Writing down details of the incident, the circumstances that contributed to it, personal reactions to the mistake and feelings arising from it, can be cathartic and will help put it into perspective. Bioethics: A nursing perspective. Desired Outcome In giving medications, I need to be on top of the situation. Bibliography In addition to variance from standard practices, "nurses showed an increased reliance upon computerized and systematic checks put into place in health care systems. Genetics/Genomics and Medication in Public Health Care Divided into five sections that discuss a particular area of the Essential Skills Clusters, this text explores care, compassion and communication; organisational aspects of care; infection prevention and control; nutrition and fluid ... A convergence study on the hospital nurse\\'s perception of patient safety culture and safety nursing activity. Journal of Nursing Management, 17, 155-164. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. 2012). The practice employs these facilities in managing and communicating data and information while in line of duty. Personnel Psychology, 59(4). Cruelty is a lie because it is a one-sided tale. âDateâ â as previously stated, if it could identify a patient, refer only to the month and the year. (Guillen and Chacon 2009 P. 690). Medication errors and falls are among the top events that can cause harm to patients, and consequently, increase the costs of hospitalization. "ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications: developed through the ASHP Section of Pharmacy Informatics and Technology and approved by the ASHP Board of Directors on April 15, 2010, and by the ASHP House of Delegates on June 6, 2010." To…. When receiving a new medication, ask what it is and what is for, who ordered it and how often it is given. When a nurse makes a medication error they are emotionally traumatized since most of them beat themselves up for making such an error and this might undermine their self-esteem and confidence. Gibbs model of reflection incorporates the following: description, feelings, evaluation, and conclusion. (2017). Pharmacology, Patient Safety: Achieving a New Standard for Care. A person References Western journal of nursing research, 41(2), 279-304. Nursing, (2005). Major medical errors are common when few nurses are made to handle many patients. The Gibbsâ Reflective Cycle will be used as this is a popular model of reflection. Retrieved October 19, 2015, from http://www.healthline.com/health/intramuscular-injection#Procedure3 Sub-headings are required (except for Introduction or Conclusion) for structure, as permissible in APA style. Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Others (80-90%) occur in the head of the gland (GUT). "The Safety of Medicines in Public Health Programmes: Pharmacovigilance An Essential Tool." This study will explore many facets of medication errors and will present a review of a video on medication errors from the ISMP website. 7 May 2010.
Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress. Reflection on Medication Administration. The administration of a medicine to a patient is the result of several activities by There are several ways to avoid medication errors in the healthcare setting. 2011 Mar;80(3):181-9. Informaticia.19 (1):3-16. As reported previously, medication errors can occur in virtually any treatment setting, including patients’ homes, but the problem is especially pronounced in hospitals where the adverse reactions caused by medication errors can result in extended inpatient stays or even death. Creating a culture of safety around bar-code medication administration: An evidence-based evaluation framework. It is also used frequently to manage postpartum hemorrhage. You frequently hear references JCAHO requirements documenting a patient's pain assessment treatment, documenting medication administration, documenting verbal telephone orders. Kliger, J. Gibbsâs reflective model is an appropriate model that I will use since it is recommended by many of the nursing students (Sekarwinahyu et al. Reflection On A Drug Error. References References This essentially means that workflow is crucial towards the achievement of organizational goals since it plays a critical role in the accomplishment of desired tasks/activities. During my practice I have been wary of medication errors after close calls and have taken extra time and effort to continually expand and consolidate the information that I have gained about medication management. 34(1), 36-41. When a nurse or other health care professional gives a medication to a patient, that professional should be absolutely certain the medication is the right one, and in the right dosage (Helmons, Dalton, & Daniels, 2012). In fact, one of the important lessons about learning to be honest is to know that honesty does not mean being too brutal, or sarcastic, or cruel, which is just the same thing as lying. 16 No. Environmental issues related to medication errors in long-term care: Lessons from the literature. Athanasakis, E. (2012). I was able to do wound care with the wound care nurse on September 26th, 2016. (2011). Prusch, A.E., Suess, T.M., Paoletti, R.D., Olin, S.T., & Watts, S.D. 240-247. The induction of oxytocin injection has been a bane of contention in the medical community not only because it has been listed as a high-alert medication, which incurs serious risks to the patient, the fetus and the institution. New England Journal of Medicine, 362(18), 1698-1707. Introduction: In this reflective account essay, I will be describing nursing skills that I undertook during my practice placement, using Driscollâs (2000) reflective cycle, a recognised framework for reflection to demonstrate my ability to reflect on different nursing skill. ight medicine Learn more, Medication Errors Over Medication Course Name Course, Medication Errors Have Serious Direct and Indirect, http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=531200, Medication Errors and Drug Safety in Public Health, http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Emerging-Technology.html, http://www.who.int/medicines/areas/quality_safety/safety_efficacy/Pharmacovigilance_B.pdf, Preventing Medication Errors According to, Preventing Medication Errors Definition of, Prevent Medication Errors Adverse Patient, Opportunities to Reduce Medication Errors, Developing Delivering and Reassessing an Evidence-Based Program to Decrease Medication Errors, Risk Management to Prevent Medication Errors Anf Falls, Interventions for Reducing Medication Errors, http://www.cdc.gov/niosh/docs/2012-123/pdfs/2012-123.pdf, http://www.healthline.com/health/intramuscular-injection#Procedure3, http://www.healthline.com/health/administration-of-medication#Problems5, Using a Poster to Reduce Medication Errors, http://www.hms.harvard.edu/news/pressreleases/bwh/1006barcodes.html, Progress Made in Medication Safety Practices, Lived Experience of Nurses With Medication, Nurses' Practice Environments Error Interception Practices and, Enhancing Nursing Service Delivery and Minimizing Errors, Nursing Bar Code Medication Administration Bcma Is, http://dx.doi.org/10.1891/1939-2095.6.1.4, Health Care Situation Medical Error Due to, http://www.thehonestapothecary.com/2015/01/22/prescription-verification-tips-for-the-new-pharmacist-or-student/, http://www4.ncsu.edu/unity/lockers/users/f/felder/public/kenny/papers/units.html, http://www.newyorker.com/reporting/2007/12/10/071210fa_fact_gawande, http://onproductmanagement.net/2011/04/29/avoiding-the-checklist-monkey/, http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc, http://writing.colostate.edu/guides/research/survey/com2d1.cfm, advance practice nursing ethics disclosure, Is Pitocin Induction a Factor in Postpartum Hemorrhage, Workflow Analysis of a Healthcare Organization, System Design Considerations and Workarounds Implementation of, http://www.medicalnewstoday.com/medicalnews.php?newsid=42483, http://www.ehealthinitiative.org/assets/documents/QIOHIEFinalReportMarch62006.pdf#search=%22Health%20care%20information%20management%20PCIP%22, http://www.cica.org.uk/bre-cica_survey/ranking_of_it_benefits.htm, Smart Health Card Role in Rational of Medicines Use, http://www.cmaj.ca/content/175/4/385.1.full, http://www.webmd.com/heart/news/20120702/half-of-heart-patients-make-medication-errors, http://gut.bmj.com/content/54/suppl_5/v1.full, http://seer.cancer.gov/faststats/html/inc_pancreas.html, http://apps.who.int/medicinedocs/pdf/whozip32e/whozip32e.pdf, Transferring Vital Records and Responsibility, http://www.mentalmeds.org/prescription_meds/Lamictal.pdf, Workflow Analysis of a Selected Nursing Activity, It Infrastructure Project Description the, Informatics Implication for Nursing Safety, http://www.himss.org/resourcelibrary/TopicList.aspx?MetaDataID=767, Camouflaged Killer The Shocking Double Life of, http://www.leginfo.ca.gov/cgi-bin/calawquery?codesection=pen, Nursing Healthcare Information Systems Key, http://www.ast.org/pdf/Standards_of_Practice/RSOP_Patient_Identification.pdf. Routledge, PA., O'Mahony, MS., WoodhouseKW (2003).Adverse drug reactions in elderly patients. Especially in an ICU, when patients are dealing with critical injuries or sicknesses, an incorrect, missing, or wrongly added medication could result in the worsening of a patient's condition or even the death of that patient (Athanasakis, 2012). Physicians are expectedly always busy. This paper explores the concept of falls, medication errors, and nursing liability. Nursing Management (Harrow), 16(9), 22-3. Best practices include the implementation of standardization and protocols in addition to the use of technology to reduce errors. Emmerton, L., & Rizk, M. (2011). It should be borne in mind that some of the medications possess two or more names: brand name, along with no less than one generic name (Six ights of Medication Administration, n.d). Gibb does not avoid the gruesome nature of the crimes William commits, and…. McGonigle, D., & Mastrian, K.G. And from the quiet, flexible classroom we learn from our mistakes but never learn how to work with the distractions that a real hospital with real patients that provide real consequences to our every action. . If English is not the first language always take an interpreter (2012, February 1). I am fully aware that as a Nurse administering medications through error is a huge concern and problematic identifying that once a drug has been administered it cannot be taken back. Friedman AL, Journal of Nursing, 4(2), 134-36. Further, the theory's proponent, J. eason, posited that within the…. Social Science & Medicine, 70(10), 1599-1608. doi:10.1016/j.socscimed.2010.01.042. protocols relevant to the administration of medication. All staff involved in the use of medication have a responsibility to work together to minimize patient harm caused by medication use. surgery, medication, etc.) Nurses' Practice Environments, Error Interception Practices and Inpatient Medication Errors (2012) Gawande, A. In addition to medications…. 1603 Words | 6 Pages, This is a reflective account on administering medication. 3. Inform doctors of all allergies and any previous reactions to drugs A 50% reduction in the number medication errors of all types over the next 12 months. This book will undoubtedly be of great interest to doctors, clinicians, healthcare purchasers and managers, health scientists, academics, and undergraduate and postgraduate students of health sciences. Found insideThis edited collection of articles addresses aspects of medical care in which human error is associated with unanticipated adverse outcomes. The two types are early…, BIBLIOGRAPHY In 1993‚ 1.9 billion prescriptions were written and in 2001 the number had risen to 3.1 billion cited by Crigger and Holcomb (2008). 009-1238-8. (2008). Unfortunately, they sometimes are unable to perform that task properly due to various factors. The origin of the XYZ motto. (2003). JONA: The Journal of Nursing Administration, 46(1), 30-37. Births and deaths: Preliminary data for 1997. The seriousness of an overdose of Lamictal depends on the ingested amount. Medicines cure various infectious conditions, avert chronic diseases issues, and alleviate pain. The purpose of this study is to evaluate, Premium The hospital pharmacist may misread the strength or even the name of the pill or the frequency of the dose and release the patient with an incorrect pill or orders. How Technology Affects Your Risk of Medication Errors. Healthcare Information and Management Systems Society (2008). Self-Reflection on Drug Round in Nursing Essay. (2005). Biron, A., Lavoie-Tremblay, N., and Loiselle, C.G. Table 1 showed that about 45% of errors reached the patients: 43.5% were harmless and 1.4% of errors caused harm. Retrieved on January 12, 2014 from http://www.ingenta.connect.com/content/apl/mfn/2011/00000024/00000009/art00002 Administering medication requires the understanding of how the, Premium The results of medication errors vary from mild to deadly. I will use the Rolfe et al model of reflection in this reflective account from the point of view of a student nurse (Rolfe et al., 2001, 1-61). and Neonatal Medicine: Informa Healthcare Publishing Technology. 36: 275-298. The purpose of this essay is to discuss and highlight the importance of informatics and its synthesis into the nursing profession. This is evidenced by the lack of such information in the institutions policies and procedures manual, and specifically in their policies and procedures associated with controlled drugs, which is an area where inventory controls, accountability and patient safety are particularly important. Handoffs as mentioned previously, occur in high traffic units of the health care facility, when specialists are needed, and in large facilities such as hospitals. WHO (2012) reveals falls result to more than 424,000 deaths globally each year, and over 80% of the case are in developing countries. Nurses work in a fast-paced healthcare environment which makes administering medication to be a high-risk nursing task. It is viewed as ⦠Nurses are responsible for the largest percentage of medication errors. References NCSU.edu. et al. McClean, S. (2011). This innovative text uses a 'common sense' approach to introduce students to real-life medication problems. Common types of medication which I deal with and support my clients with are: Paracetamol- usually prescribed as 500mg tablets and used to relieve symptoms of mild to moderate pain and can also be used to reduce body temperature during fever. The variety of laws and regulation can be divided in 3 main groups:
Morality and the Professional Life: Values at Work. Cradle-to-cradle stewardship of drugs for minimizing their environmental disposition while promoting human health. Tertiary healthcare facilities and other healthcare providers have identified some effective methods for reducing the number of medication errors through the use of technology, improving processes, targeting those types of specific medication errors that result in harm to patients, and promoting an organizational culture of safety (Meadows, 2003). Get help with your essay today, from our professional essay writers!. Ask the doctors and pharmacist about prescribed medications in layman terms 1074 Words. Read Full Paper . Misuse of drugs act 1971
Teich, J. Lee, D. Seger, G.J. Br J. Clin Pharmacol. Wakefield, B.J., Uden-Holman, T. & Wakefield, D.S. Using clear language and insightful examples, scenarios and case studies the third edition of this popular and bestselling book shows you what reflection is, why it is so important and how you can use it to improve your nursing practice. This is a literature review which focuses on nurses who make medication errors and what importance is placed on those errors in relation to patient safety. Retrieved from: http://www.newyorker.com/reporting/2007/12/10/071210fa_fact_gawande Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. National Vital Statistics Reports. Reflection A reflection on the case shows me that ethical and moral guidelines must be instilled in pharmacy as a profession. an approach using simulated annealing. Case esolution Model (CM) (Brincat & Wike,1999) is therefore an important model since it has taken me through all the necessary steps that can allow me to effective conclude this case amicably. Avoiding the checklist monkey. This could…. "STP provides protection with encryption keys for wired and wireless networks including bandwidth limited channels." References Hoboken, NJ: Wiley. Reflective Essay Using Gibbs Reflective Cycle Sample Answer. Good quality patient care centers on having a competent educated nursing labor force. Administration and Near-Miss Medication Errors in Nursing. eferences Design Considerations and Workarounds The first is the Primary Care Health Information Consortium (PCHIC).…, Works Cited They sometimes work from hospital to hospital. Found insideThis second edition which builds on the original text Person Centred Nursing, has been significantly revised and expanded to provide a timely and topical exploration of an important subject which underpins all nursing and healthcare, edited ... Primary Care Health Information Consortium (PCHIC). Conclusion Hussain, A.A. (2011). Notes Department of Health and Mental Hygiene. Patient Safety And Safety Culture Nursing Essay. No facility is immune from the possibility to drug errors, either through a fault of their own, or from suppliers or pharmacists that supply them. Everyone's truth, after all, will be influenced by their personal biases and perspectives on life. Nursing. USA. ecommendations were made for future studies in that there is a need to analyze the degree to which technology affects the environment, patient acuity as well as overall nursing satisfaction. Deene, L. (2009) "Journal of Continuing Education in Nursing" Is This the Right Patient? ICU Book. Bar-Code Technology for Medication Administration: Medication Errors and Nurse Satisfaction. It is believed that the physiciansâ lack of knowledge for reporting adverse events is also a reflection of institutional efforts, as most of the efforts to enhance reporting of medication errors have been led ⦠Learning mechanisms to limit medication administration errors. Even experienced nurses felt that late medications were not critical during busy times, stressing the need to prioritize when giving care (Stetina, Groves & Pafford 2005:4). Despite this, the World Health Organization (WHO, 2007) estimates that millions of people every year experience permanent injury or even death as a consequence of medical errors. In the same manner, most of the administrators, who will manage the new systems for the hospitals, also show signs of hesitance regarding the training. This is particularly concerning as many errors are considered preventable. Retrieved from: http://www.cmaj.ca/content/175/4/385.1.full Retrieved August 30 at http://www.nyc.gov/html/doh/html/pcip/pcip.shtml Medication giving include five basic rights: Right patient, Right medication, Right route, Right dose, and Right time. Evans, J. The Medicines Acts 1968 and various amendments cover the legal management of medication. Surveillance, Epidemiology and End Results Program. Damberg, Cheryl L., Ridgely, M. Susan, Shaw, Rebecca, Meili, Robin C., Sorbero, Melony E., Patient Identifiers Barber, C. (2008). Prevalence, risk factors, consequences and strategies for reducing medication errors in Australian hospitals: A literature review. The medical informatics systems support a variety of activities in the hospital or clinic…. One major drawback is the lack of willingness to use the software. Glanze, Walter D. (2001). 317-324. Goa KL, Ross SR, Chrisp P. Cheragi, M. A., Manoocheri, H., Mohammadnejad, E., et al. But that does not excuse telling falsehoods about that perspective. Incident reporting. REFERENCES (2010). Reducing medication errors in hospital discharge summaries: a randomised controlled trial. Marcucci, L. (2012). Gebhart, F. (2008, May 12). For barcode scanning technology to work as designed, every medication dose would have to be scanned before it reached the patient (BWH, 2002). The reflective model I have chosen to use is Gibbs model (Gibbs 1988). The former is a young student who has just completed a Statistical Thinking for Business Improvement course and the latter is a pharmacy manager who is ostensibly about to lose his job due to a glut of errors relating to the dispensing of medications that are either the wrong drug or the wrong dosage of the right drug.
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