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Applications of Health Data
Published in Disa Lee Choun, Anca Petre, Digital Health and Patient Data, 2023
Medication management is complex, involving multiple people and numerous steps. Medication errors are mistakes either in the prescribing, dispensing, or administration of medicinal products. The most common (although preventable) errors are wrong drugs, method of administration, dose, and treatment to the wrong patient.
Medications
Published in Henry J. Woodford, Essential Geriatrics, 2022
Harm caused by medication is referred to as an adverse drug event, which includes medication errors, adverse drug reactions, allergic reactions and overdoses. Medication errors can occur across the spectrum of prescribing, dispensing, administration and monitoring. They are a source of preventable harm. It is estimated that 66 million potentially clinically significant medication errors occur in England alone each year.95 Care homes tend to have high rates of medication errors.96
The administration of medicines to children
Published in Evelyne Jacqz-Aigrain, Imti Choonara, Paediatric Clinical Pharmacology, 2021
Evelyne Jacqz-Aigrain, Imti Choonara
There is a plethora of terms and definitions surrounding the topic of medication errors in the literature. One popular definition was developed by the National Co-ordinating Committee for Medication Error Reporting Programmes (NCCMERP) in the USA [9]. A medication error is defined as “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. Such events may be related to professional practice, health care products, procedures, and systems including: prescribing; order communication; product labelling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use.”
Content analysis of nurses’ reflections on medication errors in a regional hospital
Published in Contemporary Nurse, 2023
Anton Isaacs, Anita Raymond, Bethany Kent
While nurses are responsible for using their knowledge and skills in preventing medication errors by following the ‘Rights’ protocols (Jones & Treiber, 2010) when administering medications, managements are responsible for ensuring that nurses are allowed a working environment that is conducive for error-free medication administration. To achieve this working environment, managements need to ensure that the workload is manageable, so that nurses can complete their tasks without having to rush or get distracted by other events. These two factors are inextricably linked. On the one hand, nurses might be unable to judiciously follow the ‘Rights’ protocol if they are rushed. On the other hand, the most conducive working environment may not prevent administration errors if nurses do not have the knowledge and skills for proper medication administration.
Exploring antecedents and consequences of care coordinated pathways using organization routines
Published in International Journal of Healthcare Management, 2021
Gyan Prakash, Shefali Srivastava
Healthcare systems across the world are adopting patient-centric approaches to enhance the overall responsiveness of their service delivery. Patient-centricity underscores issues such as patient safety and quality of care. Medical errors are a major cause of death after heart disease, cancers, stroke, lung diseases and involve 44,000–98,000 preventable deaths each year [1]. Around 1.5 million patients receive various forms of injuries on account of medication errors. A medication error is defined as any preventable event related to professional practice, procedures, and systems, including prescribing, communication, etc. that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer [2]. World Health Organization (WHO) stresses on patient safety-related policies which are achieved through internal coordination of service delivery processes [3]. Quality of healthcare lays importance to patients’ needs, preferences, values, and continuity of care.
Steroid variability in pediatric inpatient asthmatics: survey on provider preferences of dexamethasone versus prednisone
Published in Journal of Asthma, 2020
Jillian M. Cotter, Amy Tyler, Jennifer Reese, Sonja Ziniel, Monica J. Federico, William C. Anderson III, Oren Kupfer, Stanley J. Szefler, Gwendolyn Kerby, Heather E. Hoch
Finally, this survey identified the potential for errors in medication dosing. Almost a third of respondents selected an incorrect dosing interval in our case scenarios. Providers may not be used to switching between steroid types, especially dexamethasone and prednisone which have different half-lives and dosing intervals. This may lead to medication errors that could cause patient harm. Several studies have shown that variability in care could contribute to medication errors, and standardization efforts such as computerized physician order sets, may increase uniformity and reduce medication errors (21,22). Once an institution has decided which steroid(s) to use, creating order sets or updating existing order sets to reflect the recommended steroid courses could help reduce the risk of medical errors. After reviewing the results of this survey, relevant stakeholders were convened, and a systemic steroid clinical care guideline and computerized order set for inpatient steroid management were created in order to minimize variability in practice.