Medication Error

1
Medication Error
And yousef
Nashaat Jawabreh
2
What is the definition of medication error ?
3

..any preventable event that may cause or lead
to in inappropriate medication use or patient
harm , while the medication is in the control of
health care professional, patient, or consumer,
Such events may be related to professional
practice, health care products, procedures, and
systems including prescribing order
communication product labeling packaging and
nomenclature compounding dispensing
distribution administration education
monitoring and use.
(NCCMERP)
4
The safe and accurate administration of
medications is one of the nurses most important
responsibilities.
Drugs are the primary means of therapy for
clients with health problems, but a drug may have
the potential for causing harmful effects when
administered improperly.
5
How mistakes are made ?
Medication errors fall into these categories

• Omission the patient fails to receive unordered
  drug dose.
• Wrong dose the patient receives a dose thats
  at least 5 more or less than the dose ordered.
• Extra dose the patient receives more doses tan
  the doctor ordered.
• Unordered drug the patient receives a drug that
  wasnt ordered for him.
• Wrong root
• Wrong time the patient receives a drug too early
  or too late.

6
The nurse is responsible for understanding a
drugs action and its side effects, administering
it correctly, monitoring the clients response
and helping the client self administer drugs
correctly and knowledgably (Proulx, 1993).
7
Ways to Prevent Medication Errors Despite
repeated emphasis on the five Rights of Drug
administration, too many patients receive the
wrong medication. So the ways to prevent these
errors are
8

1. Dont administer any drug-including over the
   counter drug, without a doctors order.
2. Always check the label to identify a drug. Dont
   rely on the drugs color, shape, or location in
   the medication cassette.
3. Check the label against the doctors order and the
   patients medication administration record (MAR)
   three times when obtaining the drug, when
   preparing the dose, and when returning the
   container to storage or discarding it.
4. When you check the drug name, pay particular
   attention to the spelling many drugs have similar
   names. If you have any doubts about the drug you
   are giving, call the doctor or pharmacist.
5. Check expiration dates, and return out dated
   drugs to the pharmacy.

9

1. Prepare drugs in a quiet , well-lit area where
   you will not be distracted.
2. Ask another nurse or a pharmacist to double check
   your dosage calculations.
3. Dont give drugs another nurse has prepared.
4. The nurse should have verified the dosage before
   giving the drug-and she should to followed a
   basic administration rule, If you dont know a
   drug and its dosage, dont give it until you
   find out (Martha, 1995)
5. Dont try to interpret illegible handwriting even
   in ask the physician.

10

1. Identify the patient by his ID band- dont just
   ask his name or check his bed number.
2. Use appropriate documentation system
   Documentation on the MAR (Medication
   Administration record helped prevent errors.
   Thats because the nurse have the chance to check
   previous therapy, read any notes that apply to a
   specific patient, and see what occurred the last
   time the drug was given.
3. Store preparations meant for external use
   separately from other medications, and make sure
   they are labeled for external use only (Carr,
   1996).

11
Errors in medication administration often arise
due to combination of factors that are

1. Poor communication between pharmacists and
   nurses.
2. Lack of knowledge in drug administration.
3. Multiple interruptions the nurse have during
   preparing medication.
4. Stress an fatigue.
5. Poor working conditions.
6. Carelessness from nurse.

12
Medication errors should not happen. But they
occur due to the fact that every human being is
capable to doing mistake here and those that
happen where you work- can add to your knowledge
and skill.
13
yousef
14
Gender Of Respondents
15
Type of Error
16
MD .E and Incident Report
17
Incident reported To Adminsration
18
Educational levels and MD.E
19
TYPE OF HOSP AND MD E
20
Experience and MD.E
21
Complication Happened And Treated
22
Nashat
Yousef
Thank you