Back
Medication Errors and Patient Safety Concerns

There is a growing consensus that medical errors must be eliminated, and the federal government, accreditation agencies, and state legislatures are passing regulations to spur improvement in patient safety. The 8 primary causes of medical error are communication problems, inadequate information flow, human problems, patient-related problems, organizational transfer of knowledge, staffing pattern/work flow; technical failure; and inadequate policies. There are a number of areas of concern in decreasing medical errors: identification; handwriting; verbal/telephone orders and reporting; hands-off communications; medication errors; wrong route errors; abbreviations; critical test results and values; wrong site, wrong procedure, wrong person surgery; and nosocomial infections. Nurses must be proactive in efforts to reduce medical error.

References

  • AHRQ’s Patient : BuildingSafetyFoundations,InitiativeReducingRisk.

(2003). Retrieved June 8, 2008, from http://www.ahrq.gov/qual/pscongrpt/

  • Avoiding catheter and tubing mis-connections. (2007, May). The Joint Commission on International Patient Safety. Retrieved June 7, 2008, from http://www.jcipatientsafety.org/fpdf/Presskit/PS-Solution7.pdf
  • Banja, J.D. (2005). Medical Errors and Medical Narcissism. Sudbury, MA: Jones & Bartlett.
  • Barach, P. (2005, November). The unintended consequences of Florida Medical Liability Legislation. WebM&M: AHRQ. Retrieved June 10, 2008, from http://www.webmm.ahrq.gov/perspective.aspx?perspectiveID=14
  • National Patient Safety Goals. (2008). The Joint Commission. Retrieved June 6, 2008, from http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/
  • Chassin, M.R., & Becher, E.C. (2002, June 4). Annals of Internal Medicine 136 (11): 826-833. Retrieved June 6, 2008, from http://www.annals.org/cgi/content/full/136/11/826?maxtoshow=&HITS=10

&hits=10&RESULTFORMAT=&fulltext=The+Wrong+Patient&searchid=1&

FIRSTINDEX=0&resourcetype=HWCIT

  • FAQs for   the   Joint   Commission’s   2007   Nat

(2007, January). The Joint Commission. Retrieved June 10, 2008, from http://www.jointcommission.org/NR/rdonlyres/A6839682-0A43-4053-86FB-923257674F09/0/07_NPSG_FAQs_2.pdf

  • Focus on five strategies to improve hand-off communication. (2005, July).

Joint Commission Perspectives on Patient Safety 5 (7): 11. Retrieved June 5, 2008, from http://www.jcipatientsafety.org/fpdf/psp/Handoff.pdf

  • ISMP’s list   of   confused Institutedrugfor Safe  (2005

Medication Practices. Retrieved June 10, 2008, from http://www.ismp.org/Tools/confuseddrugnames.pdf

  • Kairys, J.A. (2008). Fixing communication—Reducing medical errors in medical group practice. Pri-Med Patient Education Center. Retrieved June 8, 2008, from http://www.patienteducationcenter.org/aspx/News/news_detail.aspx?news id=179
  • Look-alike sound-alike medication names. The Joint Commission on International Patient Safety. Retrieved June 10, 2008, from http://www.jcipatientsafety.org/fpdf/Presskit/PS-Solution1.pdf
  • Martelli, M.E. (2008). Intravenous medication administration.

Encyclopedia of Nursing & Allied Health. Retrieved June 10, 2008, from http://www.enotes.com/nursing-encyclopedia/intravenous-medication-administration

  • National Patient Safety Goals. (2008). The Joint Commission. Retrieved June 6, 2008, from http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/
  • Official “Do   notThe Jointuse”Commissionlist.(2007)June8,.

2008, from http://www.jointcommission.org/NR/rdonlyres/2329F8F5-6EC5-4E21-B932-54B2B7D53F00/0/dnu_list.pdf

  • Rosenthal, M.B. (2007, October 18). Nonpayment for performance?

Medicare’s   new  reimbursementTheNewEnglandJournal ofrule.

Medicine 357 (16): 1573-1575. Retrieved June 10, 2008 from http://content.nejm.org/cgi/content/full/357/16/1573

  • Shaw, S.N.H., Aslam, N., & Avery, A.J. (2001, December 15). A survey of prescription errors in general practice. The Pharmaceutical Journal 27: 860-862. Retrieved June 8, 2008, from http://www.pharmj.com/pdf/papers/pj_20011215_errors.pdf
  • Universal protocol for preventing wrong site, wrong procedure, wrong person surgery. (2003). The Joint Commission. Retrieved June 10, 2008, from http://www.jointcommission.org/NR/rdonlyres/E3C600EB-043B-4E86-B04E-CA4A89AD5433/0/universal_protocol.pdf
0% Complete