Nobody downloaded yet

Sentinel Event Alert : Preventing Pediatric Medication Errors - Research Paper Example

Comments (0) Cite this document
Sentinel Event Alert Paper: Preventing Pediatric Medication Errors Introduction The Joint Commission Sentinel Event Alert, Issue 39, 2008, pertains to pediatric medication errors and the risk mitigation strategies. This paper summarizes the content of the sentinel alert and its relation to the actual practical experience in the care of patients…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.9% of users find it useful
Sentinel Event Alert Paper: Preventing Pediatric Medication Errors
Read TextPreview

Extract of sample "Sentinel Event Alert : Preventing Pediatric Medication Errors"

Download file to see previous pages Hence reducing medication errors in the pediatric segment of the population is the challenge posed to healthcare service providers, particularly when medication errors among pediatric patients are preventable (The Joint Commission, 2008). Evaluation of why children are more prone to medication errors shows that there are several reasons. Several of the medications used in the treatment of children have been actually formulated and packed for adult use, and hence dilutions in concentrations are essential to make them suitable for use on children. For instance, conversion of adult based dosage medications to child dosages requires good mathematical calculation skills. The health care settings are based on adult care needs, and therefore deficient in training and skills required in the care of children. Organic functions like renal functions, hepatic functions, and immune functions are still in the development stage for children, which make them less physiologically tolerant to higher dosages of medications through medication errors. Finally, there is the aspect of communication, where young children are unable to communicate effectively regarding any affects the experience from adverse effects caused by the medications given to them (The Joint Commission, 2008). The risk mitigation strategies for medication errors to children involve strategies that are specific to pediatric patients. The Joint commission recommends three such strategies in a broad sense. The first strategy is to standardize and identify medications efficiently, which also includes the processes involved in drug administration. The second strategy is the involvement of pharmacy staff and other appropriate staff in overseeing medication management to children. The final strategy involves the judicious use of new and evolving technology on pediatric patients (The Joint Commission, 2008). There are additional recommendations of the Joint Commission to reduce the risk of exposure of children to medication errors. Weight is the basis for most dosage calculations and hence pediatric patients have to be weighed at the time of admission or at the earliest. Kilogram is to be used the unit of weight, and no high risk drug to be given till the weight has been taken. Inpatient and outpatient pediatric medication prescriptions have to carry the calculated dose and the manner in which the dosing has been determined. To the maximum extent possible medications given to pediatric patients have to be restricted to pediatric-specific formulations and concentrations. There should be clear differentiation between such pediatric-specific formulations and adult formulations repackaged for pediatric use. Comprehensive and continuous training programs in pediatric medications for the appropriate healthcare staff. Verbal and written communication on medications for children is to be provided to the children and the care givers, which will include any possible side effects. Pharmacist with adequate expertise on pediatric medications is to be available all the time. Medication procedures are to be put in place that also consists of pediatric medication prescribing and administration procedures (The Joint Commission, 2008). Clinical Practice Observations Smart infusion pumps are ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Sentinel Event Alert Paper: Preventing Pediatric Medication Errors Research Paper”, n.d.)
Retrieved from
(Sentinel Event Alert Paper: Preventing Pediatric Medication Errors Research Paper)
“Sentinel Event Alert Paper: Preventing Pediatric Medication Errors Research Paper”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Sentinel Event Alert Paper: Preventing Pediatric Medication Errors

Medication Errors

..., where many patients die or suffer preventable disabilities. W. H. O states that these are conservative approximations, which only show a small percentage of the whole problem. The high, life threatening risk associated with improper medical care is evidence that elicits a global solution to address the issue of patient safety, not only in these adversely affected areas, but on a global scale. A large number of harmful healthcare related events result from various types of medical errors. The Institute of Medicine (IOM) categorizes medical errors into various categories including diagnostic errors,...
6 Pages(1500 words)Essay

Medication errors

...process where medical errors can occur right from diagnosing the patient to the point where treatment is prescribed and administered by the relevant parties. Among these instances include documentation, dispensing, administering and monitoring a majority of which are carried out by nurses. This places a large responsibility on their hands and explains why medication errors and the safety of the patients lie at the core of being a nurse. The roles medical practitioners play in the occurrence of medical errors clearly cannot be overruled and it therefore goes without say, clear guidelines and procedures will go a long way...
4 Pages(1000 words)Essay


...the occurrence of these errors on a national level, and assist the authorities in formulating the appropriate preventative measures. Voluntary reporting systems have been created by organizations such as the Institute of Safe Medical Practice Canada (ISMP Canada) and results have shown that these systems can help reduce the number of mistakes in medication from human error (David, n.d). Medication error reports are reviewed by the Division of Medication Error Prevention and Analysis (DMEPA) (US Food and Drug Administration, n.d). It includes a prevention...
3 Pages(750 words)Essay

Medication errors

...should not be attributed to carelessness or lack of common sense, but to the failure of the organizational process to prevent them and the growing complexity the health care system. Hence, the author avers that hospital administration should now closely and thoroughly identify and explore the roots of error in the health care institution, and adopt suitable measures to resolve the problem. Due to the important part that nurses fulfill in medicine administration, any of the causes of error could be encountered and lead to the nurse being blamed for having committed an error in the administration of medications. The article by the Nursing Standard (2013)...
3 Pages(750 words)Research Paper

Medication errors (2006). Systematic Review of Medication Errors in Pediatric Patients. The Annals of Pharmacotherapy, 40 (10), 1766-1776. Hughes, R. G. & Ortiz, E. (2005), Medication Errors: Why they happen, and how they can be prevented. Journal of infusion nursing, 28 (2): 14-24. Maricle, K., Whitehead, L. & Rhodes, M. (2007). Examining Medication Errors in a Tertiary Hospital. Journal of Nursing Care Quality, 22, (1), 20-27. Pape, M. Tess. Et al. (2005). Innovative Approaches to Reducing Nurses’ Distraction During Medication Administration. The Journal of Continuing Education in Nursing, 36 (3),...
5 Pages(1250 words)Essay

Sentinel Event Alert/Medication Reconciliation to Prevent Errors

...are constituted and followed within healthcare organizations. Medical Reconciliation to Prevent Errors The Joint Commission Sentinel Event Alert, Issue 35, 2006, pertains to the use of medication reconciliation in the prevention of medication errors. This paper summarizes the content of the sentinel alert and its relation to the actual practical experience in the care of patients. Included in this paper are my observations of these issues and the practices put in place at Yale New Haven Hospital....
3 Pages(750 words)Research Paper


...Medications Errors Sociology This paper analyzes the measures nurses can take to prevent medication errors. With new technology such as bar code administering and computer based prescription; nurses can reduce the number of errors by misinterpretation of abbreviations or poor handwriting. The double check method also allows nurses to ensure the drug being administered coheres with the disease of the patient. They can also verify the doses of the drugs. Report systems are a very convenient method for nurses to report their errors more efficiently. This data can be analyzed and used to...
3 Pages(750 words)Essay

Medication Errors

...Medication errors Introduction Just like any other profession, workers in the nursing profession are faced with different problems that hinder smooth operation (Cohen, 2007). These problems do not only affect the nurses but also the patients, hospital administration and students pursuing nursing course in school. This paper investigates one problem that practitioners encounter in the nursing profession. One of the main duties that nurses have is administering of medication to patients, which is a pretty complex and multistep process. Administering of medication entails things such as transcribing, prescription, administering, dispensing and observing...
2 Pages(500 words)Research Paper

Medication errors

...Question What changes or patterns do you see in the data? What remedies might be suggested for any Problems? The data in the table indicates a worsening trend in all the parameters examined for both quality or performance and patient satisfaction measures. Medication errors, for instance rose from 3.20% to 10.42%, while x-ray discrepancies went up from 0.15% to 0.21%. Patients levels of satisfaction in the overall service provided also went down from 40.52 to 20.74%. This is a worrying trend that needs immediate attention if the health facility is to meet its objectives. In order to get back to the right track, the board needs to take drastic measures to remedy the situation. One such measure is to...
2 Pages(500 words)Assignment

Medication Errors

...Medication Errors Introduction In nursing, and indeed the healthcare system in general, preserving and promoting human health stands out as the main goals. With this regard, patient safety critically affects the ability to maintain the quality of healthcare services. To raise patient safety, then medication errors have to be kept on the minimum. This paper reviews the significance of medication errors in nursing, specifically incorporating it to the ER nursing and how I would gain requisite knowledge to overcome the associated barriers. Significance Medication errors risk harming patients and their families. According to the US Food and Drug Administration, FDA (2013), medication error refers to a preventable event that causes... the trend...
5 Pages(1250 words)Term Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Research Paper on topic Sentinel Event Alert Paper: Preventing Pediatric Medication Errors for FREE!

Contact Us