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Legal Aspects of Medical Errors Case Study

… Therefore, in this particular aspect of the case, the physician is not legally liable however, due to the failure of the physician to gain consent of the infant's parents for treatment, he is legally liable along with the pharmacists, the nurse, and the hospital as a whole.

II. Did the provider fail in any way to adhere to ethical standards? How might this have impacted the patient outcome?

The provider failed to gain the consent of the parents for treatment of the minor child. Had this consent been sought the entire situation and the death of the child would have been avoided.

III. If noted in the scenario, how did the provider interact with the patient or family after the error came to light?

This…. [read more]


Medication Errors Term Paper

… Medication Errors in Nursing

Medication errors are a very serious concern to nursing staff. A medication error occurs when the wrong medication is given to a patient resulting in potential serious harm that could have been prevented (Hidle). Medication errors occur at a high rate with death occurring as frequently as once a day due to adverse drug events (ADE) (Menachemi and Brooks). Yet, it is thought that a good deal more go unreported due to fear of retribution (Lefleur). This topic is personally of interest to me because I have experienced a medication error within my own family. My grandfather received the wrong medication during a hospital stay following a routine surgery. The error caused him physical pain, due to an ADE, as well…. [read more]


Medication Errors by Nurses Term Paper

… Nurses are also afraid of repercussions which may occur due to the error (unknown, Nursing).

Efforts have been made to change these misconceptions, resulting in "a strong upsurge in the number of medication errors reported in the MEDMARX database, which is a positive step toward identifying and eliminating medication errors and ensuring the safety and well-being of hospital patients (unknown, AORN)."

When examining the "192,477 medication errors documented by MEDMARX in 2002, the vast majority were corrected before patients were harmed; however, patient injury resulted from 3,213. Of this number, 514 errors required initial or prolonged hospitalization, 47 required interventions to sustain life, and 20 resulted in a patient's death. Compared with 2001 data, a smaller percentage of reported errors resulted in harm to the…. [read more]


Medication Reconciliation Evidence-Based Practice Essay

… 672).

Verifying Medications by Collecting an Accurate Medication History:

As the subsequent discussion will demonstrate, a great many medication errors can be eliminated at the outset by taking the proper steps to gather information at the time of admission. It is at this first step in the healthcare process that the absence of a streamlined and consistent medication reconciliation process can result in errors that may follow the patient problematically throughout his or her treatment experience. Accordingly, time and labor limitations in emergency room and other clinical contexts can lead to errors resulting from inaccurately gathered drug histories, deficits in communication between medical professionals, illegible handwriting, and lack of access to prior medical histories. FitzGerald (2009) identified that the simplicity of using terminology of "medicines…. [read more]


Medication Errors Since the Research Term Paper

… However, in a recent study by The Joint Commission, many times the patient is unable to actively participate in the process, as they may be too ill, injured, young or disabled. In this case, a family member should be available to participate. This is one example of how policies and procedures can be developed to help reduce the occurrence of medicine errors.

Medication errors have a tremendous impact on the client, healthcare industry, and the economy. In the U.S. alone, medication errors injure 1.5 million people and cost billions of dollars to the healthcare system annually (Stencel, p. 1). The committee noted that estimates on medication errors might be low due to unwillingness to report medical errors for fear of litigation or loss of public…. [read more]


Preventing Medication Errors Essay

… Preventing Medication Errors:

According to Walter D. Glanze, medication errors in a hospital or clinical setting "continues to be a very serious problem for physicians and patients," especially when one considers that medication errors can lead to prolonged stays in a hospital or even death (2001, 134). In the Brief Report issued by the Institute of Medicine of the National Academies, "in any given week, four out of five U.S. adults will use prescription medicines" (2006, 1) or take over-the-counter medications, and most of the time, these medications do cause some harm to the person taking them. However, when a physician or a pharmacist makes an error related to prescribing the wrong medication, "adverse drug events (ADE's). . . are inevitable" and the more powerful…. [read more]


Medication Errors Over Medication <Course Research Paper

… Perhaps one of the most insidious aspects of overmedication is its effect on cognition and the mental capacity of seniors (Siri, 2008).

Falls are a major negative effect of overmedication. Thirty percent of people 65 years and older fall each year. Falls account for ten percent of all visits to the emergency department, and one out of ten results in a serious injury. The following have been associated with an increased risk of falls: arthritis, depressive symptoms, orthostatic, environment factors, cognitive impairment, impaired vision, balance disturbances, gait disturbances, decreased muscle strength, and use of four or more medications (Barber, 2008).

Role of a nurse in elimination of medication errors:

The nurse literally plays the role of a lifeguard in medication administration. S/he often provides the…. [read more]


Medication Changes With Technology Term Paper

… This would entail CPOE to be linked to a comprehensive electronic medical record whilst nurses would administer the medications with smart pumps that would be reinforced with bar code point-of-care units that punctiliously contain all details of the patient's treatment. Spurlock et al. (2003) see this ideal system as ranging far ahead in the future.

However useful these technologies -- and they certainly are so - hospital and medical institutions can only benefit from them when skilled professionals employ them. And used carefully.

References

Spurlock, B. et al. (2003) Legislating Medication Safety: The California Experience. Convergence Health Consulting.

http://www.premierinc.com/quality-safety/tools-services/safety/safety-share/12-03-downloads/04-CA-med-safety-tech-legislation.pdf

Health Information Technology (2009) Electronic medication administration records improved communication and decision-making in nursing homes http://www.ahrq.gov/research/jul09/0709RA29.htm

Institute of Medicine (2001). Crossing the Quality Chasm: A New…. [read more]


Prevent Medication Errors Adverse Patient Incidents Research Proposal

… ¶ … Prevent Medication Errors

Adverse patient incidents can assume a wide variety of events, including falls with injury, fires involving patients, and even patient abuse, but one of the most common and preventable incidents is medication errors. Because the clinical outcomes involving medication errors can be life-threatening, the subject has been the focus of an increasing amount of attention in recent years and clinicians in both tertiary healthcare facilities as well as outpatient settings have identified a number of methods that can be effective in reducing the number of medication errors. To determine the prevalence and type of medication errors being reported across the country and what healthcare providers are doing about the problem, this paper provides a review of the relevant peer-reviewed literature…. [read more]


patient medication errors nursing Research Paper

… Hiatt admitted her wrongdoing and was committed to rectifying the situation but was never given a chance. She went on record saying, 'I messed up,' admitting also that she was 'talking to someone while drawing it up. Miscalculated in my head the correct mls,' (Quigley, 2011). Because she owned up to her error and otherwise had a stellar track record, she never should have been treated as harshly as she was unless there was evidence of a malicious or sinister element to the behavior, which there was not.
5. What changes were reported to have occurred to prevent a repeat of the medication error if known.
There is no evidence that Seattle Children's Hospital changed their policies or procedures, or implemented any new technologies that…. [read more]


Addressing the Issue of Medical Errors With Mandatory Reporting Systems and Computer Technology Term Paper

… Healthcare: Addressing the Issue of Medical Errors

Healthcare

Addressing the Issue of Medical Errors with Mandatory

Reporting Systems and Computer Technology

To combat the current crisis of deaths due to preventable medical errors the health care industry and lawmakers have taken two approaches. The first is the implementation of a system of mandatory reporting systems. The solution is to crate an atmosphere in hospitals that fosters less blame, not more, according to the IOM report. A blue-ribbon pane appointed by the IOM argues that the failure to acknowledge and analyze mistakes deprives hospitals of important information that could help prevent similar mistakes in the future. However, many in the healthcare industry argue that mandatory reporting of errors will foster an atmosphere of lawsuits and backlash…. [read more]


Advanced Practice Nurses Reduce Medication Errors Essay

… By ensuring that these practices as well as the Joint Commission’s sentinel event guidance are communicated to these and other affected stakeholders, advance practice nurses will serve in the leadership role for which they are educated and on which health care organizations of all sizes and types depend for informed oversight.

Conclusion

The research showed that not only do medication errors cost billions of dollars in scarce organizational resources, the adverse effects on patients is inestimable but includes extended inpatients stays, drug reactions and even death from preventable errors. Fortunately, there are some proven methods available to help reduce medication error rates, including most especially following the five Rs of medication administration and capturing relevant data from patient incident reporting systems in order…. [read more]


Willingness of Nurse to Report Medication Administration Errors in Southern Taiwan a Cross Sectional Survey Article Critique

… authors, Y.H. Lin and S.M. Ma (2009), selected the title, "Willingness of nurses to report medication administration errors in southern Taiwan. A cross-Sectional survey," which was considered to be a concise and descriptive title for this study.

The authors also present a solid and concise description of their study following traditional guidelines for this purpose, including a description of the study sample, the research purpose and a summary of their findings. For instance, the authors preface their abstract by providing a background of the problem. In this regard, Lin and Ma (2009) report that medication administering errors (MAEs) represent an ongoing threat to the quality of delivered nursing services, but the causes of such errors are multifaceted and differ from individual to individual as well…. [read more]


Medical Errors: Faulty Health Care Research Paper

… The solution suggested by the Institute of Medicine in this regard is that there should be a strong and safe health system which makes it difficult for the health professionals to make any error or mistake. Along with safer and proper health system, the people who provides health solutions and services should also be careful.

Apart from this institutions are also promoting the concept of reporting the medical errors and 'nearly misses'. The information and experience from these past events contribute in building effective and efficient health care system and prevents any such mistakes or error in future (Rogers).

The responsibility of any health care institution and system is to save the lives of the people and provide them with the required health care solution.…. [read more]


Health Care Situation: Medical Error Essay

… Autonomous patients will argue that they the rightful owners of the intimate information contained in the EHRs. Conversely, individual health care providers and hospitals might argue for ownership of this information. hese obvious conflicts between economic and personal value, professional and patient autonomy, and business interest must be rectified before introducing EHRs (Mercuri, John J. (15 January 2010), p. 1. The integrated data storage of an HER system also creates several potential harms as described by Mandl, Szolovits, and Kohane (3 February 2001, p. 1): Potential risks for confidentiality and privacy of patient data. Such concerns seem justified when one considers that, under current laws and practices, identifiable medical data are routinely shared with insurance companies, government, researchers, employers, state bureaus of vital statistics, pharmacy…. [read more]


Healthcare Delivery Imagine Term Paper

… Each person is likely to react in anger and may request for legal help immediately; consequently, the hospital would have to follow through by showing respect to the individual who had harm caused to him or her. Anyone can become unpredictable, especially since we are all unique in our responses. With this approach, legally, she could take the doctor and facility to court, regardless because of patient's rights. Ethically, the hospital did the right thing, despite the fellow not; therefore, the choice is up to the person on how to best handle the situation in which damage was done. This would have impacted all the medical staff by means of having better policies and procedures in place by double and triple checking the operative site…. [read more]


Different Ways of Preventing Medication Errors Term Paper

… ¶ … Preventing Medication Errors

Definition of Mediation Errors (National Coordinating Council for Medication Error Reporting and Prevention)

Medication Errors by Medical Staff

Right Drug

Right Dose

Right Patient

Right Time

Right Route

Medication Errors Made by the Patient at home

Preventing Medication Errors at the Pharmacy

Strategies for Hospitals to improve patient outcome and decrease medication errors.

The National Coordinating Council for Mediation Error Reporting and Prevention defines a medication error as "Any preventable event that may cause or lead to in appropriate mediation use of patient harm while the medication is under the control of the health care professional, patient, or consumer. Such event may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication, product labeling, packaging…. [read more]


Electronic Health Records Essay

… Electronic Health Records and E-Prescribing

Electronic Health Records and e-prescribe

Use of EHRs to reduce medication errors

Electronic health records (EHRs) can help reduce medication errors that result in high costs as a result of recalls and fines. EHRs can be used to pass important information regarding the medication being recalled. Through the EHRs, it is possible to contact all patients who were given the recalled medication and advise them accordingly whether to dispose of the medication or to change the dosage. For drugs that have been recalled because of some tablets being oversized such as Hydrocodone Bitartrate and Acetaminophen Tablets U.S. Food and Drug Administration, 2012b ()

, the patients could be advised to make sure they take only the drugs that are of…. [read more]


Workaorunds in Healthcare Settings Workarounds Essay

… Workaorunds in Healthcare Settings

Workarounds In Healthcare Settings

Workarounds in healthcare industry

The following report describes how workarounds are practiced in healthcare settings in the belief that the shortcuts save time. The report is divided into six sections, each section deals with different but interrelated aspect of workarounds in healthcare. After the part one (introduction), part two highlights the description of workarounds that I am familiar with. This part also explains the commonly used time-saving workarounds used in health facilities. Part three of this paper reviews pertinent literature on issues related to workarounds. Part four and five highlight and analyze ethical/legal issues of workarounds and possible solutions to workarounds respectively. The last section of this paper will be the conclusion of this report.

Health information…. [read more]


Practicum Project Plan Term Paper

… ¶ … Opportunities to Reduce Medication Errors

The purpose of the project envisioned herein is to reduce medication errors in the clinical setting with the goal of reducing medication errors by at least 50%. The name of the project, "The Six Rights to Eliminating Medication Errors" (hereinafter alternative "Six Rights") is described in the following report.

It is the goal of the Six Rights project to raise awareness of the adverse outcomes associated with medication errors and to provide clinicians responsible for medication administration with some step-by-step guidelines they can use to achieve zero-level medication error rates.

The projective objectives are to achieve measurable improvements in benchmarked medication error rates during the duration of the project as set forth below:

Clinicians will remember the six…. [read more]


Technology in Healcare Assuming Role Essay

… The use of wireless technology in high-risk specialties such as obstetrics has become increasingly vital: fetal monitoring through wireless cardiotocography has reduced complications and the technology "have potentials for being adapted for other multi-patient monitoring applications" (Igbokwe 2007).

Of course, it is not enough to merely introduce wireless technology to a hospital. The way that information is stored must also be accurate and easily searchable. First and foremost, electronic health records must be comprehensive as well as "available at the point of care and accessible throughout an entire institution (Spiegel 2004). In addition to physicians entering the records themselves there should be standardized, mandated "computerized reporting of lab records" so no information is lost (Spiegel 2004). There should also be "computer-based procedure reminder systems," which…. [read more]


Quality and Performance Improvement Essay

… ¶ … medical errors in the healthcare system in the United States, including the types of errors and what can be done to reduce/prevent errors. Medical errors, no matter how much healthcare professionals do not want to admit they occur, do occur, and for some with alarming regularity. Preventing and reducing these medical errors not only improves patient safety and reduces patient fears, it provides peace of mind for healthcare professionals, as well.

Errors, even in medicine, are an unpleasant fact. No person is infallible, and there is always a margin for human error. Two writers note, "Nobody in your organization deliberately makes a mistake. In fact, it's human nature to avoid things that will harm you or someone else. Still, people commit errors that…. [read more]


Nurses' Practice Environments, Error Interception Essay

… These characteristics were considered as parameters from which hospital environments were evaluated and related and tested against nurses' performance in terms of frequency of medication error occurrence in a span 8-months and based on every 1,000 patient days (p. 183).

Review of Literature

The review of literature from the study drew heavily from a review of the study's theoretical framework and indices that were used for data collection and analysis. The theoretical framework were developed based on the Error Theory and Nursing Organization and Outcomes Model, which explained the rationale for conducting a quantitative study of nurses' reported medication errors on the basis of a 1,000 patient days for a period of eight months. Further, evaluation of nurses' practicing environment is based on the Model…. [read more]


Apologies -- Must Have Sent Term Paper

… In a study quoted in the Medsurge Journal it was found that "... 56.4% of nurses could not calculate medications correctly in 90% of the problems, suggesting the need for regular self-testing of medication calculation skills. " (Ashby, Denise A. 1997) The solution to these problems is through continuing education programs implemented for identified medication calculation errors

These findings also provide further support for previous findings that many nurses lack the basic skills necessary to calculate medication problems correctly an acceptable percentage of time. "...Practicing medical-surgical nurses require expertise in both drug knowledge, as well as the ability to calculate medication doses." (Ashby, Denise A. 1997) Studies also indicate annual in-service training on drug and medication calculations should be implemented; furthermore it is suggested that…. [read more]


Secondary Assessment Tracy Folsom Essay

… (Dean & Mulligan, 2009)

In Miss Folsom's case, her neighbor was the primary witness. With the first contact with a health care worker, it would be important to inquire about the scene and the situation in which Miss Folsom was found in. Before considering any rescue measures, it is important to move to the next step of secondary assessment to help analyze the patient's risks. (Dean & Mulligan, 2009)

Analyzing risks are important before attempting to practice any hands-on assistance. This is so that the risk verses benefit debate may be conducted. In Miss Folsom's secondary assessment, it was concluded that her head injury needed to be further investigated immediately, even though her primary complaint was severe epigastric pain. The case of Miss Folsom is…. [read more]


Nursing Malpractice Literature Review

… Nursing Malpractice

Introduction- Modern nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for a nurse to be an effective caregiver, the patient must be treated in a holistic manner. Patient advocacy is another role that the modern nurse assumes when providing quality care. Advocacy is the active support of an important cause, supporting others, or speaking on behalf of those who cannot speak…. [read more]


Teenagers Addiction to Prescription Drugs Research Paper

… The study was carried out using web-based surveys in 2005. The surveys were self-administered, and 1086 secondary school students participated. The participants were in grades seven to twelve. There were 54% female, 52% White, 5% African-American, and 3% were other racial groups. The results of the study demonstrated that 3.3% of the participants had used prescription drugs without a prescription, 17.5% had used the drugs for both medical and nonmedical, and 31.5% had used for medical reasons. The researchers resolved that it was most likely for medical drug users to abuse the drugs given due to their ease of availability. The contributors to prescription drug abuse amongst the secondary school students was established to be the difficulty in accessing other drugs.

Summary

From the reviewed…. [read more]

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