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1/20/15
Medication errors & safe medication practices
any incorrect or wrongful administration of a medication,
such as
a mistake in dosage
or route of administration,
failure to prescribe
or administer the correct drug
or formulation for a particular disease
1/20/15
Medication errors & safe medication practices
• or condition, use of outdated drugs,
• failure to observe the correct time for
administration of the drug,
• or lack of awareness of adverse effects of
certain drug combinations.
• Causes of medication error may include
difficulty in reading handwritten orders,
• confusion about different drugs with similar
names,
1/20/15
Medication errors & safe medication practices
• POLICY AND PROCEDURE FOR
ADMINISTRATION OF MEDICATIONS:
AIM: To provide uniform guidelines for
administering and charting of medications and
• treatments.
1/20/15
Medication errors & safe medication practices
Always Wash hands before and after
administration of any form of medications and
between patients.
• Identify the correct patient and confirm their
identity before giving the medication
1/20/15
Medication errors & safe medication practices
• If patient is conscious explain procedure to the patient
(Eg:" im going to give you an injection...)
Try as much as possible not to bring pain or discomfort to
patient during administeration of medication (no
harsh,jerky movements)
Monitor the effects of the medicine administered and document
in the nursing records
1/20/15
• Incase a prescribed drug is discontinued,
write "DISCONTINUED" in red pen along
with the date and hand over to other
nurses,make sure physicians orders are
followed.
• Always write correct drug name with correct
dosage on prescription pad and date on
1/20/15
Medication errors & safe medication practices
• Identify the correct patient and confirm their
identity before giving the medication
Check the drug at the site of preparation
(eg:medication trolley) along with dosage,expiry
of drug etc. Again recheck this information at
patients bedside before administering the drug.
• Ensure any preliminary checks and
1/20/15
Medication errors & safe medication practices
• Correct/Right Documentation (new 6th right added)
•
1/20/15
Medication errors & safe medication practices
• Correct/Right Documentation (new 6th right added)
•
1/20/15
Medication errors & safe medication practices
• Aim:To ensure that IDS Pharmacy Staff handle
drug recalls consistently.
Rationale: to prevent wrong drug and adverse
drug reaction.
Procedure:
MEDICATION MUST BE OF THE HIGHEST
QUALITY:Only medication of highest quality
dispensed from the Pharmacy. Any drug of
1/20/15
Medication errors & safe medication practices
• Aim: this policy is to describe the Medication
Error Reporting procedure.
Rationale: To prevent risks associated with
the therapeutic
• use of medications.
• Appropriate identification of an error and the
documentation, assessment of medication
1/20/15
Medication errors & safe medication practices
• If patient is conscious explain procedure to
the patient (Eg:" im going to give you an
injection...)
Try as much as possible not to bring pain or
discomfort to patient during administeration of
medication (no harsh,jerky movements)
• Monitor the effects of the medicine
1/20/15
Medication errors & safe medication practices
• before giving any high risk medication,verify
with the doctor on duty.
Only prescribe medications as per doctors
written orders,make sure documented orders
are signed by doctor with correct date and
name.
• Written orders for medications chould be
1/20/15
Medication errors & safe medication practices
• Never miss time to give drug,if drug is not
given on time ,strictly do not give double
dose. write "not given" in medication
chart/register and explain the reason of not
giving during handover.
• If medication is prepared and part of the dose
1/20/15
Medication errors & safe medication practices
• wrong dose, wrong route, omitted dose, extra dose, medications ordered
to be
given STAT/NOW that are given late, and medications not given at the
ordered
time interval, e.g., ordered every 6 hours and given
late.Physician/prescriber notification must be documented in the medical
record using
• the Provider Contact Note (Ucare) or other appropriate note.
Reporting
Medication errors will be reported using the Incident Reporting form
according Incident ReportingPolicy ref ( )
It includesName of the Medication involved
• Type of error
1/20/15
Medication errors & safe medication practices
• Examples of Errors
Prescribing: Illegible handwriting or unclear orders
Non-compliance with order-writing guidelines
Wrong order form used
Therapeutically incorrect orders
Decimal point errors
Documenting -Improper therapeutic screening of order at time of taking
order off by nursing or pharmacy (dose, allergy check)
Incorrect/incomplete transcription of order on MAR or Kardex
Not transcribed onto MAR or Kardex
Pharmacy transcription error
Incorrect documentation of medication administered
Dispensing -Medication not available due to
delays in sending order,
1/20/15
Medication errors & safe medication practices
• Check if it is necessary for the medication to
be given before or after food/fluid
• Written orders for medications should be
clear and legible.

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Medication error

  • 1. Click to edit Master subtitle style 1/20/15 Medication errors & safe medication practices any incorrect or wrongful administration of a medication, such as a mistake in dosage or route of administration, failure to prescribe or administer the correct drug or formulation for a particular disease
  • 2. 1/20/15 Medication errors & safe medication practices • or condition, use of outdated drugs, • failure to observe the correct time for administration of the drug, • or lack of awareness of adverse effects of certain drug combinations. • Causes of medication error may include difficulty in reading handwritten orders, • confusion about different drugs with similar names,
  • 3. 1/20/15 Medication errors & safe medication practices • POLICY AND PROCEDURE FOR ADMINISTRATION OF MEDICATIONS: AIM: To provide uniform guidelines for administering and charting of medications and • treatments.
  • 4. 1/20/15 Medication errors & safe medication practices Always Wash hands before and after administration of any form of medications and between patients. • Identify the correct patient and confirm their identity before giving the medication
  • 5. 1/20/15 Medication errors & safe medication practices • If patient is conscious explain procedure to the patient (Eg:" im going to give you an injection...) Try as much as possible not to bring pain or discomfort to patient during administeration of medication (no harsh,jerky movements) Monitor the effects of the medicine administered and document in the nursing records
  • 6. 1/20/15 • Incase a prescribed drug is discontinued, write "DISCONTINUED" in red pen along with the date and hand over to other nurses,make sure physicians orders are followed. • Always write correct drug name with correct dosage on prescription pad and date on
  • 7. 1/20/15 Medication errors & safe medication practices • Identify the correct patient and confirm their identity before giving the medication Check the drug at the site of preparation (eg:medication trolley) along with dosage,expiry of drug etc. Again recheck this information at patients bedside before administering the drug. • Ensure any preliminary checks and
  • 8. 1/20/15 Medication errors & safe medication practices • Correct/Right Documentation (new 6th right added) •
  • 9. 1/20/15 Medication errors & safe medication practices • Correct/Right Documentation (new 6th right added) •
  • 10. 1/20/15 Medication errors & safe medication practices • Aim:To ensure that IDS Pharmacy Staff handle drug recalls consistently. Rationale: to prevent wrong drug and adverse drug reaction. Procedure: MEDICATION MUST BE OF THE HIGHEST QUALITY:Only medication of highest quality dispensed from the Pharmacy. Any drug of
  • 11. 1/20/15 Medication errors & safe medication practices • Aim: this policy is to describe the Medication Error Reporting procedure. Rationale: To prevent risks associated with the therapeutic • use of medications. • Appropriate identification of an error and the documentation, assessment of medication
  • 12. 1/20/15 Medication errors & safe medication practices • If patient is conscious explain procedure to the patient (Eg:" im going to give you an injection...) Try as much as possible not to bring pain or discomfort to patient during administeration of medication (no harsh,jerky movements) • Monitor the effects of the medicine
  • 13. 1/20/15 Medication errors & safe medication practices • before giving any high risk medication,verify with the doctor on duty. Only prescribe medications as per doctors written orders,make sure documented orders are signed by doctor with correct date and name. • Written orders for medications chould be
  • 14. 1/20/15 Medication errors & safe medication practices • Never miss time to give drug,if drug is not given on time ,strictly do not give double dose. write "not given" in medication chart/register and explain the reason of not giving during handover. • If medication is prepared and part of the dose
  • 15. 1/20/15 Medication errors & safe medication practices • wrong dose, wrong route, omitted dose, extra dose, medications ordered to be given STAT/NOW that are given late, and medications not given at the ordered time interval, e.g., ordered every 6 hours and given late.Physician/prescriber notification must be documented in the medical record using • the Provider Contact Note (Ucare) or other appropriate note. Reporting Medication errors will be reported using the Incident Reporting form according Incident ReportingPolicy ref ( ) It includesName of the Medication involved • Type of error
  • 16. 1/20/15 Medication errors & safe medication practices • Examples of Errors Prescribing: Illegible handwriting or unclear orders Non-compliance with order-writing guidelines Wrong order form used Therapeutically incorrect orders Decimal point errors Documenting -Improper therapeutic screening of order at time of taking order off by nursing or pharmacy (dose, allergy check) Incorrect/incomplete transcription of order on MAR or Kardex Not transcribed onto MAR or Kardex Pharmacy transcription error Incorrect documentation of medication administered Dispensing -Medication not available due to delays in sending order,
  • 17. 1/20/15 Medication errors & safe medication practices • Check if it is necessary for the medication to be given before or after food/fluid • Written orders for medications should be clear and legible.

Editor's Notes

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