Esmaeil Mohammadnejad, First Floor, No. This article has been cited by other articles in PMC. The main professional goal of nurses is to provide and improve human health. Medication errors are among the most common health threatening mistakes that affect patient care.
Here are ten strategies to help you do just that. Ensure the five rights of medication administration. Nurses must ensure that institutional policies related to medication transcription are followed.
Follow proper medication reconciliation procedures. Institutions must have mechanisms in place for medication reconciliation when transferring a patient from one institution to the next or from one unit to the next in the same institution.
Review and verify each medication for the correct patient, correct medication, correct dosage, correct route, and correct time against the transfer orders, or medications listed on the transfer documents. Nurses must compare this to the medication administration record MAR.
There are several forms for medication reconciliation available from various vendors. Double check—or even triple check—procedures. Some institutions have a chart flag process in place to highlight charts with new orders that require order verification.
Have the physician or another nurse read it back. This is a process whereby a nurse reads back an order to the prescribing physician to ensure the ordered medication is transcribed correctly.
Consider using a name alert. Some institutions use name alerts to prevent similar sounding patient names from potential medication mix up. Names such as Johnson and Johnston can lead to easy confusion on the part of nursing staff, so it is for this reason that name alerts posted in front of the MAR can prevent medication errors.
Place a zero in front of the decimal point. A dosage of 0. This includes proper medication labeling, legible documentation, or proper recording of administered medication. A lack of proper documentation for any medication can result in an error. For example, a nurse forgetting to document an as needed medication can result in another dosage being administered by another nurse since no documentation denoting previous administration exists.
Reading the prescription label and expiration date of the medication is also another best practice. A correct medication can have an incorrect label or vice versa, and this can also lead to a med error.
Ensure proper storage of medications for proper efficacy. Medications that should be refrigerated must be kept refrigerated to maintain efficacy, and similarly, medications that should be kept at room temperature should be stored accordingly.
Most biologicals require refrigeration, and if a multidose vial is used, it must be labeled to ensure it is not used beyond its expiration date from the date it was opened. Consider having a drug guide available at all times.
Nurses must never cease to remember that a medication error can lead to a fatal outcome and it is for this reason that med safety matters.Nurses’ vigilance and adoption of precaution measures about medication errors are key factors for preventing medication errors.
With exception of clinical nurses’ role in the medication errors prevention, as well as pivotal significance have manager and educator nurses. The identification and prevention of medical errors requires the participation of all members of the health team, including patients.
The traditional way of coping with medical errors was to assume errors were the result of individual mistakes such as carelessness and inattention, creating a culture of blame/5(K).
If you are looking for the medical errors course that meets the FLORIDA requirement, please look under FL State Required for "Preventing Medical Errors for Nurses — Florida Requirement." The goal of this continuing education program is to discuss approaches to prevent medication errors that are both system-based and human-performance-based, /5(K).
Medication errors in nursing homes and other inpatient medical facilities are recognized as a common problem in the medical field. Call Now: VIEW BLOG. Oct 05, · Medication errors can occur throughout the medication-use system, such as when prescribing a drug, upon entering information into a computer system, when .
The medication errors that cause harm include errors related to infusion of high-risk medications and an intravenous medication safety system has been designed recently to prevent high-risk infusion medication errors and to capture continuous quality improvement data for best practice improvement.