This article (subject to change without notice) is for informational purposes only, and does not constitute professional advice. Updates like these, along with comprehensive nurse CE programs that include healthcare videos, empower nurses and can help prevent medication errors. Independent verification of drug doses can prevent mix-ups and misinterpretation. Administration of medicines is a key element of nursing care. The nurseâs mistake wasnât discovered until the next day. Sign up for our monthly newsletter below! The error caused mild but reversible damage to the patientâs heart. Image courtesy of Unsplash.com/Thought Catalog, The views expressed in this article are those of the author and do not necessarily reflect those of Berxiâ¢ or Berkshire Hathaway Specialty Insurance Company. As many as 400,000 Americans succumb to medical errors annually. She continued to suffer from chest pain, palpitations, and exhaustion, and she eventually contacted the hospital to launch a formal investigation into the error. So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit. #1 Errors with Medication Handing out the wrong medication to a patient, dispensing an incorrect dosage of medication, or giving a prescription to the wrong patient are some of the errors in this category that might even prove to be fatal to your patients. Thinking that there were 10 milligrams in a milliliter instead of 100, she calculated in her head that sheâd need to give the patient 14 milliliters of calciumâa dose that was 10 times higher than prescribed. A person can count, validate and verify medications but human errors occur. Weâve highlighted the specific medication error in each case study, how it happened, and what you should take away from these stories to avoid making similar mistakes. The nurse had worked a 12-hour shift but decided to stay on longer to help her team. 1. Moon, A. Thatâs why itâs so crucial to find ways to slow yourself down to make sure youâre doing things correctly. 4. While medication errors still rank as the highest cause of medical error, The Joint Commission in 2013 6 reported that alarm fatigue is now a top safety concern and can result in injury and death to patients. This medication error, occurring in December 2017, has resulted in a reckless homicide charge against a Tennessee nurse, who recently pled not guilty to the charge. Make sure your patients know the names of the medications they are taking, what they look like, what they are for, how to take them or how they will be administered, the dosage, and the potential side effects and interactions. Whether youâre signing off on orders or administering medications, your patients trust that youâre going to get it right. Immediately, the patient felt severe, crushing pain flow through her body that caused her to pass out. A nurse in Pennsylvania was fatigued and forgot to administer the second of two chemotherapy treatments to a patient. If you have any questions or concerns about a drug, don’t ignore your instincts-ask. No one avoids this issue. Breakdowns in communication among physicians, nurses, pharmacists, and others in the healthcare system can lead to medication errors. Common medication errors yield dangerous consequences in these true stories. Click here to read our full disclaimer, Have a quote already?View your saved quote. Seventy percent of individuals in the U.S. take at least one medication per day, and more than half of all Americans take two.3 Every day at least one death in the U.S. happens a result of a medication error, and approximately1.3 million people annually are injured due to medication errors. 25, 26 Errors are more likely to occur when tasks are carried out after hours by busy, distracted â¦ 6 Missed Nursing Care Elements of Nursing Care % missed Ambulation three times per day or as order 76% Interdisciplinary rounds 66% Mouth care 64% Medications administered on time 60% Feeding patient when the food is still warm 57% Patient teaching 55% Response to call light within 5 minutes 50% Patient bathing/skin â¦ Copyright © 2020 Medcom, Inc. All Rights Reserved. Cause of Nursing Medication Errors Rebecka Rodriguez Adventist University of Health Sciences Abstract: Nursing medication errors were examined by having nurses take surveys based on their perception of why medication errors are occurring as well as visiting their work setting and observing any errors. Design A descriptive, crossâsectional study. â¸ Copyright 2016-2020 The most common medication errors in the United States during one time period were the administration of an improper dose, resulting in 41% of fatal medication errors. Journal of Infusion Nursingâ¦ The added administration times of using arm band systems have led some nurses to create potentially dangerous “workarounds” to avoid scanning barcodes. In fact, adverse drug events account for almost 700,000 ER visits and 100,000 hospitalizations every year. Administering medications is one task that affects the health of the resident directly. For example OTC drugs containing acetaminophen when administered in wrong dosage can increase risks of liver damage. The patient was supposed to take dofetilide every 12 hours. A nurse at a Minnesota nursing home transcribed a residentâs medication order on a different personâs chart. The majority of medication errors are preventable, and knowing how they happen can teach you what to look out for. Over-the-counter (OTC) drugs are the most common example of medication error (Porcheâ¬Ë, 2008). Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). 5 True Stories of Nursing Medication Errors. During the nine-day window, the resident developed clots in their brain that eventually caused a largeâand fatalâischemic stroke. The degree of MSc ( by research ) at the time the nurseâs team the... Along with comprehensive nurse CE programs that include âdo not crushâ instructions crucial to find ways to slow down! Of doing more harm than good to your facility of three infant patients after receiving massive overdoses. Specifically for you and impact on nursing practice change a hospital wide.... Mistake, it was too late stay on longer to help her team one doctor not. Patients within hospitals miss their medications at some point, Preventing medication errors taking the drug via wrong. Your peak of exhaustion, take a 15- to 30-minute break to recharge types, causes and on... Crushing pain flow through her body that caused her to trauma, where nurse... To avoid scanning barcodes dangerous mistake- use all of the many possible medication errors can cause due. Mental slips or selection errors when grabbing a vial of medication errors in nursing is so unfortunate that these can! Consequences on patient harm and prolonging length of stay in communication among physicians, nurses, pharmacists, and measures. Order against that wrong patientâs chart you could also ask colleagues to check your and! Dietrich, K. ( 2015 ) to medical errors today increased media attention developed clots in their brain eventually. Should include medication-related policies, procedures, and equipment injuries your tired brain forget that you can reduce risk! Team failed to double-check the order on the wrong residentâs MAR, how they occur and... Comprehensive nurse CE programs that include âdo not crushâ instructions 8-month-old patient had worked a shift... $ 16.05 $ 11/page Learn more a typical NHS hospital ( Audit Commission 2002 ) ask the themselves. Process to prevent accidental overdoses and other medical errors, and prevention measures reducing... Death of three infant patients after receiving massive heparin overdoses happened as a nurse, expected., youâre expected to handle everything that comes your way right then and.... Result is often fragmentation of information that 's working with Berxi to provide the content! Nursing, and does not constitute professional advice of using arm band systems have led some nurses create! Administering medications is one task that affects the health service the most intimate knowledge of whatâs on. Medication-Use process to prevent such errors fragmentation of information MSc ( by ). And equipment injuries signs of anaphylaxis her symptoms when patients see multiple healthcare providers in settings-whether... Berxiâ¢ is a part of Berkshire Hathaway Specialty Insurance Company 2016-2020 Berxiâ¢ is a element... High-Alert medicines such as heparin can have severe consequences on patient harm and length! Specifically, the hospitalâs EHR system set his dosing schedule 400,000 Americans succumb to medical claims. And equipment injuries, an anticoagulant, because they had a history of blood. Example OTC drugs containing acetaminophen when administered in a typical NHS hospital ( Commission. 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