Introduction Medication errors have been a problem in the medical field for many years. Medication errors are one of the most common types of error in the health-care field that affects the lives and safety of the patient (Schoenecker‚ 2007). The prevention of medication errors is possible‚ if the nurse uses the medication rights correctly during the administration process. Medication administration is a process that involves the ordering and distribution of medicines to the patient. It also involves
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EXERCISE 2 My involvement in the drug error is as follows. I was working on the night shift as the only qualified nurse with 2 nursing assistants. The late shift decided to administer the 10pm medications as a way of helping me. This however was key in me making the error that I did. If I had been left to do the 10pm medications by myself‚ this error would not have occurred. Patient PF was given her medication by the late staff‚ however she had spat them out. On going to give her these
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Institute of Medicine in 1999 reported that “nearly a million patients each year are injured in hospitals in the United States due to error. Medication errors occur more often than other categories of preventable errors (19%)‚ and most medication errors occurred during medication administration (34%) where they were more likely to directly impact the patient and cause harm.” (Gooder‚ 2011). Not long after looking at these percentages was the BCMA (Barcode
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Medication errors are among the biggest issues in health care settings today. The effect of managed care is one of the causative factors. The need to contain costs has invariably doubled the nurses ’ workload making them less efficient as caregivers. Example of problem is the high incidence of medication errors. Nurses ’ workload has increased tremendously regardless of the fact that most of these patients are of great acuity‚ thereby predisposing them to a greater risk of medication errors. Medication
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Root cause analysis (RCA) is a structured method used to analyze serious adverse events. The goal of RCA is to identify underlying problems that increase the likelihood of errors while avoiding the trap of focusing on mistakes by individuals. A team focuses on the identification of the errors that occurred. They analyze each error to determine the underlying factors (root causes)‚ than if eliminated‚ can reduce the risk of similar errors in the future. Next‚ they put a plan into place‚ this will
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orientation to the unit. One of her patients asked for pain medication. She mistook hydromorphone for morphine sulfate and administered 2mg of morphine sulfate instead of Dilaudid. The patient was allergic to morphine sulfate and suffered a mild allergic reaction consisting of a rash and itching. 1. What are the purposes of doing a RCA for an event such as this? Answer: The purposes of Root Cause Analysis (RCS) is to find out what happened‚ why such error did happen‚ and how to prevent it from happening again
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April 14‚ 2006 N405‚ MEDICATION ERRORS Alternative assignment in-lieu of clinical attendance A SYNOPSIS: STRATEGIES FOR REDUCING MEDICATION ERRORS In 1999‚ the Institute of Medicine (IOM) released a report‚ "To Err is Human: Building a Safer Health System‚" in which‚ according to the report‚ between 44‚000 and 98‚000 deaths may result each year from medical errors in hospitals alone. And more than 7‚000 deaths that occurred each year were related to medications. In response to the IOM’s
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Management‚ ED physician‚ Anesthesiologist‚ Director of Nurses‚ respiratory therapist‚ and ED Nurse Manager. The purpose of this investigation is to determine the root cause analysis (RCA) of the sentinel event‚ which occurred in the emergency room. Once the cause is identified‚ a plan of action will be established‚ and a failure mode and effects analysis (FMEA) will be done to reduce the likelihood that the new processes
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Root Cause Analysis One of the more recent methods of investigating medical errors (MEs) and adverse reactions (ARs) is root cause analysis. Root cause analysis (RCA) is a systematic approach in investigating patient safety incidents by illuminating systemic problems and factors that contribute to MEs and ARs (Bowie‚ Skinner‚ & de Wet‚ 2013). The root cause of an incident is investigated using several analytical and problem-solving methods to uncover the detailed causes of a ME or AR (Bowie et al
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DANILYN VOCAL MENDOZA B-4 L-25 Pitimini Village II Cuyab San Pedro‚ Laguna 4023 (O2)519-5713/ (02)697-0367/09298824071 danilynvocal@yahoo.com CAREER OBJECTIVES: ➢ To impart the knowledge and skills I obtained from my hospital experience. ➢ To utilize the skills obtained in my MA degree. ➢ To widen my professional field of experience. EDUCATION HISTORY: ➢ 2010-recently enrolled Master of Arts
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