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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.
From the perspective of the Joint Commission (JTC) patient involvement is essential in the medication reconciliation process. It is quite possible that the state of the patient is such that active and full participation by the patient in this process is not possible. In such cases the patient may seek assistance from another individual, like a family member or surrogate decision maker, in the medical reconciliation process. In any case an essential ingredient of the medical reconciliation process is that it should be a part of every interface of care provided, from the time the patient is admitted to the time the patient is discharged from care (2006).
The JTC defines medication reconciliation process as “the process of comparing a patient’s medication orders to all of the medications that the patient has been taking.” It is mandatory at every point of transition of care, as there is the likelihood of fresh medication orders. The process consists of five steps, which are compilation of the current list of medications; creation of a list of medications that could be prescribed; making a comparison of the two lists created; taking of clinical decisions on the basis of the results of the comparison; and disseminating the information of the new list of medications to the patient and the care givers of the patient (2006).
An accurate and full medical reconciliation process can prevent the occurrence of medication prescribing and administration errors. In the opinion of
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Summary Medication errors are the most frequently occurring medical errors. Adverse events for patients occur as a result, and yet these errors are preventable. In comparison to all segments of population the potential harm from medication errors is higher in the pediatric population segment in comparison to the adult population Evidence from studies demonstrate that the pediatric population is at three times a higher risk than the adult population.
The improvement of health among patients is increasingly growing to become a basic fundamental human right of all people. For this reason, when people visit the hospital, they expect nothing more than the improvement of their health. Sadly though, it is not always that this noble aim gets achieved.
These include illegibly written prescriptions, dispensing errors, calculation errors, etc. Among the above cited errors, some of the errors are considered to be most crucial and they have considerable impact on the patients, for example, the monitoring errors and the administering errors.
This paper is going to evaluate in details the relationship between staffing shortages and medication errors. Staffing shortages and medication errors Introduction With the passing of years, the nursing industry has experienced a shortage in the number of registered nurses willing to work in the industry.
Most of the nursing medical errors occur when wrong prescriptions are made. When such errors are made, the government and the patients are the most affected. The former for instance may be asked to pay patients who have been victims of medical errors. On the other hand, patients’ health may either get worse or lead to uncalled for deaths.
The author explains that nurses are prone to commit an error in medicine administration, especially during the process of transcribing and administering. Nurses are usually assigned to copy the doctor’s prescription for the handing out of the correct dosage.
error refers to any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer (Aspden & Institute of Medicine, 2006). Such events may be related to
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
This is a worrying trend that needs immediate attention if the health facility is to meet its objectives. In order to get back on the right track, the board needs to take drastic measures to remedy the situation. One such measure is to improve communication among the nurses, other employees, and the board.
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