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Medication Error Ppt Presentation

Contents

Missing doses Missing doses Dispensing a smaller quantity of medication to that prescribed. SOURCES OF MEDICATION ERROR • Inaccurate recording and transcribing orders. • Unclear or erroneous labeling of drugs • Misidentification of client • Incomplete delivery of drugs • Verification errors • Use Workload and environmental factors in hospital medication errors. If you continue browsing the site, you agree to the use of cookies on this website. navigate here

More medication errors can occur during the day??? Continue … • Transcribing medication orders is when someone transfers a physician's prescription order to a medication administration record. • The transcription of the prescription is the second most important step If you continue browsing the site, you agree to the use of cookies on this website. This is to legally protect the health care professional and institution. • The institution use incident report to track incident pattern and to initiate quality, improvement programs as needed. • It http://www.slideshare.net/maryline1979/medication-error-25474916

Medication Error Ppt Presentation

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.

See our Privacy Policy and User Agreement for details. Powerpoint Presentation Medication Administration Nurses Noise • Certain types of noise and sounds have been found to reduce the occurrence of dispensing error. Reason of the University of Manchester, and has since gained widespread acceptance. 21. • Reason hypothesized that most accidents can be traced to one or more of four failure domains: organizational Neither can we!!! 9. 9 Always use leading zeros for decimal points.

Powerpoint Presentation Lecture Of Medication Errors

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)

  • Do not start a patient on a new medication by borrowing medications from another patient
  • Doing so bypasses the double check provided by the pharmacist’s review http://divxpl.net/medication-error/medication-error-what-to-do-after.html Selected Elements of the Medication Use System
    • Communication
    • Labeling, packaging, and naming
    • Administering medications (dose calculation, timing, programming of infusion devices, etc.)
    • Monitoring drug levels and therapeutic or nontherapeutic responses
    • Thorough Medication errors may also be classified according to where they occur in the medication use cycle, i.e. ERRORS When actions are intended but not performed MISTAKES Errors in planning actions SKILL-BASED ERRORS (slips and lapses) Errors in executing correctly planned actions 1Knowledge- based errors 2. Medication Errors Pdf

      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.

      Booker JM.

      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

      • Quickly, sloppily written orders historically have been a source of medication errors
      • Even orders viewed on a computer screen or printed out can be misread
      • Some orders lack Am J Hosp Pharm. 1990;47(3):555-71. 18. • But James Reason developed a well recognized system for human error classification based on observation from industries that have become reliable. 19. CLASSIFICATION OF MEDICATION ERROR The medication error may be classified in to mistakes, slips, or lapses. Medication Error A preventable event that leads to inappropriate medication use or patient harm. 3.

        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

        • Most medication errors do not result in patient harm
        • Some medication errors result in catastrophic harm or death
        • High risk with High Alert Drugs — highly toxic drugs or Clear the concept • Transposition errors are commonly mistaken for transcription errors, but they should not be confused. • Transposition errors occur when characters have “transposed”—that is, they have switched places. NCC MERP Index for Categorizing Medication Errors Algorithm 87.

          Wrong preparation of a dose; 9. MEDICATION ERROR PREPARED BY :D.MARYLINE FLINSI RN RM MN[Pediatrics] 2.