Medication error, nursing responsibility

RAHIMA M . SALENDAB
NQMC,MGH, MADINA
Meeqat Hospital,Madinah

1. MEDICATION ERROR NURSING RESPOSIBILITY RAHIMA M . SALENDAB NQMC,MGH, MADINA

2. Causes for errors:

3. TYPE OF MEDICATION ERROR PRESCRIBING ERRORS . OMISSION ERRORS. WRONG TIME ERRORS. UNAUTHORIZED DRUG ERRORS. IMPROPER DRUG ERRORS . WRONG DOSE FORM ERRORS. WRONG DOSE PREPARATION ERRORS. WRONG ADMINISTRATION TECHNIQUE ERRORS . DETERIORATED DRUG ERRORS . MONITORING ERRORS . COMPLIANCE ERRORS .

4. 1. Prescribing Errors Occurs when prescriber orders drug for specific patient  drug  dose  dosage form  route of administration  length of therapy  number of doses  administration  drug concentration  inadequate or incorrect instructions for use  illegible handwriting

5. 2. Omission Errors Failure to administer an ordered dose (not late dose). Omitted dose is not an error when:  cannot take anything by mouth (NPO).  providers are waiting for drug level results.  patient refuses.

6. 3. Wrong Time Errors Standardized administration times Acceptable interval surrounding scheduled time. Occasionally unavoidable:  patient is away care area for test.  medication is not available at time it is due.

7. 4. Unauthorized Drug Errors Administration of medication to patient without proper authorization by prescriber. Medication for patient given to another patient. Nurse gives medication without prescriber order. Patients “share” prescriptions.

8. 5. Improper Dose Errors Dose that is greater or less than prescribed dose. Can occur when additional dose is administered  Delay in documenting dose  Absence of documentation Inaccurate measurement of oral liquid  Exclusions from this error type

9. 6. Wrong Dosage Form Errors Doses administered as different form than ordered.

10. Example:

11. 8. Wrong Admin Technique Errors Examples:  Subcutaneous injection that is given too deep  Intravenous (IV) drug is allowed to infuse via gravity instead of using an IV pump.  Instilling eye drops in wrong eye.

12. 9. Deteriorated Drug Errors Monitoring expiration dates is very important. Refrigerated drugs stored at room temperature may decompose & lose efficacy.

13. 10. Monitoring Errors Inadequate drug therapy review. Examples:  Ordering serum drug levels but not reviewing them.  Not ordering drug levels when required. Prescribing antihypertensive agent & then failing to check blood pressure.

14. 11. Compliance Errors Failure to adhere to prescribed drug regimen. Example:  Patient does not complete antibiotics therapy-saves a few doses.

15. Other Errors Errors that cannot be placed into category. Examples: Medication dispensed without adequate patient education.

16. Unapproved Abbreviations Leading to Medication Errors:

17. Types of Verbal Order Errors

18. NURSING RESPONSIBILITIES

19. STANDARD PRECAUTION

20. LOOK ALIKE MEDICINE

21. SAMPLE OF ILLEGIBLE HAND WRITING

22. Folinic Acid Folic Acid Amidaron Amlor Zinnat Zantac Concor Zocor Tazocin Prazocin Kafocid Keflex Lasix Losec Aldactone Aldomet Ranitidine Loratidine voltarin ventolin SOUND ALIKE

23. HOW TO PREVENT MEDICATION ERROR?????

24. Just because you cannot do it TODAY   Does NOT mean you will not do it SOMEDAY فقط لأنك لم تفعل ذلك اليوم, هذا لا ينبغي انك لن تفعل ذلك يوماً ما If you are not willing to learn, No one can help you . If you are determined to learn, No one can stop you …!! ان لم تكن عازماً على ان تتعلم لن يستطيع احد ان يساعدك   إذا قررت أن تتعلم فإنه لايوجد من سيوقفك NO ONE CAN MOTIVATE….   IF YOU ARE NOT WILLING TO DO YOUR SELF … لن يستطيع احد تحفيزك إن لم انت راغباً في فعل ذلك بنفسك