The causes of medication errors have been studied intensely over decades, and various strategies implemented to try and mitigate them. ie This Thesis is brought to you for free and open access by the Theses and Dissertations at e-publications@RCSI. Original Article. Education is a key component in preventing medical errors. 6 Sep 2019 Medication errors are a serious and complex problem in clinical The main objective of this research was to study if the level of Nurses have a low level of knowledge of the drugs they use the The datasets supporting the conclusions of this article are available in the OSF repository: https://osf. Medication administration and final year nursing students Abstract The literature continues to report on medication errors occurring within Australian health care facilities every year. (2010) Journal of Nursing Management18, 853–861 Nurses' role in medication safety Aim To explore the nurse’s role in the process of medication management and identify the challenges associated with safe medication management in contemporary clinical practice. n Administrative errors n Diagnostic errors n Medication errors n Multimorbidity nransitions of careT Tools and technology n Electronic tools WHO is committed to tackling the challenges of patient safety in primary care, and is looking at practical ways to address them. These reports are often written to document an unusual clinical presentation, treatment In preparation for clinical practice, you are required to write a report to demonstrate your understanding of medication errors. focus. A Medication Error and Legislation Designed to Punish: The American Association This article was authored by The American Association of Nurse Attorneys  28 Aug 2012 Medication errors can compound a medical crisis, sometimes with tragic Johnson Foundation Interdisciplinary Nursing Quality Research  13 May 2015 #This article has been double-blind peer reviewed Jarrett is research fellow, School of Health drug errors by medical and nursing staff. CDC’s Medication Safety Program monitors adverse drug events (ADEs) across the country and uses these data to improve medication safety through better partnerships and policies. Issues in nursing: Don’t abandon the “second victims” of medical errors. Nursing and Health Sciences. For this reason anyone who is admitted into a health care facility and is required to have medications is at This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749. In the pediatric population, medication errors are usually attributed to nursing staff; in a study of 190 nursing administration errors, 57% were due to “omission, wrong infusion rate, and wrong time”. According to the landmark 2006 report “Preventing Medication Errors” from the Institute of Medicine, these errors injure 1. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia Board of Nursing, Florida Board of Nursing, and Georgia Board of Nursing, #50-1223. It has been accepted for inclusion in What will it take to make America’s hospitals safer? Background Nurses are frequently interrupted during medication verification and administration; however, few interventions exist to mitigate resulting errors, and the impact of these interventions on medication safety is poorly understood. “Nurses’ perceptions of how physical environment affects medication errors in acute settings”. 5 billion in lost productivity, wages, and additional medical expenses. Methods Articles published between 1985 and 2008 in English-language journals indexed by the Cumulative Index for Nursing and Allied Health Literature and PUBMED were searched for studies on medication errors made by intensive care unit nurses. Methods: The data of medication errors from January 2017 to April 2017 were collected and medication errors happened due to high alert drug was identified. You'll also want to become a NursingCenter member. , after heart disease and cancer, causing at least 250,000 deaths every year, according to an analysis out Tuesday indicating that Premature twins born at the scandal-hit Stafford Hospital died after receiving an overdose of morphine administered in error, a Nursing and Midwifery Council hearing has been told. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration Carolyn Hayes, Debra Jackson, Patricia M Davidson and Tamara Power Aims and objectives. Article in press Aims: The aim of this study was to develop a medical error scale for nurses. Some medication errors result from illegible physician handwriting and distract For new nurses, the most common cause of errors with medication is a lack of ‘presence of mind’, as well as nerves and pressure. Nursing Medication Errors Nurses Articles 2018. Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL. Several NPs have been investigated and disciplined by boards of nursing for their prescribing practices. NYPORTS requires that the 249 hospitals in New York State (NYS) electronically notify the NYSDOH of reportable errors within 24 hours of Quantitative and Qualitative Research Article Critique The ability to properly critique a research article is considered “one of the fundamental skills of scholarship in any discipline” (Nieswiadomy, 2008, p. Only articles that touch upon communication and health-related issues were selected. Research related to medical errors has grown in the past 15 years and has  2018 Annals of Medical and Health Sciences Research. Report errors, close calls, or hazardous conditions to the Institute for Safe Medication Practices (ISMP) at www. Seven registered nurses who were involved in medication errors were recruited for in-depth interviews. Introduction. Though issues such as communication failure and time pressures are factors in many errors, the issues most commonly identified as leading to errors are distractions and interruptions. Applying the principles for a sterile cockpit approach, as suggested by the Institute for Safe Medication Practices, during critical steps in the process of medication administration may provide new insights to address this issue. Medication administration errors: Understanding the issues. The E. Medication errors in intensive care units put patients at risk for injury or death every day. Ramifications of medication errors and how to prevent them In a reported case out of California, a 33-year-old male presented at his hospital’s ED with severe abdominal pain. ) using the The doses were those occurring during a medication pass on a nursing unit  Errors that occur during the application of medical/nursing interventions or patient hospitalization have drawn health researchers' attention over the last  17 May 2017 6Research Center for Environmental Determinants of Health, This is an open- access article distributed under the terms of the Creative Commons Medical errors are an inevitable part of the healthcare system and pose a  medication administration errors, the role of nurses identifies the nurse as the deliverer of unsafe practice. Medication errors are classified as the eighth leading cause of death in America (Australia, 2010). Journal of Nursing Management, 2012, vol. Medication reconciliation is the process of comparing a patient’s medication orders to all of the medications that the patient has been taking. In the 15 years since the Institute of Medicine (IOM) published To Err Is Human: Building a Safer Health System, medication errors remain near the top of the list of harmful events for hospital patients. If you need essay writing help this is the right place to be. 17 Dec 2015 The most important way for prevention in nurses and nursing student Research has shown that the rate of medication errors by nurses and  Introduction and Objective: Medical errors and adverse events are among the . We have a responsibility to find ways of minimising them though, to keep our patients safe. This article discusses One Third of Skilled Nursing Patients Harmed in Treatment A study by Medicare’s inspector general of skilled nursing facilities says nearly 22,000 patients were injured and more than 1,500 died Change management, Lewin change theory, Medication errors, Bar-coded Medication Administration. B. , & Valente, M. McBride-Henry, K. As an oncology nurse, I am painfully aware that many of the chemotherapy agents that I administer have the potential to cause death if not administered properly. One organizational factor was related to the dependent variable. M. Medication Safety is Important Adverse drug events are harms resulting from the use of medication and include allergic Drug News, where you can find the latest information on new drugs, indications, medication errors, and more. An internet-based search was conducted to locate relevant articles published between 2004 and 2017. Special Article from The New England Journal of Medicine — Effect of Bar-Code Technology on the Safety of Factors Influencing Nurse Medication Errors Skip Morelock PhD, RN, NEA-BC Clinical Professor of Nursing Collin College This article explores the medication errors and the phenomena of nurse distractions. Whilst errors ABSTRACTMedication errors are the second most prevalent cause of adverse patient incidents in Australian hospital settings. Articles in this issue: How Severe Is Nurse Burnout In The Emergency Department? Can Core Nursing Values and Ethics Be Taught? Critical Thinking and Evidence-Based Nursing; Emotional Intelligence in the Nursing Profession; Examining Medication Errors Reducing medication errors in nursing practice Linda Cloete Lecturer, Faculty of nursing and health, Avondale College of Higher Education, Sydney, Australia Medication errors remain one of the most common causes of unintended harm to patients. Journal of Applied Nursing Research, 24 How to Prevent Medication Errors in Nursing. Experience rate of medication errors among nurses was 23 and 46. pone. The purpose of this study was to investigate the causes of medication errors and strategies to prevention of them from nurses and nursing student viewpoint. IV medication infusion errors are widespread. 29 Issue 47, p61 . ) Gulten Sucu Dag ( Eastern Keywords: Contributing factors, Errors, Medication errors, Nursing education, Nursing students. The second part collected data about a variety of medication errors of nurses that . 001), indicating that nurses with higher patient ratios recovered fewer errors. medication errors and improve patient safety through safe medication administration. Student Nurse Perceptions of Effective Medication Administration Education Lorretta C. A breakdown of the relevant literature showed that the protective measures for medication errors are related with the preparation and the administration of medications, the dosing calculations skills, the nursing education, the oral medication orders, the interdisciplinary collaboration, the administrative nursing staff and other measures. 00. Each day, our editors are required to: Confirm that each journal on our list is electronically checked for new articles. The purpose of this review was to explore what is known about interruptions and distractions on medication administration in the context [4]: a) errors related to medication administration rights, b) system factors, and c) gaps in student knowledge. The acronym DRAINS, which considers all aspects of medicines management before administration, was devised to reduce medication errors on a cardiothoracic intensive care unit. This column provides an overview of medication errors and case reviews, followed by a discussion of relevant strategies for preventing medication errors. This study was conducted to evaluate the types and causes of nursing medication errors. How-ever, it was inconsistent with a study in a medical ICU that found a 56% reduction in medication errors overall, primarily driven by a large decrease in wrong timing errors 6. Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. Select the PDF Full Text link in the left hand column of the page to view the article. Related Journals of Medication Error “Do no harm. The significant impact of medication administration errors affect patients in terms of morbidity, mortality, adverse drug events, and increased length of hospital stay. 01. Average perception rate of nurses in 22 items about medication errors was 86. Australian Journal of Advanced Nursing 2006 Volume 23 Number 333 ABSTRACT Objective: This paper surveys current literature related to medication administration errors, the role of nurses in such errors, and current initiatives that are underway within New Zealand to address this aspect of patient safety. This quality improvement initiative adapted a protocol based on airline industry safety measures to decrease nurse distractions and interruptions during medication administration, with the goal of decreasing MAEs. contributing factors to medication errors as perceived by nursing students in iligan city, philippines Background: Nursing students are allowed to give medication with clinical supervision to give medications with clinical supervision to enhance skills in medication administration. 5 million patients each Medication errors remain one of the most common causes of unintended harm to patients. After selecting the link, you will be asked to enter your NetID and NetID password. We spent considerable time collecting and reviewing journal articles in order to gain an understanding of the current situation as seen from other medical researchers. The Journal of Intensive and Critical Care Nursing aims to disseminate valuable scientific information involved in Nursing care research. Lack of familiarity with drugs’ generic and brand names, doses and pharmacological properties of drugs can create confusion, especially with those drugs Data were collected using semi-structured, self-administered questionnaire of the Medication Administration Errors Reporting (MAERs). Articles were excluded if they were not research studies, they related to medications and not medication administration errors or they referred to medical errors rather than medication errors. Background and Significance . In an average year, >200,000 new peer-reviewed medical journal articles  Results: Based on journals which has been reviewed, there was two dominant factors affecting medication error made by nurses. Elizabeth collapsed onto the bed and stopped breathing. Medication errors like these can happen in any healthcare setting. As a young nurse I was taught the 5 rights of medication administration. Sue M. The NMC panel heard the babies, who were born at 27 weeks, received 600 and 850 microgrammes of morphine respectively One-third of all medication errors causing harm to hospitalized patients occur in the medication preparation and administration phase, which is predominantly a nursing activity. Journal of Medical Ethics And History of Medicine. Objective: The objective of this article is to investigate, in online nursing journals, scientific publications involving errors in medication administration. This article looks at medication errors from the perspective of nurses. The term 'incidence' of Medication errors refers to the annual diagnosis rate, or the number of new cases of Medication errors Preventing Medication Errors with FMEA by Thomas T. https://doi. Nurses and Midwives Board of Western Australia. The rate of medication errors was higher in adults cared for in the pediatric hospital setting. This study examined a small subset of the errors, analyzing data collected by poison control centers across the country and counting errors that happened outside health care facilities that resulted in life-threatening situations and even death. A Trail of Medical Errors Ends in Grief, But No Answers Paula was discharged to a nursing home, nearly always caused by an unpredictable reaction to medication, starts with patches of Because of this, clinicians need to develop the skills necessary to recognize and reduce the risk of errors and to better identify errors before they reach the patient. 2Department of Nursing, University of Ibadan, Nigeria. 3% out of those reported the medication errors. 3/3 Legal Issues in Nursing; Medication Errors At 2:27 a. Furthermore, steps in the medication pathway are complex and interconnected. Patient’s safety is a major public health concern and a requirement for quality of health care services []. Giving the wrong drug and using the wrong route of administration each accounted for 16% of the errors. Ann. Though most medication Prevention Of Medication Errors And Nursing Practice 1631 Words | 7 Pages. Krautscheid, Valorie J. Education is the key to prevention. 21 Sep 2016 Disclosure of medical errors and improvement in patient safety are . m. The cases presented are part of a larger trend of legal cases involving medical professionals. Exciting New Evidence … registered nurse practitioners by establishing, monitoring … Responsibility for errors is limited to corrections in …. (2015), Medication errors in hospitals: a literature review of disruptions to nursing practice during medication The following databases were searched: Medline, Embase, CINAHL and the Cochrane library. 1% of handwritten and 13. This technology ensures accuracy, customization and efficiency; all of which are essential in avoiding common medication errors. (2010). Free Online Library: Preventing medication errors. A significant association has been found between medication administration errors and interruption like talking with other health care personnel, patients or attendant queries, phone calls (p-value=<0. This page presents a variety of statistics about Medication errors. 17. (2012). In order to reduce the incidence of medication errors and improve healthcare standards, nurses can become promoters of continuous monitoring of potential medication errors and educate others about the importance of medication awareness. The Journal of Nursing sample was based for example, on medication errors reports or medication administration cases. This article will discuss strategies for preventing medication errors by empowering patients to better manage their own drug regimens. They contribute to adverse events that compromise patient safety and result in a large financial burden to Medication errors can only be prevented and reduced by focusing on the system as a whole, not on the individual clinician or nurse. BMC Nursing: Here readers will find free, peer-reviewed articles on topics in nursing, research, practice and education with a U. Studies in which errors were detected via direct observation were included. It should also be noted that the articles used within the systematic review of the literature are related to medication errors rather than other types of clinical or surgical errors. 20 The family of a 79-year-old dialysis patient is suing a Florida nurse who accidentally gave him a deadly dose of a drug that induces paralysis, instead of an antacid. A minimum of three references will be required for the content of the paper. It simply takes some persistence and awareness. Demography From 1983 to 1993 the numbers of deaths from medication errors and adverse reactions to medicines used in US hospitals increased from 2876 to 7391 15 and from 1990 to 2000 the annual number of deaths from medication errors in the UK increased from about 20 to just under 200. Multiple stages to the medication process include order entry, transcription and verification, This Nursing Essay on Medication Errors is a sample of the essays you will find on this blog. Int J Africa Nurs Sci 2017; 7 (November 2016):68–74. The reports described in Medication Errors were received through the ISMP Medication Errors Reporting Program. Overview of the Relationship of the Three Papers This body of work addresses medication errors and safe medication administration practices in relation to practicing nurses and nursing students through three separate papers presented here. Studies have shown that administration errors can account for anywhere up to 32% of medication errors. Knowing what you're up against can help you play it safe. Limitations In 2003 the North Carolina General Assembly passed Senate Bill 1016 addressing medication management in the State’s nursing homes and requiring, among other things, the development of a Medication Management Advisory Committee and an annual report of medication errors. International Journal of Africa Nursing Sciences Medication administration errors and contributing factors : A cross sectional study in two public hospitals in Southern Ethiopia. Patient safety is something everyone should be aware of for the reduction of medical errors. 001). But medicines can also cause harmful reactions if not used correctly. 4 billion dollars annually (2010). preventable inpatient medication errors account for 16. (nursing homes, Cover Story) by "Nursing Homes"; Business Health care industry Medication errors Prevention Nursing homes Safety and security measures This paper discusses the communication issues in the healthcare environment and how medication errors can be avoided through effective communication. (2011). It is our hope that this technical series Oh and Yoon studied the rate of perception and experience in medication errors in targeted new nurses with less than 1 year clinical experience . Members can save articles to My File Drawer for easy access anytime. [5] identified Increased Risk and Severity of Medication Aministration Errors. “Identifying medication documentation errors using handwritten versus pre-printed ICU flowcharts”. The purpose of this study was to examine the relationship among work environment (nurse manager leadership style and safety climate), social capital (warmth and belonging relationships and organizational trust), and nurses’ willingness to report medication errors. Smetzer, J. We included all articles, regardless of publication date, so that we could understand the progression of compliance research. 3 million people are injured by medication errors annually in the U. al. choo j. x. The purpose of this article is to review educational strategies that have been implemented and tested in pre-licensure nursing programs to reduce medication errors committed by nursing students. 1371/journal. ” This ethical principle has guided my nursing practice for almost 30 years. Keywords. 14 Nursing management of medication errors is an important aspect of the healthcare system, given the This article attempts to explore the ethical issues relating to the nursing management of medication errors in clinical areas in Macau, China. Choo, J et al (2014) Effectiveness of an electronic inpatient medication record in reducing medication errors in Singapore. While an electronic medication and prescription system may help Medication Administration in Nursing Homes: RN Delegation to Unlicensed Assistive Personnel Amy Vogelsmeier, PhD, RN, GCNS-BC Medication administration in nursing homes is a complex process that requires careful oversight by registered nurses (RNs) to minimize risks of errors and adverse effects. Medical errors such as delays in diagnosis, preventable surgical complications and medication overdoses are a leading cause of death and injury in the United States. I am a first semester nursing student who is doing research for medication articles, and I just so happened to study upon your blog. "The hospital killed my dad When the 5 rights go wrong: Medication errors from the nursing perspective. Overtime and understaffing situations may also contribute to medication errors. Background and objective: Medication administration errors are the most common medical errors that happen in hospital settings. Get access to over 12 million other articles! Theoretical Framework. Medication errors are among the most common health threatening mistakes that affect patient care. • Dennison, R. Using simulations to identify nursing student behaviors: A longitudinal study of medication administration. As a member of the Oncology Nursing Society, I receive numerous publications with varying levels of nursing evidence, which I enjoy. , et. We'll examine different types of medication errors, how they occur, and prevention measures for  Original Article Rabia Kahveci ( Ankara Numune Training and Research Hospital, Ankara, Turkey. Orton, Lori Chorpenning, and Rachel Ryerson Abstract Nursing faculty strive to educate students in a manner that prevents errors, promoting quality, patient-centered care. Setting: The most downloaded articles from Applied Nursing Research in the last 90 days. One study that examined medication errors in two academic pediatric Journal of Pediatric Nursing, Vol 19, No 6 (December), 2004 385 This article is part 5 of a 6-part series on interesting and unusual medication-related case reports. Original Article Reporting of Nursing Errors: A Qualitative Content Analysis Study. Institutional medication errors are more likely to occur when an administrator of medications has a lack of pharmaceutical knowledge. Journal of Nursing Care Quality. 5 million Americans each year and cost $3. 1982. This article explores the medication errors and the phenomena of nurse distractions. “Medication errors occur when weak medication systems and/or human factors such as fatigue In contrast, Chang and Mark (2009) found that expertise had a statistically significant negative association with non-severe medication errors, indicating that the greater the level of nursing expertise, the fewer non-severe errors. This study, by providing the perspective of frontline nurses, contributes to the body of knowledge on medication errors. A. Safety requires an organized and systematic approach to improving the tasks, technology, environment, and organizational culture associated with medication systems. Health Science Journal. Nearly 91% of the study nurses who were interrupted during medication committed medication errors. As registered nurses (RNs) are at the forefront of medication administration, they have been the focus of attempts to reduce errors. The nurse usually uses a cart when doing 2001). Articles from the academic community contributing novel information are welcome in the form of a research, review articles, case reports, short communication, Editorial, etc. Most Cited Applied Nursing Research Articles The most cited articles published since 2016, extracted from Scopus . Medication Safety, where you can find medication errors that have recently been reported to the Institute for Safe Medication Practices (ISMP) and learn recommendations for best practices to help avoid these errors. He was diagnosed with appendicitis and admitted for an appendectomy. Of those, 158 (78%) nurses admitted making medication errors and provided details about these errors. (JPMA 65 : 457  This article reports the errors verified by a research pharmacist (E. Failure to document a patient's condition, medications administered, or anything else related to patient care can result in poor outcomes for patients, and liability issues for the facility, the physician in charge, and the nurse(s). It is important to take the time needed to ensure patient safety, and to minimize distractions throughout the process. 5 Mar 2015 Keywords: medication administration, medication errors, nurse, Back to Journals » Therapeutics and Clinical Risk Management » Volume 11. Soozani A, Bagheri H, Poorheydari M (2007) [Nurses' perspective on causes of medication errors in. Nurse Education in Practice; 13: 3, 217-220. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. The medication errors that cause harm include errors related to infusion of high-risk medications and an intravenous medication safety system has been designed recently to prevent high-risk infusion medication errors and to capture continuous quality improvement data for best practice improvement. Use the three peer reviewed journal articles provided in UTSonline, plus one that you find yourself, to identify three major reasons why medication errors occur. Methods: . My assignment has been to investigate medication errors, the different types of them that were made, and what could be done to prevent them. Article Outline Children are particularly vulnerable to medication errors because of their unique physiology and Pediatric nurses selected distractions/ interruptions and RN-to-patient ratios as major reasons medication errors occurred. ED staffing affects the frequency of medication errors, there was an increase in failure to apply ID bands and errors of omission when there were unfilled nursing deficits and lower levels of senior medical staff were associated with increased errors of omission. A definition of medication errors is given, then, moves on to discuss the causes of medication errors, the impact that medication errors has to client care This article describes a new approach to help minimise drug errors within healthcare settings where medications are prescribed, dispensed or administered. 2002. Access to society journal content varies across our titles. Belitung Nursing Journal (BNJ) is an international journal that provides a venue for nursing scholarship with an Asian focus and perspectives from the region. Journal of Professional Nursing, 22(1), 39-51. Medication safety has been identified by the Institute for Safe Medication Practices Canada (ISMPC) as a priority among hospitals and long term care facilities since medication errors in hospitals are a serious threat to patient safety Nurses' medication errors Nurses' medication errors Amdt, Marianne 1994-03-01 00:00:00 This paper reports on a qualitative study of nurses' experiences with medication errors. Medication Errors: An Increasing Cause of Morbidity and Mortality in US Hospitals Introduction Patients in healthcare settings are exposed to multiple medication regimens that consist of utilization of potentially detrimental drugs. Journal of Knowledge and Health. nursing staff, and nurses working in multiple settings further increase the risk of harmful medication errors. 5, 10, 11 Medication errors are caused by numerous elements, which include poor hand writing, inadequate documentation and working stresses. Mahmood, A. The article concludes with a call for research on. Potential ADEs occurred more frequently in neonates, particularly in the NICU. In 1999, patient safety moved to the forefront of health care based upon astonishing sta- tistics and a landmark report released by the Institute of Medicine (IOM). 1 Several interventions have been developed to reduce medication errors, such as barcode-assisted medication administration (BCMA) systems2 and the double-check. To monitor, evaluate and improve the quality and safety of this process, evidence-based quality indicators can be used A cross-sectional study that reported the views of nurses on medication errors concluded that lack of pharmacological knowledge is the leading cause of medication errors by nursing staff. Reiley Medical errors are a subset of medical adverse events. In this case, these studies were included provided that they investigated the method of checking in relation with the medication errors within the nursing context. EBSCOhost serves thousands of libraries with premium essays, articles and other content including Medication errors: types, causes and impact on nursing practice. Medication errors in nursing homes and other inpatient medical facilities are recognized as a common problem in the medical field. Medication Errors Cause Harm Despite considerable effort, medication errors continue to occur and result in patient harm. I am weeping. Abosede Catherine Ojerinde RN, MSc (Nursing)1, Prisca Olabisi Adejumo RN, PhD2 1Nurse Tutors Programme, University College Hospital, Ibadan, Nigeria. Medication errors are 10-fold more likely to occur in children compared with adults, because even large errors in calculation of stock solution volumes may appear as a nonsuspiciously small volume (Koren, 2002). For part 4 click here. Shahrood]. Results Analysis of focus group data revealed that nurses in critical care settings use 17 strategies to identify, interrupt, and correct errors. Data show that nurses and pharmacists identify anywhere from 30% to 70%  28 Jul 2017 To identify differences in what nurses consider as medication International Journal for Quality in Health Care Article Navigation  To prevent errors, physicians, nurses, and pharmacists need ready access to the . Summarizing reports of medication mistakes submitted to the Institute for Safe Medication Practices for analysis, this news article describes types of problems, prevention strategies, and technologies that can reduce risks. However, Aspden (2006) reports that significant efforts have been made to improve medication safety. & bucknall t. Examining Nursing Malpractice: A Defense Attorney’s Perspective Kevin Giordano He specializes in malpractice defense and is a frequent lecturer at continuing medical education seminars for nurses and physicians. io/te7sa/. Pay per Article - You may access this article (from the computer you are currently using) for 2 days for US$10. Below, is testimony provided by MNA Member Michelle Colleran Cook on behalf of the MNA Congress on Nursing Practice at a hearing before the Joint Committee on Health Care, which concerned the issue of prevention of medication errors in health care settings. PDF download: Nursing Commission 2018 Spring Newsletter – Washington State … Mar 8, 2018 … Medical Marijuana Authorization Form 21. INTRODUCTION & AIM: Medication errors as a serious problem in world and one of the most common medical errors that threaten patient safety and may lead to even death of them. 5 Because nursing students have limited clinical experience, there is the risk of making medication errors during clinical placements. Nurses used 8 strategies to identify errors: knowing the patient, knowing the “players,” knowing the plan of care, surveillance, knowing policy/procedure, double-checking, using systematic processes, and question induced medication errors. Binary logistic regression with 95 % confidence interval was used to identify factors associated with medication administration errors reporting. Of course, members also have access to ANA publications. Journal of Nursing Care Quality, 25(3), 240-247. Older people may be at greatest risk for medication errors because they often take multiple prescription medications. In a descriptive, retrospective study of medication errors linked to the practice of 1,305 students during a five year period of time, Wolf et al. Medication errors are the most common types of medical errors which considerably endanger the patient safety. Read about what you can start doing as a patient. ebrutoruner@gazi. Errors with medications given by this route often have the most serious outcomes. Yupin Aungsuroch, PhD, RN A survey was mailed to a random sample of registered nurses. The main nursing practice problem addressed in the study is the medication errors and falls among the hospitalized patients. org. Howarth, Patricia Lesley // Nursing Standard;7/22/2015, Vol. multidisciplinary professionals performed a quantitative and qualitative analysis of 24 months of medication errors reports submitted to the NYPORTS system. Medical errors are the third leading cause of death in the U. A qualitative approach was adopted. Experts on medication administration errors note that progress in the field is hindered by lack of consensus on operational definitions used to classify medication administration errors, along with wide variation in measurement strategies. Editor-in-Chief: Assoc. Nursing is a science, and as such, it needs to have a firm base in creditable research that is Objective. The complexities of the healthcare environment however, allows prospective errors . The complexity of the MAP exposes risks to medication errors that are surprisingly common and costly . Kids are especially at high risk for medication errors because they typically need different drug doses than adults. Medication errors as a serious problem in world and one of the most common medical errors that threaten patient safety and may lead to even death of them. Medication errors remain a serious concern despite the increased attention they have received. USP encourages organizations to adopt standardized procedures for IV drugs in all phases of the medication use process, 6 x 6. To monitor, evaluate and improve the quality and safety of this process, evidence-based quality indicators can be used One-third of all medication errors causing harm to hospitalized patients occur in the medication preparation and administration phase, which is predominantly a nursing activity. Analyzed the high alert medication errors and calculate the rate of errors. Purchase access to Preventing High-Alert Medication Errors in Hospital Patients - an ANA Nursing Knowledge Center training resource. 1 potentially life-threatening IV medication programming errors and Hayes, C. The interviews were transcribed and analyzed using content analysis. Further evidence of results being In addition to the above three strategies for reducing medical errors nurses can play a role in preventing errors by actively being involved in various activities that reach across all members of the healthcare team as well as the patient and family member. Therefore research needs to be done to identify different types of medication administration errors such as, wrong patient, wrong dose, wrong route, wrong drug, wrong-time and many others. K. Find articles from nearly 70 trusted nursing journals, including AJN and Nursing2019. Resources for preventing medication errors are available at the Agency for Healthcare Research and Quality (AHRQ). and Power, T. Archives of Internal Medicine 162(16):1897–1903. Journal Methods A systematic search of studies that assessed or evaluated double checking during the medication treatment process was conducted for adults and children using the following databases: Embase, Medline, British Nursing Index & Archive, Cumulative Index to Nursing & Allied Health Literature (CINAHL) and PsycINFO. A nurse explained to a patient that NSAIDs — both over-the-counter and prescription — are widely acknowledged to be effective for pain relief when used as directed. Our collection of nursing journals is updated and reviewed by our physician readers every day to ensure they are still vital sources of the latest information for healthcare professionals and physicians alike. This study aimed to find out the most common types of medication administration errors done by the hospital nurses and identifying factors that lead to medication administration errors. medication administration errors. However, nurses are human, and medication errors can happen. The purpose of this study was to explore the ME reporting rate and causes of underreporting among the nursing students in the city of Kerman. This practice problem is related to the PICOT question. Develop strategies and re-implement in medication process. Several Australian studies have identified that medication errors are common in discharge summaries. 2014;8 (1) P a g e | 35 application of the five rights which includes the right patient, right drug, right route, right time, right dose), personal neglect, difficulties in using The prevention of medication errors, which can happen at every stage of the medication preparation and distribution process, is essential to maintain a safe healthcare system. Medication errors observed in 36 health care facilities. Method: It is a bibliographical study that sampled eighteen articles from five nursing journals available in the Scientific Electronic Library Online (SciELO) database for the period of Among the most common errors were prescribing the wrong medication, prescribing the wrong dose, failing to properly discontinue a medication, and prescribing an incompatible, contraindicated, or interactive medication. Journal of Taibah University Medical Sciences Original Article Research on the types and causes of medication errors by nursing students in developing  Previous Article Medication errors and professional practice of registered nurses The study found professional nursing practice involving administration of  30 Sep 2016 In this article, we provide background information to introduce the concept of Study results suggested that medical-surgical nurses recovered on . However, little is known about how nurses administer medications safely or how existing systems facilitate or hinder medication administration; this represents a missed opportunity for implementation of practical, effective, and low-cost strategies to increase safety. Such mistakes are considered as a global problem which increases mortality rates, length of hospital stay, and related costs. Although numerous strategies to address this patient safety issue have been implemented, the impact of interprofessional collaborative practice (IPCP) on medication safety has received limited attention. The incidence of Factors Associated With Medication Errors Among Health Workers In University College Hospital, Nigeria. medical errors in our health care system. medication errors in nursing journal articles

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