Proposal for preventing medication errors
Medication error rates decreased for patients in the surgical unit but increased for patients in the cardiothoracic unit; neither difference was statistically significant Schwarz and Brodowy, Participation in the self-medication program did not increase the proportion of patients who were able to self-medicate on discharge from the hospital.
A randomized controlled trial evaluated a continuous quality improvement initiative designed to increase the use of preoperative beta-blockers in patients undergoing coronary artery bypass graft surgery Ferguson et al.
Based on data prior to the passage of OBRA, Beers and colleagues reported that of those residents of 12 Massachusetts nursing homes receiving benzodiazepines, 30 percent were taking a long-acting agent, a category that had been associated with increased sedation, falls, and other adverse events.
Although none of these approaches have been specifically evaluated in the ED, they are potentially applicable in any health care setting. Every medication error that goes unreported represents an error that will continue to be replicated and continue to put patients at risk.
Having an insufficient knowledge base pertaining to medication use has been noted as a common root cause of medication-prescribing errors.
As with any technological intervention, it is only as good as its design and programming. Only the ratio of licensed nurses to residents was associated with improvement in medication appropriateness.
Utilization of a verbal process at this stage can turn even a correct order into a medication error if it is misunderstood or misinterpreted.
Preventing medical errors for clinical health professionals
Confirmation that the product and strength at the point of drug retrieval is accurate should occur and be repeated at the point of administration. The package design should protect the consumer against incorrect use. This is an area where advocacy and education regarding medication-error reporting and care improvement can also have a profound impact. Using publications and national datasets, Kidder determined that following OBRA, national rates of anti-anxiety drug use increased slightly from The outcome variables measured included, 1 knowledge of medication-administration procedures assessed by tests, 2 behaviors reflecting recommended medication practices assessed by surveys, and 3 medication-administration errors, identified via chart review and voluntary error reports. Preventing Medication Errors. They also found that errors of wrong formulation, allergy, drug—drug interaction, and rule violations were eliminated. A randomized control trial in a cardiac surgical ICU tested the efficacy of smart IV infusion pumps incorporating an integrated decision-support system —the intervention period. Footnotes Ethical approval: Not necessary.
Some of these strategies include medication-error analysis, computerized provider-order entry systems, automated dispensing cabinets, bar-coding systems, medication reconciliation, standardizing medication-use processes, education, and emergency-medicine clinical pharmacists.
Ideally, this reconciliation should occur on entry to the institution and at every transition-of-care point, including changes in setting, service, practitioner, or care level.
Quality improvement tools for medication errors
Education of Nurses and Physician Staff In an intervention aimed at reducing the use of psychotropic medications in nursing homes, six matched pairs of nursing homes were randomly assigned to an educational program in geriatric psychopharmacology for physicians, nurses, and aids or to a no-treatment control group. Computerized provider-order entry systems CPOE systems seek to eliminate errors resulting from handwritten and verbal orders by having providers enter medication orders directly into the computer system. Adherence, however, was improved by the program. The intervention group schedule was designed to eliminate extended work shifts and reduced the number of hours worked per week. Safety checklists may help to eliminate this type of error and staffs are encouraged to stick to the 3 checks prescription, drug and patient 5 rights time, drug, dose, route and patient principle. The first compared a computerized antibiotic selection consultant with physician antibiotic selection Evans et al. Some institutions have documented success in improving processes and reducing medication errors through the use of Lean Sigma methodology. Preventable ADEs declined by 17 percent, but this was not statistically significant Bates et al. Here are some drug safety tips: Know the various risks and causes for medication errors.
There were documented interventions recommended by the pharmacist during the rounding process, 98 percent of which were accepted by the team.
based on 39 review