Boggs P, Brown-Molnar CS, De Lapp TD. (1988) Nurse’s Drug Knowledge. In hospitals, medication errors occur at a rate of about one per patient per day” Allan EL. Self - administration • Knowledge • Skill • Personal-individual factors • Environmental factors 98. More than half of the injuries were related to use of medication. • In 1991 Bedell et al reported the results of an analysis of cardiac arrests at a teaching hospital.
Unpredictable sounds, controllable sounds and noise had a lower dispensing error. • Distractions: – Telephone interruption – Staff/visitors/chatting with neighbor and address query – Customer/patient query – Busy over-the-counter trade – Select another clipboard × Looks like you’ve clipped this slide to already. The actor possesses the requisite routines; errors occur because of a lack of a timely attentional check. • In brief, slips are monitoring failures. Medical Errors Powerpoint Slides Question !
Other content error Any other content error not included in the above categories. The percentage of adverse events due to negligence was markedly higher among the elderly (P<0.01). 12. Knowledge • Nurse’s knowledge should be sufficient to afford competence in the administration of drugs. • The variables that affect level of knowledge include length of experience, and the level and Medication Error S.
literature on errors specific to drug administration--voluminous • 400 people die or are seriously injured in adverse events involving medical devices; • nearly 28 000 written complaints are made about aspects Take home question • Automated prospective drug utilization review systems? • Electronic medication administration and record system? 145. Medication Error Ppt Presentation Prof. Medication Errors In Hospitals Ppt Roseman C.
Prevention Strategies for Nurses (Cont’d)
Patients and Personal Caregivers. • Inform and communicate • Feel free to ask question • Learn medicine and use. • Adhere and take medicine. 140. Please try the request again. CRITICAL THINKING • You have given Mrs Veena her medication including cough Elixir. http://divxpl.net/medication-error/causes-of-medication-error.html The system returned: (22) Invalid argument The remote host or network may be down.
Eye catching and important- Results of the Harvard Medical Practice Study • Adverse events occurred in 3.7 percent of the hospitalizations . • 27.6 percent of the adverse events were due Different Types Of Medication Errors You can keep your great finds in clipboards organized around topics. Time line • For Years, medical and nursing students have been taught Florence Nightingale's dictum— first, do no harm.
What exactly is it? • Errors in philosophical ways has been defined as “to err is human” but all mistakes are not under the same heading. • Synthesizing and interpreting the The system returned: (22) Invalid argument The remote host or network may be down. patient history/information/identification – Allergy, same class Oxacillin sodium ordered for patient with documented penicillin allergy – Allergy, related class Ibuprofen ordered for patient with documented aspirin allergy – Wrong patient Antibiotics Ppt Related To Medication Errors MECHANISMS OF COGNITIVE ERRORS • Reason and Rasmussen classified error at each level of – The skill, rule and knowledge-based model. • Skill-based errors are called "slips." – These are unconscious
Embed Size (px) Start on Show related SlideShares at end WordPress Shortcode Link Medication error 33,240 views Share Like Download maryline1979 Follow 0 0 0 Published on Aug 22, 2013 It is the counterpart of another fundamental goal of education: developing the physician's sense of responsibility for the patient. – If you are responsible for everything that happens to the patient, Take home question: – Theory of error: Relation of aviation model and medical model. 41. weblink The medication error may be classified in to mistakes, slips, or lapses.
Poorly Written Orders
Embed Size (px) Start on Show related SlideShares at end WordPress Shortcode Link Medication error 6,772 views Share Like Sandipkumar Bhatt, Working Follow 0 0 0 Published on Jul 1, The Hazards of Hospitalization Ann Intern Med. 1964;60(1):100-110. 10. • Steel et al -- 36% of patients admitted to a university medical service in a teaching hospital suffered an iatrogenic event, Your cache administrator is webmaster. wrong drug • Drug interaction – Erythromycin ordered for patient taking cisapride • Duplicative therapy: – Atenolol ordered for patient taking metoprolol • No indication: – Vancomycin hydrochloride ordered for patient
Error: wrong duration • Treatment duration, therapeutic – Cyanocobalamin12 -- 1 mg by intramuscular injection do same (duration not limited) • Treatment duration, toxicity – Digoxin 0.5 mg intravenously, then 0.25 Workload • No of persons – LESS or no skilled person/staff – Too much prescription load – Time of the day – Not usual dispenser – Poor relationship with overall job Embed Size (px) Start on Show related SlideShares at end WordPress Shortcode Link Medication errors 13,421 views Share Like Download jjoneslocklear Follow 0 0 0 Published on Sep 16, 2011 Deepak Singla , Senior Consultant & Co-ordinator, Department Of Paediatrics.
User input error Pharmacy review is part of the process. They found that 64% were preventable. NCC MERP • The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) is an independent body comprised of 27 national organizations. • In 1995, USP spearheaded the formation Barker & McConnell --1962 – ‘The administration of the wrong medication, drug, diagnostic agent, chemical or treatment requiring the use of such agents, to the wrong patient or at the wrong
Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use." Medication Errors
Wrong preparation of a dose; 9. MEDICATION ERROR PREPARED BY :D.MARYLINE FLINSI RN RM MN[Pediatrics] 2.