Even though errors form part of every practice, majority of errors are a direct result of complex processes which are preventable. The error in medicine has been described as “the failure of the planned action to be…
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Active errors assume different forms including lapses; this involves failures in memory that prevents the planned actions from being implemented. Slips; this involves performing a familiar action in a wrong away. Mistakes; are refereed to as a trend of reasoning leading to wrong outcome of choices. Latent conditions refer to systemic properties that result to errors. They may include system interfaces and management practices. It is summarized by the descriptions of Don Berwick that “every system is perfectly designed to achieve exactly the results it gets.”
The nature of today’s primary care and frenetic pace of management in care within medical practices have made the probabilities of errors to become great. The Robert Graham Policy Centre has come up with a patient safety model called “toxic cascades.” It describes how small unnoticed errors can add up to become torrents. Research studies on office-based errors in primary care have been found to be of different categories. It shows that communication problems results into 24% of the errors, 20% are caused by discontinuity of care, 13% are as a result of missing charts, 19% from lab results, 8% are caused by clinical mistake, 8% resulted from prescribing errors, and the other 8% by other errors.
The study revealed that medical errors are by and large a result of latent conditions and not active failure as had been believed. The medical infrastructure has become fragile and the risk adverse outcomes has gone low, despite the fact that delayed care, patient dissatisfaction, and worsening illness are still very common concerns in medical practices. Studies on error in health care by the National Patient Safety Foundation (NPSF’s) have led to the conclusion that “the ambulatory inpatient dichotomy is a false one. We have to think about populations and their continuum of care.” (Brennan, 2000).
Turnbull the executive director of NPSF’s has put
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The technicality, complexity and the chaotic working atmosphere of nurses make nurses more amenable to medication errors. Nurses are taught that administration of medication is an individual responsibility and that the blame for administering wrong medication is on the individual who has administered the drug.
These standards could be used to determine whether a legal lawsuit is applicable against any nurse on receiving complaints of negligence. The Nurse Practice Act constitutes the legislative law leading nursing practice in the US and the board meets regularly acting on all disciplinary measures related to nursing (Masters, 2009, pp.247-255).
This essay discusses the problem of medical errors on a specific example from the author's life. The author tells what actually happened and what he had to do. He also describes the conclusions that he made from this situation.
Medication errors are also errors which are made but corrected before actually reaching the patient. Studies suggest a number of factors which promote positive nursing environments and reduce adverse patients events such as medication errors. Studies also suggest a link between nursing staffing levels and the frequency of intercepted medication errors (Sleinitz, Heyde, & Kloft, 2012).
The specific causes of medication errors are: active failures, error-provoking conditions, and latent circumstances. The solutions provided respond to problems that occur at individual, team, and organizational levels. These solutions aim for immediate and long-term changes in how healthcare professionals see and execute the medication process.
The administration of medication on patients is one of the most sensitive responsibilities of the nurses. As much as 44,000 – 98,000 Americans die due to adverse drug reactions caused by medical administration errors. A total of 426 medication-related malpractice cases were submitted to the court against the registered nurses who administer wrong medications to the patients in the United States.
In this practice, the safety committee and the quality manager (QM) of any healthcare institution focus on becoming a source of medical safety or error reduction expertise.
An example of patient practice that relates to
s medication error as any wrongful or incorrect administration of medication, such as failure to administer or prescribe the appropriate drug, failure to observe the appropriate time of administrating medication, lack or inadequate awareness of adverse effects of particular drug
It is not probable to intercept most administration errors. However, with the recent advancements being witnessed in electronic medication, it is now possible to minimize medication errors during the administration
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