Medication Error
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A brief presentation on medication error, that presented by Peywend Ebdulla. University of sulaimani/ College of Nursing
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Medication error
Medication errors can occur during prescribing, dispensing, or administration of drugs and include errors like using the wrong drug, wrong dose, or wrong route of administration. Common causes of errors include illegible handwriting, look-alike or sound-alike drug names, distractions, and lack of concentration. Types of errors include prescribing errors, dispensing errors, and administration errors. Reducing errors requires strategies like electronic prescribing, minimizing interruptions during drug administration, verifying patient identity, and ensuring the right drug is given to the right patient at the right time. When errors occur, they must be reported so the safety of the patient can be ensured and steps can be taken to prevent future errors.
Medication error
This document discusses medication errors, which are preventable events that can cause inappropriate medication use or harm to a patient. It defines medication errors based on definitions from the American Society of Health-System Pharmacists and the National Coordinating Committee on Medication Error Reporting and Prevention. Common types of medication errors include prescribing errors, dispensing errors, administration errors, and compliance errors. The document also discusses causes of medication errors and strategies to prevent errors, including standardized ordering processes, double checks, limiting abbreviations, and use of computerized prescriber order entry systems.
Medication error
1. 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 under the control of a healthcare professional, patient, or consumer.
2. Medication errors can occur at various stages including prescribing, transcribing, dispensing, administration, and monitoring of medication. Common causes include distractions, lack of knowledge, incomplete patient information, and systemic issues.
3. When a medication error occurs, the patient's safety is the top priority and the error must be reported according to the institution's policies to help prevent future errors.
Medication error presentation
The document discusses medication errors, including their definition, causes, and stages. Medication errors can occur at several points including ordering, dispensing, administration, and monitoring. They may be caused by issues like poor communication, look-alike or sound-alike drug names, distractions, and fatigue. To reduce errors, the document recommends always double checking medications against the 5 rights and not assuming others have already caught any mistakes.
Medication error
Here are the key steps I would take:
1. Return to Mrs. Veena immediately to inform her of the error and assess for any allergic reaction symptoms. Her safety is the top priority.
2. Notify the physician right away about the error so they can determine the appropriate treatment and monitoring plan for Mrs. Veena.
3. Fill out an incident report per hospital policy documenting exactly what occurred, the medications involved, actions taken, patient assessment and outcome.
4. Review the situation to understand what factors may have contributed to the error so I can learn and help prevent similar mistakes going forward. Proper documentation and reporting of all errors is important for quality improvement.
5. Apologize to
Medication error
The document discusses various types and causes of medication errors that can occur in healthcare settings. It identifies human factors, systems issues, abbreviations, verbal orders, look-alike and sound-alike drug names, and dosage calculation errors as common contributing factors. Specific examples of errors of commission, omission, unauthorized drug administration, and improper dosing are provided. The rights of medication administration and strategies for prevention of errors are also outlined.
Medication errors
Medication errors are preventable events that can lead to inappropriate medication use or patient harm. While most errors do not cause harm, some can result in catastrophic outcomes or death. Common causes of errors include poor communication, look-alike and sound-alike drug names, dose miscalculations, and human factors like distractions. Nurses can help prevent errors by clarifying any unclear orders, confirming unusual doses, double checking high alert medications, and thoroughly educating patients about their medications. Reporting all errors can help identify system weaknesses and improve safety.
Dispensing errors and Its Prevention
This document discusses ways to prevent dispensing errors in pharmacies. It begins by providing dispensing error rates and examples of common errors like incorrect medications or dosages. Environmental factors that can cause errors like distractions, workload, and poor storage are described. The roles of mistakes versus slips and omission versus commission errors are defined. Methods to reduce errors through better organization, labeling, counseling, verification processes and limiting distractions are recommended. Computerized systems can help but also introduce new risks. The importance of education and communication are emphasized for minimizing dispensing inaccuracies.
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Medication error
Medication errors can occur during prescribing, dispensing, or administration of drugs and include errors like using the wrong drug, wrong dose, or wrong route of administration. Common causes of errors include illegible handwriting, look-alike or sound-alike drug names, distractions, and lack of concentration. Types of errors include prescribing errors, dispensing errors, and administration errors. Reducing errors requires strategies like electronic prescribing, minimizing interruptions during drug administration, verifying patient identity, and ensuring the right drug is given to the right patient at the right time. When errors occur, they must be reported so the safety of the patient can be ensured and steps can be taken to prevent future errors.
Medication error
This document discusses medication errors, which are preventable events that can cause inappropriate medication use or harm to a patient. It defines medication errors based on definitions from the American Society of Health-System Pharmacists and the National Coordinating Committee on Medication Error Reporting and Prevention. Common types of medication errors include prescribing errors, dispensing errors, administration errors, and compliance errors. The document also discusses causes of medication errors and strategies to prevent errors, including standardized ordering processes, double checks, limiting abbreviations, and use of computerized prescriber order entry systems.
Medication error
1. 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 under the control of a healthcare professional, patient, or consumer.
2. Medication errors can occur at various stages including prescribing, transcribing, dispensing, administration, and monitoring of medication. Common causes include distractions, lack of knowledge, incomplete patient information, and systemic issues.
3. When a medication error occurs, the patient's safety is the top priority and the error must be reported according to the institution's policies to help prevent future errors.
Medication error presentation
The document discusses medication errors, including their definition, causes, and stages. Medication errors can occur at several points including ordering, dispensing, administration, and monitoring. They may be caused by issues like poor communication, look-alike or sound-alike drug names, distractions, and fatigue. To reduce errors, the document recommends always double checking medications against the 5 rights and not assuming others have already caught any mistakes.
Medication error
Here are the key steps I would take:
1. Return to Mrs. Veena immediately to inform her of the error and assess for any allergic reaction symptoms. Her safety is the top priority.
2. Notify the physician right away about the error so they can determine the appropriate treatment and monitoring plan for Mrs. Veena.
3. Fill out an incident report per hospital policy documenting exactly what occurred, the medications involved, actions taken, patient assessment and outcome.
4. Review the situation to understand what factors may have contributed to the error so I can learn and help prevent similar mistakes going forward. Proper documentation and reporting of all errors is important for quality improvement.
5. Apologize to
Medication error
The document discusses various types and causes of medication errors that can occur in healthcare settings. It identifies human factors, systems issues, abbreviations, verbal orders, look-alike and sound-alike drug names, and dosage calculation errors as common contributing factors. Specific examples of errors of commission, omission, unauthorized drug administration, and improper dosing are provided. The rights of medication administration and strategies for prevention of errors are also outlined.
Medication errors
Medication errors are preventable events that can lead to inappropriate medication use or patient harm. While most errors do not cause harm, some can result in catastrophic outcomes or death. Common causes of errors include poor communication, look-alike and sound-alike drug names, dose miscalculations, and human factors like distractions. Nurses can help prevent errors by clarifying any unclear orders, confirming unusual doses, double checking high alert medications, and thoroughly educating patients about their medications. Reporting all errors can help identify system weaknesses and improve safety.
Dispensing errors and Its Prevention
This document discusses ways to prevent dispensing errors in pharmacies. It begins by providing dispensing error rates and examples of common errors like incorrect medications or dosages. Environmental factors that can cause errors like distractions, workload, and poor storage are described. The roles of mistakes versus slips and omission versus commission errors are defined. Methods to reduce errors through better organization, labeling, counseling, verification processes and limiting distractions are recommended. Computerized systems can help but also introduce new risks. The importance of education and communication are emphasized for minimizing dispensing inaccuracies.
Medication errors
This document discusses medication errors, including their definition, causes, types, and strategies to prevent them. Some key points:
- Medication errors are preventable events that may cause harm and can occur at any stage from prescribing to administration. They are common but underreported.
- Errors are often due to look-alike or sound-alike drug names, miscommunication, lack of knowledge, and environmental factors like interruptions.
- Common types of errors include prescribing errors, dispensing errors, and administration errors. Analgesics, antibiotics, anticoagulants are high-risk drug classes.
- Prevention strategies include education, standardized processes, double checks, limiting distractions, clear
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This document discusses medication errors, including definitions of key terms like adverse drug events and adverse drug reactions. It provides classifications and reasons for medication errors, as well as methods to prevent, identify, and minimize errors. These include implementing systems-based approaches, reducing reliance on memory through automation, standardizing processes, and employing checks and policies. Reporting of medication errors is also addressed.
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Medication errors are preventable events that can harm patients. This presentation discussed medication errors, including classifications, types, causes, and strategies to prevent them. It summarized key points about prescribing errors, dispensing errors, administration errors, and monitoring errors. The presentation emphasized the importance of following proper procedures, such as double checking orders and medications, reconciling medications, and educating staff on policies to minimize errors. Overall, the presentation aimed to increase awareness of medication errors and promote safe practices to protect patients.
Medication error presentation
Hello Everyone :)
I hope this presentation will help us to:
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Identify weaknesses or failures in key elements of the medication-use system.
Select effective risk-reduction strategies to prevent medication errors.
stages of the medication use process and medication errors
This document discusses stages of the medication use process and medication errors. It describes the five stages where errors can occur: physician ordering, transcribing orders, dispensing, administration, and monitoring. Errors commonly happen during ordering and administration. Types of errors include wrong dose, duration, medication, frequency and drug interactions. Adverse drug events can be preventable due to errors or non-preventable reactions. The document provides examples of errors like prescribing a contraindicated drug and scenarios to classify error types. It emphasizes learning from errors to enhance patient safety.
Medication error
The document discusses types of medication errors and strategies to reduce errors. It defines medication error and outlines types including prescribing, dispensing, and administration errors. Examples of errors involving look-alike drugs and illegible handwriting are provided. The document also describes two error reduction strategies: using tall man lettering to distinguish similar drug names and issuing medication error alerts when errors occur.
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This document contains information related to pharmacy services and medication management standards. It discusses topics like the pharmacy and therapeutics committee, hospital formulary development and management, medication prescribing, storage and dispensing practices, and definitions of high-risk medications. The document emphasizes that pharmacy services and medication usage must follow written guidance and procedures to ensure safety.
MANAGEMENT OF MEDICATION IN HOSPITALS
This document contains information about the safe management of medications in a hospital setting. It discusses approved abbreviations, medication reconciliation, storage, administration, monitoring after administration, incidents like errors and adverse drug reactions, high risk medications, look-alike/sound-alike drugs, verbal/phone orders, and crash cart contents. Key points covered include twice daily abbreviated as BID, coronary artery bypass graft as CABG, adverse drug reactions, types of medication errors, refrigerator temperature range of 2-8 degrees C, color codes for high risk and look-alike drugs, discard times for various medications, multi-vial use and expiration, read back policy for verbal orders, and signing verbal/phone orders within 24 hours.
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The document discusses medication errors, which are preventable failures in the treatment process that can harm patients. It defines medication errors and classifies them by cause, stage of occurrence, and severity of harm. Prescribing errors are the most common, followed by administration and dispensing errors. Technologies like computerized prescribing and barcoding can reduce errors but implementing them faces challenges. Improving handwritten prescription quality, such as using standard formats and avoiding ambiguous abbreviations, also aims to reduce errors. The conclusion emphasizes that both technological solutions and improving manual processes are needed to enhance patient safety by reducing medication errors.
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High alert
High-alert medications are drugs that carry a heightened risk of harming patients if used in error. These medications are not necessarily involved in more errors but errors with them can have more serious consequences. Common risk factors for errors with high-alert medications include look-alike names and packaging, as well as complex dosing and administration. To help prevent errors, strategies include clear labeling of high-alert medications, independent double checks, avoiding verbal and telephone orders when possible, and additional monitoring during and after administration.
Medication errors
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Medication error
Medication Error is any unwanted event which happen when the drug is in the control of the healthcare professional.
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This presentation discusses high-alert medications, which are drugs that carry an increased risk of harming patients if used incorrectly. It identifies common classes of high-alert medications like opioids, insulin, and anticoagulants. Case scenarios are presented to demonstrate potential harms from improper use. Strategies are described for safely monitoring high-alert medications through standardization, redundancy checks, protocols, and patient monitoring to minimize risks and make errors visible.
Medication errors
Medication errors can occur at various stages including prescribing, dispensing, and administration. They are caused by factors like illegible handwriting, confusion between drug names, interruptions during administration, and lack of knowledge. Some common types of errors are incorrect dose, wrong drug, wrong patient, and omission. To reduce errors, it is important to follow procedures like checking patient identity, having dosages double checked, using electronic systems, and minimizing distractions during administration. When errors occur, they must be promptly reported and an incident report filed to evaluate what went wrong and prevent future errors.
What are Mediation Errors
Medication errors are mistakes or preventable events related to the use of medications. These errors can occur at any stage in the medication process, from prescribing and transcribing to dispensing and administering, and they can lead to patient harm. Mediation errors refer specifically to errors that occur during the medication administration stage, when the medication is administered to the patient. Some common types of medication errors include:
Wrong Medication: Administering a medication different from the one prescribed, often due to look-alike or sound-alike drug names or confusion between medications.
Wrong Dose: Administering too much or too little of the prescribed medication, which can result in overmedication or inadequate treatment.
Wrong Route: Administering the medication using the incorrect route (e.g., intravenous instead of oral) can result in ineffective treatment or adverse effects.
Wrong Time: Administering the medication at the wrong time, either too early or too late, can affect the medication's effectiveness.
Improper Technique: Errors in administering medications, such as not shaking a suspension properly or not following aseptic technique for injections, can lead to treatment problems or infections.
Medication Omission: Failing to administer a scheduled medication can result in missed treatment and potentially worsen the patient's condition.
Unnecessary Medication: Administering a medication that is not clinically indicated can lead to unnecessary side effects and costs.
Duplication of Medication: Administering two medications with the same therapeutic effect can lead to overdose and adverse effects.
Medication Allergies: Administering a medication to which the patient has a known allergy or adverse reaction can lead to severe allergic reactions.
Confusion in Medication Administration: Administering the right medication to the wrong patient or multiple doses to the same patient due to misidentification errors.
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This document discusses medication errors, including their definition, causes, types, and strategies to prevent them. Some key points:
- Medication errors are preventable events that may cause harm and can occur at any stage from prescribing to administration. They are common but underreported.
- Errors are often due to look-alike or sound-alike drug names, miscommunication, lack of knowledge, and environmental factors like interruptions.
- Common types of errors include prescribing errors, dispensing errors, and administration errors. Analgesics, antibiotics, anticoagulants are high-risk drug classes.
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Hello Everyone :)
I hope this presentation will help us to:
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Identify weaknesses or failures in key elements of the medication-use system.
Select effective risk-reduction strategies to prevent medication errors.
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This document discusses stages of the medication use process and medication errors. It describes the five stages where errors can occur: physician ordering, transcribing orders, dispensing, administration, and monitoring. Errors commonly happen during ordering and administration. Types of errors include wrong dose, duration, medication, frequency and drug interactions. Adverse drug events can be preventable due to errors or non-preventable reactions. The document provides examples of errors like prescribing a contraindicated drug and scenarios to classify error types. It emphasizes learning from errors to enhance patient safety.
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The document discusses types of medication errors and strategies to reduce errors. It defines medication error and outlines types including prescribing, dispensing, and administration errors. Examples of errors involving look-alike drugs and illegible handwriting are provided. The document also describes two error reduction strategies: using tall man lettering to distinguish similar drug names and issuing medication error alerts when errors occur.
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This document contains information related to pharmacy services and medication management standards. It discusses topics like the pharmacy and therapeutics committee, hospital formulary development and management, medication prescribing, storage and dispensing practices, and definitions of high-risk medications. The document emphasizes that pharmacy services and medication usage must follow written guidance and procedures to ensure safety.
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This document contains information about the safe management of medications in a hospital setting. It discusses approved abbreviations, medication reconciliation, storage, administration, monitoring after administration, incidents like errors and adverse drug reactions, high risk medications, look-alike/sound-alike drugs, verbal/phone orders, and crash cart contents. Key points covered include twice daily abbreviated as BID, coronary artery bypass graft as CABG, adverse drug reactions, types of medication errors, refrigerator temperature range of 2-8 degrees C, color codes for high risk and look-alike drugs, discard times for various medications, multi-vial use and expiration, read back policy for verbal orders, and signing verbal/phone orders within 24 hours.
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The document discusses medication errors, which are preventable failures in the treatment process that can harm patients. It defines medication errors and classifies them by cause, stage of occurrence, and severity of harm. Prescribing errors are the most common, followed by administration and dispensing errors. Technologies like computerized prescribing and barcoding can reduce errors but implementing them faces challenges. Improving handwritten prescription quality, such as using standard formats and avoiding ambiguous abbreviations, also aims to reduce errors. The conclusion emphasizes that both technological solutions and improving manual processes are needed to enhance patient safety by reducing medication errors.
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High-alert medications are drugs that carry a heightened risk of harming patients if used in error. These medications are not necessarily involved in more errors but errors with them can have more serious consequences. Common risk factors for errors with high-alert medications include look-alike names and packaging, as well as complex dosing and administration. To help prevent errors, strategies include clear labeling of high-alert medications, independent double checks, avoiding verbal and telephone orders when possible, and additional monitoring during and after administration.
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This presentation discusses high-alert medications, which are drugs that carry an increased risk of harming patients if used incorrectly. It identifies common classes of high-alert medications like opioids, insulin, and anticoagulants. Case scenarios are presented to demonstrate potential harms from improper use. Strategies are described for safely monitoring high-alert medications through standardization, redundancy checks, protocols, and patient monitoring to minimize risks and make errors visible.
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Medication errors can occur at various stages including prescribing, dispensing, and administration. They are caused by factors like illegible handwriting, confusion between drug names, interruptions during administration, and lack of knowledge. Some common types of errors are incorrect dose, wrong drug, wrong patient, and omission. To reduce errors, it is important to follow procedures like checking patient identity, having dosages double checked, using electronic systems, and minimizing distractions during administration. When errors occur, they must be promptly reported and an incident report filed to evaluate what went wrong and prevent future errors.
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Medication errors are mistakes or preventable events related to the use of medications. These errors can occur at any stage in the medication process, from prescribing and transcribing to dispensing and administering, and they can lead to patient harm. Mediation errors refer specifically to errors that occur during the medication administration stage, when the medication is administered to the patient. Some common types of medication errors include:
Wrong Medication: Administering a medication different from the one prescribed, often due to look-alike or sound-alike drug names or confusion between medications.
Wrong Dose: Administering too much or too little of the prescribed medication, which can result in overmedication or inadequate treatment.
Wrong Route: Administering the medication using the incorrect route (e.g., intravenous instead of oral) can result in ineffective treatment or adverse effects.
Wrong Time: Administering the medication at the wrong time, either too early or too late, can affect the medication's effectiveness.
Improper Technique: Errors in administering medications, such as not shaking a suspension properly or not following aseptic technique for injections, can lead to treatment problems or infections.
Medication Omission: Failing to administer a scheduled medication can result in missed treatment and potentially worsen the patient's condition.
Unnecessary Medication: Administering a medication that is not clinically indicated can lead to unnecessary side effects and costs.
Duplication of Medication: Administering two medications with the same therapeutic effect can lead to overdose and adverse effects.
Medication Allergies: Administering a medication to which the patient has a known allergy or adverse reaction can lead to severe allergic reactions.
Confusion in Medication Administration: Administering the right medication to the wrong patient or multiple doses to the same patient due to misidentification errors.
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Medication Error
- 1. Peywend Ebdulla College of Nursing/University of Sulaimani
- 2. Overview Introduction Types of Medication Errors Prescribing Error Improper Dose Errors Wrong Administration Technique Errors Patient Distrust in the Medicine Approaches for Reducing Medication Errors Conclusion 19 May 2019 peywend.ebdulla@gmail.com
- 3. Introduction Medication error, is any error in the prescribing, dispensing, or administration of a drug A medication error is any preventable event that may cause or lead to inappropriate medication use or client harm 19 May 2019 peywend.ebdulla@gmail.com
- 4. Types of Medication Errors Prescribing Error Improper Dose Errors Wrong Administration Technique Errors Patient Distrust in the Medicine 19 May 2019 peywend.ebdulla@gmail.com
- 5. Prescribing Error Incorrect drug selection Dose Quantity Concentration Illegible prescription 19 May 2019 peywend.ebdulla@gmail.com
- 6. How to Write Prescriptions? 19 May 2019 peywend.ebdulla@gmail.com
- 7. 19 May 2019 peywend.ebdulla@gmail.com
- 8. Prescribing Error 19 May 2019 peywend.ebdulla@gmail.com - Captafer tab - Omega D cal
- 9. Improper Dose Errors Dose that is greater or less than prescribed dose. Delay in documenting dose Absence of documentation 19 May 2019 peywend.ebdulla@gmail.com
- 10. Wrong Administration Technique Errors • Subcutaneous injection that is given too deep • Instilling eye drops in wrong eye • Administration of expired medicine 19 May 2019 peywend.ebdulla@gmail.com
- 11. Patient Distrust in the Medicine 19 May 2019 peywend.ebdulla@gmail.com
- 12. Approaches for Reducing Medication Errors Electronic prescribing may help to reduce the risk of prescribing errors Checking the patient's identity Check the expiry date of the drug before administration Be alert to usually large dosage or excessive increase in dosage ordered 19 May 2019 peywend.ebdulla@gmail.com
- 13. 19 May 2019 peywend.ebdulla@gmail.com
- 14. Conclusion Medication error, is any error in the prescribing, dispensing, or administration of a drug Medication Errors have various types such as Prescribing error, Improper dose errors, Wrong administration technique errors as well as Patient Distrust in the Medicine There are several Approaches for Reducing Medication Errors 19 May 2019 peywend.ebdulla@gmail.com
- 15. References https://www.ncbi.nlm.nih.gov/pubmed/16255331 https://www.marthastewart.com/267579/doctorpatient- understanding-your-prescri https://www.slideshare.net/maryline1979/medication-error- 25474916 https://slideplayer.com/slide/10266830/ 19 May 2019 peywend.ebdulla@gmail.com
- 16. 19 May 2019 peywend.ebdulla@gmail.com