Sentinel Event Alert/Medication Reconciliation to Prevent Errors - Research Paper Example

Comments (1) Cite this document
The process of medication reconciliation consists of listing and comparing all medication orders of as patient every time a patient is…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER91.1% of users find it useful
Sentinel Event Alert/Medication Reconciliation to Prevent Errors
Read TextPreview

Extract of sample "Sentinel Event Alert/Medication Reconciliation to Prevent Errors"

Download file to see previous pages 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 ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Sentinel Event Alert/Medication Reconciliation to Prevent Errors Research Paper”, n.d.)
Retrieved from
(Sentinel Event Alert/Medication Reconciliation to Prevent Errors Research Paper)
“Sentinel Event Alert/Medication Reconciliation to Prevent Errors Research Paper”, n.d.
  • Cited: 0 times
Comments (1)
Click to create a comment or rate a document
haagemmie added comment 4 months ago
Student rated this paper as
This research paper was always my weak point. I could never finish it well. Still, after I found this precise document, I understood how it should be done. So, I performed my research afterward and completed the research paper in several hours, instead of days as it was previously.

CHECK THESE SAMPLES OF Sentinel Event Alert/Medication Reconciliation to Prevent Errors

Sentinel Event Alert Paper: Preventing Pediatric Medication Errors

...? Sentinel Event Alert Paper: Preventing Pediatric Medication Errors Introduction The Joint Commission Sentinel Event Alert, Issue 39, 2008, pertainsto 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. Summary Medication errors are the most frequently occurring medical errors. Adverse events...
3 Pages(750 words)Research Paper

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 a proper sense. This is more so because most drug administration errors are recorded mostly in inpatient hospital settings. There is not much recording and relevance given to medication errors that occur in other settings like outpatient clinics, nursing homes, ambulatory surgical centers, and home health care. However, there are indications of this from the figures of 3 to 50 adverse drug events for every thousand patients in outpatient settings. Yet another fact that tends to reduce the incidence of drug administration errors and the involvement of nursing professionals is that recording of medication errors...
5 Pages(1250 words)Essay


...administered incorrectly should be placed on high alert. More caution should be taken when prescribing these drugs and they should be double checked with higher caution. Information technology can also be used to try and prevent the number of medication errors. Bar medication administration has also been introduced to reduce the amount of medication errors (Doyle, 2011). Though research on this technology is very limited, it shows great potential in revolutionizing the process of drug therapy. Errors in administration of drugs have been found to have the second highest incident among...
3 Pages(750 words)Essay

Medication Errors a nurse that he or she is allergic to various medication and in the event the nurse prescribes to the patient a medicine that would trigger an allergic reaction, a case of medication errors arises (Lan et al, 2014). Environmental factors also make nurses make medication errors. A nurse is likely to make a mistake in administering medication in working environments that are not conducive. There are high chances that a nurse working in a cluttered environment will make a medication error when administering or preparing drugs. If a nurse is preparing a drug in a poorly lit place, he or...
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/Medication Reconciliation to Prevent Errors for FREE!

Contact Us