Medication Errors

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  • Topic: Iatrogenesis, Medical error, Patient safety
  • Pages : 7 (2261 words )
  • Download(s) : 957
  • Published : October 13, 2010
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Medication Errors Paper
Dorothy Pasowisty
Pharmacology 2
Angela Falconer
Practical Nursing Program
June 30th, 2010

Table of Contents
Introduction......................................................................................................................................3 Summaries of Journal Articles.........................................................................................................3 The Definition of a Medication Error..............................................................................................5 The Causes of Medication Errors....................................................................................................5 The Impact on Client Care...............................................................................................................6 The Strategies to Prevent Medication Errors...................................................................................8 Conclusion.......................................................................................................................................9 References......................................................................................................................................10

MEDICATION ERRORS
This paper will start with three summaries of journal articles related to medication errors. 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 and nursing, followed with some strategies to prevent medication errors. In critical care "Providing 1 critically ill patient with a single dose of a single medication requires correctly executing 80-200 steps." (Camire, Moyen, Stelfox, 2009, p.936) it is no wonder the potential for medication errors is so high. This is why we as nurses have to so vigilant when administering medications. Summaries of Journal Articles

In the article, Medication errors in critical care: risk factors, prevention and disclosure by Camire et al (2009), they discusses research of 49 articles related to medication errors in critical care. They studied the risk factors involved, strategies for prevention and disclosure to patients in relation to medical errors in the ICU. The authors state "Critically ill patients admitted to an ICU experience, on average, 1.7 medical errors a day, and many patients suffer a potentially life-threatening error during their stay. Medication errors are the most common type of error and account for 78% of serious medical errors in the ICU...The medication process involves 5 broad stages: prescription, transcription, preparation, dispensation and administration." (Camire et al, 2009, p.936) "The frequency of medication errors was similar during the prescription (54%) and administration (46%) phases of the medication process."(Camire et al, 2009, p.937) "Medication classes most frequently associated with errors were cardiovascular drugs (24%), anticoagulants (20%) and anti-infective agents (13%)." (Camire et al, 2009, p.938) This study reported 7 prevention strategies: eliminating extended physician work schedules, computerizing physician order entry, implementing support systems for clinical decisions, computerizing intravenous devices, having pharmacists participate in the ICU, reconciling medications and standardizing medications." (Camire et al 2009, p.938) According to the authors "Disclosure should take place whenever a patient has suffered an iatrogenic injury." (Camire et al, 2009, p.940)

The second article, The Nine Rights of Medication Administration: an Overview, Elliott and Liu (2010) discuss the nurse's responsibility for ensuring safety and quality care of patients at all times. Medication administration arguably carries the greatest risks and unfortunately, patients are often harmed or injured, causing permanent disability or death. Traditionally nurses follow the five rights of medication administration...
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