Reflection on practice development a reflection on a project to introduce self-‐medication on an acute medication errors are. The medication due is pantoprazole 40mg iv bd so i did the usual medication check and took the equipment i need and put it inside the kidney dish without me noticing i mistakenly took a10ml vial of water for injection instead of nacl. Annonymous reporting of drug-related errors: application of a modified secondary care model in a community pharmacy setting the pharmaceutical journal vol268 pp 101-103. And state records show that minnesota routinely reports about five to six medication errors each year in hospitals statewide that result in patient deaths or severe disabilities.
Australian journal of advanced nursing 2006 volume 23 number 333 abstract objective: this paper surveys current literature related to medication administration errors, the role of nurses. Daily news focus exclusive: prison nurse calls for more positive view of the sector prison nurses are viewed as either brave or stupid by staff in other sectors, according to a senior nurse who has called for more work to bust myths and promote the many positive aspects of this challenging yet rewarding role. Medication errors may occur at any point in the health care system obtaining a true estimate of the number of errors is difficult, but preventable medication errors are known to increase patient harm and total health care costs 1 this series will highlight some of the most important errors and address methods to decrease the risk of them occurring.
Reflection is a process of thinking critically in a situation and a key to learning from experiences (jarris et al, 2012) the skill i have chosen for reflection in the administration of intramuscular injection. Nurses should also double check routine medication order as well as prn dose thoroughly before administrating of medication to prevent medication errors as well as to deliver the quality of care to patients. Objective to measure the frequency, type and severity of intravenous administration errors in hospitals and the associations between errors, procedural failures and nurse experience.
This reflection is divided into two parts: the importance of critical reflection and an evaluation of self the first part will be drawing upon through the appropriate literature, and there are four points to prove the importance of critical reflection in personal development. Medication errors strike at the heart of being a nurse-the responsibility to do good and avoid harm medication errors have serious direct and indirect results, and are usually the consequence of breakdowns in a system of care. Medication errors are a leading cause of mortality in the united states 1 dispensing errors account for ~21% of all medication errors 2 in addition to causing serious morbidity and mortality, dispensing errors increase the economic burden on society by adding to health care costs. Have you ever made a drug error write a reflection on what you have learned and how you could use this information in clinical practice, to store in your. Background medication errors (mes) are probably the most common type of patient safety incidents worldwide and cause harm to patients, distress to medical staff and costs to the health.
Medication errors policy version 20 october 2015 46 reflection of the incident 12 47 drug calculation tests 12 48 assessment of competency 13. Always the goal of treatment by using drugs is to giving the patient the best therapeutic benefit and improve the patient's life as well as to cut the possibility exposing the patient to some of the dangers resulting from the use of some drugs and commit errors that associated to treatment with drugs may occur from all the medical team members from doctors, pharmacists, nurses, technicians. Exploring medication errors and doctors' and nurses' perceptions of them in the paediatric intensive care unit (picu) by joanne johnston a thesis submitted in partial fulfilment for the requirements for the. Bioethics proposes carrying out a complex, interdisciplinary, and shared reflection on the adequacy of the actions involved in life and living 2 thus, reflection on the possibility of occurrence and damage resulting from medication errors, as well as methods for identification and assessment, should include a broad perspective of the issues.
Are you familiar with strategies used in healthcare facilities to prevent medication errors if so, please describe the strategies students complete a written reflection while in the room with the instructor and small group and are encouraged to share what they learned and how they felt in the remediation and reflection. Conclusion medication errors can only be prevented and reduced by focusing on the system as a whole, not on the individual clinician or nurse a national critical incident and near miss reporting database which ensures the whole haematology community learns lessons about latent conditions and active errors is essential. The importance of reflection to reduce diagnostic errors in medicine has been supported in the literature however, in pharmaceutical care, reflection has also only been discussed to a limited extent.
With the medication scene, they emphasize the difficulties of finding the right medication because the patient has to go through many trial and errors however, the patients found the right solution to recover and. #1 errors with medication handing out the wrong medication to a patient, dispensing an incorrect dosage of medication, or giving a prescription to the wrong patient are some of the errors in this category that might even prove to be fatal to your patients. Many drug administration errors are errors of omission but also include failure to check patient identity, incorrect administration technique and administration of a wrong or expired drug (williams, 2007 . Medication errors remain one of the most common causes of unintended harm to patients they contribute to adverse events that compromise patient safety and result in a large financial burden to the health service the prevention of medication errors, which can happen at every stage of the medication.