harm to patient, therefore, avoiding and reducing the risk of health-care associated infection is one harm that must be reduced. However, there are obstacles that may impede the achievement of this goal. Obstacles that impede implementation. Inadequate training increases the risk of infection transmission to patients. The tolerance for unsafe practice by health-care providers and lack of communication are obstacles that prevent the implementation of reducing the risk of infection. Healthy People.gov
Pyxis: An Introduction The Pyxis medication dispensing system is used in a wide variety of medical settings to aid in the safe administration of medication. Like other computerized medication administration systems, the Pyxis system provides a centralized, locked and regulated environment that ensures that medication can only be accessed by appropriate personnel. The Pyxis system simplifies the inventory, stocking, ordering and distribution of medications through the use of information systems
patients room with the patient’s IV antibiotic and epidural. Both the IV antibiotic and the epidural had identical tubing and similar packaging. Julie hung what she believed was the patients antibiotic, however it had been the epidural. Just as the medication began running the patient began to arrest. People fled to the patient’s room. Later that evening when the room was being cleaned the epidural bag was found and handed to Julie for her to see what she had given the patient. Following the incident
day. Medication preparation and administration requires the nurse to be 100% concentrated on the task. Workflow shows that nurses face several challenges when administering medications and the errors rise with each interruption. Information technology such as bar code scanning reduced the errors but the time after scanning and giving medications is the most critical. Each interruption increases the chance of harm to the patient due to an error on preparation or administration of medications (Buchini
The Ethics and Legalities of Medication Error Disclosure Studies show that medical errors are among the top ten causes of death in the United States. Providers are often hesitant about disclosing a medical error especially when it caused very minor injuries. However, there are ethical and legal implications to the decision, and both can take their toll on the provider involved. Ethical and Legal Implications Disclosure and nondisclosure of medication errors violate several ethical principles including
Over the past years, the roles of pharmacy profession have developed rapidly following the advanced healthcare system. Pharmacy education has been shifted towards a more clinical approach and patient-centred practice termed as pharmaceutical care.1 The concept of pharmaceutical care requires pharmacists to equipped with in-depth knowledge of drug therapy and support other health professionals in order to achieve the optimum outcomes 2. Along with this paradigm shift, the pharmacists today have taken
once the patient is discharged (Davis &LaCour, 2014). Electronic health records (EHR), on the other hand, is clinical data that goes beyond the standard data collection. It is a patient’s health information - their medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results – that is created and managed by authorized providers in a digital format. In addition, EHRs allows access to evidence-based tools that providers
receive a heparin injection. The medication label was checked for the right medication and expiration date and the dosage. The medication was checked through MAR and also through Pyxis as to the right dosage, right medication and right person. It was double checked by second RN to make sure that there were no errors. This process involves three steps when administering medications they are as follows, the first check is performed when the nurse pulls the medications from the cabinet. After
and treat patients. Nursing informatics also focuses on ways to provide better patient safety and reduction of medical errors. This is done by electronic charting by way of electronic charting. Computerized physician order entry is the process in which a provider directly enters patient orders for care into a computer system, thus reducing the amount of transcription errors that may occur (Hebda & Czar, 2013). Experienced nurses vs. inexperienced nurse Nurses gather and collect patient data
electronic health records across all phases of patient care, and using evidence-based procedures at each transitional stage can optimize the quality and safety of patient care. Universal use of the EHR would enhance communication and patient care, reducing error-related costs, prioritization conflicts, outdated data, and minimal data exchange. Careful transition from the ASC to post-operative recovery involves confirming that the patient is stable enough for discharge. The patient or his or her caregiver