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NURS FPX 4020 Assessment 1 Enhancing Quality and Safety Sneezan

Medication Errors

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety Sneezan

As medical professionals one of our major responsibility is to keep, and prevent our patients from medication errors. Medication errors may lead to adverse drug events (ADEs), which endangers patient safety and results in harm or injury (Chen et al. (2017).  If medication error is not prevented can cause mortality, and morbidity. The definition of adverse drug events (ADEs) is any injuries to a patient resulting from medication use, including any harm or loss of function (Chen et al. (2017).  Medication errors refer to any mistakes occurring during the medication use process such as prescription, transcription, dispensing, administration, or monitoring, regardless of whether an injury occurred or whether the potential for injury was present. Adverse drug events in hospitalized patients will result in longer hospital stays and extra medical costs (Chen et al. (2017).

Causes of Medication Errors

There are many factors that contribute to medication errors that includes: communication between interdisciplinary team, patients and families, incorrect diagnosis, prescription error, medication miscalculation, medication devise problem, incorrect mediation, wrong dose, wrong patient, wrong route, lock of patient education and medication sound alike and look alike. If these medications are not clarified by the physicians a medication error can occur.  Institute of medicine (IOM) states that the United States has the largest number of errors occurring in hospitals, and also the drug calculation skills for nurses is issue. For example, if the compute system is down to calculate mediation, nurses have to know how to convert and calculate the right doses. 

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety Sneezan

Best Practice to Prevent Medication Errors

Administration medication errors can be prevented with a smart infusion   device. “Study was done on intravenous infusion related errors; smart devices were used to explore the role of smart devices contributing to medication administration error”. (Yaniet al. (2021). Results showed that   use of infusion devices rather than gravitational administration may have prevented 13% of observed errors and 8% of reported incidence. (Yani et al. (2021). These devices can also contribute to medication administration error if the medical professional is not properly trained, or do not know how to operate the device. 

Bar code medication administration systems are also used to prevent medication administration errors, and is a system to prevent human errors in the distribution of medication in the hospitals. In order to prevent and reduce medication error bar code medication administration technology is increasingly using in acute care setting. Study has shown that this technology has reduced the medication errors, specifically related to errors such a wrong dose, wrong drug, wrong patient, unauthorized drug, and wrong route. 

Coordinating care to enhance quality and reduce costs

Nurses have the responsibility and accountability to care for their patients, community and families. Their role is to direct patient care, establish practice standard practice within their scope, fallow policies and procedures, share knowledge related to patient care with other team member in the healthcare setting. Collaboration with multiple providers as well as interdisciplinary team. Medication errors endanger patient safety and increases healthcare-related costs (Chen et al. (2017). Study was done to evaluate the adverse drug events prevention and cost saving effects. Medication errors can be prevented by many methods such as pharmacist intervention. It was concluded that all pharmacists included suggestions of medication use, therapeutic drug monitoring, and medication reconciliation (Chen et al. (2017). To reduced the cost pharmacist interventions belonged to discontinuing unnecessary medications (order modifications of duration or quantity, no medication indication, and inappropriate medication combination), switching medications from intravenous form to oral form, and correcting dosage or frequency were assumed that medication costs could be saved in these areas. (Chen et al.2017). Nurses can use clinical decision support system to help healthcare providers make decisions and improve patient care. This system provides and reminds healthcare providers in implementing based evidence guidance (Teumzghi et al.2021). Computerized clinical decision support systems are important part for nursing professionals. 

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety Sneezan

Conclusion

To prevent and keep patient safe is priority in healthcare setting. Administration mediation errors can be prevented by many contributing factors and, as well as many 

contributing factors that cause mediation errors. Some contributing factors to error   medications are: communication between interdisciplinary team, patients and families, incorrect diagnosis, prescription error, medication miscalculation, medication devise problem, incorrect mediations, wrong dose, wrong patient, wrong route, lock of patient education and medication sound alike look alike. To prevent meditation error barcodes medications administration system, and smart infusion device is used. Clinical decision support system helps providers make important decision for patient care.

References

Latimer, S., Hewitt, J., Stanbrough., & McAndrew, R. (2017). Reducing medication errors: Teaching strategies that increase nursing students’ awareness of medication errors and their prevention. Nurse Education Today. Volume 52, May 2017, Pages 7-9. https://doi.org/10.1016/j.nedt.2017.02.004. https://www-sciencedirect-com.library.capella.edu/science/article/pii/S0260691717300278?via%3Dihub#bb0005

Jani, Y.H., Chumbley., G.M, Furniss, D., Blandford, A., & franklin., B. (2021). The Potential Role of Smart Infusion Devices in Preventing or Contributing to medication Administration Errors: A Descriptive Study of 2 Data Sets. Journal of Patient Safety. December2021, Volume 17 (8)

Sloss, E.A., & Jones, T., (2020). Alert Types and Frequencies During Bar Code–Assisted Medication Administration: Journal of Nursing Care Quality.July/September 2020, Volume 35 (3), p 265–269. 

Chen, C.C., Hsiao, F.Y., Shen, L.J., &Wu, C.C. (2017). The cost-saving effect and prevention of medication errors by clinical pharmacist intervention in a nephrology unit. Medicine (Baltimore). 2017 Aug; 96(34): e7883. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572025/Teumzghi,M.F.,  Skyrme,S., Randell, R., Keenan, A.M., Bloor, K., Yang,H., Andre, Ledward,A., King, H., & Thompson, C. (2021). Effects of computerized clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies. National Liberty of Medicine DOI: 10.1136/bmjopen-2021-053886. https://pubmed.ncbi.nlm.nih.gov/34911719/

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