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Chapter 7 - Medication Errors and Risk Reduction
Terms in this set (13)
At what stages can medication error occur?
assessing, diagnosing, planning, implementing, evaluation
What are Healthcare Provider Factors
Contributing to Medication
Failing to take into account for patient variables such as age, body size, and renal or hepatic function; Giving medications based on verbal
orders or phone orders
What are Patient/Caregiver Factors Contributing to Medication Errors?
Taking drugs prescribed by several practitioners; Taking medications incorrectly; Taking medications that may be left over from a previous illness
Common impacts of medication errors?
Common cause of morbidity and preventable death in hospitals (98,000 people a year), Increased cost to patient and facility, as it may extend patient's stay
When reporting and documenting errors, what must be documented in the medical record to protect the health care staff?
must include specific nursing interventions implemented after the error to protect the patient; Document all individuals notified of error; Give details of what medication was given or omitted in medication- administration record (MAR)
How must the information of an error be recorded in an incident report?
factual and objective manner; Allows nurse to identify factors contributing to the error; not part of patient's hospital record; Used by agency's risk management personnel for quality improvement
What are sentinel events?
different level: something really bad happens: serious problems occur bc of result of error; Unexpected occurrences involving death or serious physical or psychological injury, or risk thereof; always investigated; Root cause analysis (RCA) seeks to prevent another occurrence by asking what happened and why, and what can be done to prevent it
What should a nurse know about drug errors?
should know most frequent types of drug errors and severities of reaction; never administer a medication unless familiar with uses and side effects—digital devices now help with this
What is the FDA medwatch?
Allows health care providers and the public to report errors anonymously; Provides up-to-date clinical information about safety issues involving medical products
What is the Institute for Safe Medication Practices (ISMP)?
reviews all medication error reports
What is medication reconciliation?
The process of tracking a patient's medications as they proceed from one health care provider to another; very important for polypharmacy
What is polypharmacy?
patients (mainly older adults) receiving multiple prescriptions that may have conflicting pharmacologic actions
What are some methods to reduce number of medication errors?
Electronic health records (EHRs) and e-prescriptions; Barcode-assisted medication administration (BCMA) to verify and document medication administration at point of care; Root-cause analysis (RCA)
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