medication errors

medication error

what is any preventable error that may cause or lead to inappropriate medication use or patient harm while the medication is in control of the health care professional, patient or consumer

right drug, right patient, right dose, right route, right time

what are the 5 Rs of medication safety

• Additionally:

  • Right reason

  • Right to know

  • Right to refuse

BEFORE

when should you check the 5Rs,___ you pour, mix or draw up medication, ensure name, dose, route, and time match the MAR

AFTER

when should you check the 5 Rs, ____ you prepare the medication against the MAR again

AT bedside

when should you check the 5 Rs, ___ check the medication with MAR again before administering to patient

code of ethics

Created by the ANA as a guide for carrying out nursing responsibilities consistent with quality care and the ethical obligations of the profession

human dignity and right for self determination

primary commitment is to the pt

will not practice impaired

authority, accountability and responsibility to follow legal environments

focus on virtues to be a morally good person

practice within professional standards set forth by their state nurse practice act

address social determinants of health like poverty, education, safe medication and healthcare

adverse drug reaction

any response that is noxious, unintended, undesired, which occurs at doses normally prescribed for humans for therapy disease

expected

adverse drug reactions are ______, yet negative outcomes are inherent to pharmacological action of the drug are not always preventable as in a medication error

adverse drug event

injury from medication or a missed or inappropriately dosed medication

senential events

unexpected occurrence involving death or serious physical or psychological damage, or risk thereof- joint commission

monetary cost

the total cost of looking after patients with medication associated errors exceeds 40 billion

harm to patients

injury, pain, psychological, death

each year 7-9k people due in US due to medication errors likely with hundreds of thousand other events that go unreported, as well as decrease in patient satisfaction

distrust in medical professionals

error prevention technology

computerized prescriber order entry

barcode scanning med admin

smart pumps

automated dispensing cabinets

reporting of medication errors

immediately assess patients vitals and physical status

report error to pt primary care provider

follow your institutions policy regarding incident reporting

safe use

know and understand what you're taking

take drug as prescribed

communicate with provider

administer drugs correctly

store drugs safely

maintain supply

expected outcomes

effectiveness of drug

side effects vs adverse reactions vs toxicity

cognitive

ability to read instructions and labels

remember a time schedule

(mental skills and knowledge)

psychomotor

open pill bottle or pill container

swallow

visual acuity

administer injectable medication

(manual, physical skills)

affective

demonstrate genuine concern for yourself by using and administering your medication correctly

demonstrate a willing to learn by being an active participant in the program