...Drug Errors Introduction Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit commission 2002). Drug administration forms a major part of the clinical nurses role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (O'Shea 1999). The patient is expected to receive the correct medication at each drug round but several studies have shown that this is not always the case (Raju et al 1988, Ferner 1995). Medication errors do occur and are a persistent problem associated with nursing practice (O'Shea 1999). The aim of this paper is to answer the question: Why are nurses still continuing to make drug errors? In order to answer this question this paper shall examine the guidelines that nurses must adhere to when administering drugs, shall provide a definition of a drug errors, look at reasons why drug errors occur and approaches that are aimed at reducing drug errors on the ward. There are a number of pieces of legislation that relate to prescribing, supply, storage and administration...
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...EXERCISE 2 My involvement in the drug error is as follows. I was working on the night shift as the only qualified nurse with 2 nursing assistants. The late shift decided to administer the 10pm medications as a way of helping me. This however was key in me making the error that I did. If I had been left to do the 10pm medications by myself, this error would not have occurred. Patient PF was given her medication by the late staff, however she had spat them out. On going to give her these again, I also repeated her liquid medication which she had actually taken with the late shift before she spat out her tablets. PF took half the liquid before giving it back to me saying that she had already taken it and it was just her tablets that she didn’t take. She accepted the tablets no problem from me. I checked the BNF to see limits of medication and knew the extra that she had was well within the maximum dose. I also knew that she was not naive to medication and had been taking this medication for some time without any adverse effects. I checked her observations and BP, pulse and temp were all within normal limits. I continued with getting the other ladies ready for bed and carried on with my regular night time duties and once the ward was settled I filled in the datix form to report the error. It was at this time that I realised I should have notified someone earlier of the error. I contacted the AMART team as it was my understanding that they triage the calls to the...
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...1.3 million injuries occurred annually in 1991 * 69% are partially due to errors in patient management * 13% of these resulted in patient’s death Computerised Physician Order Entry Mount Auburn saw computerised POE as a critical patient-safety tool. Current system: Paper based and verbal communication Common errors in current system * Simple miscommunication of the drug order * Messy handwriting, confusion between names etc… * Lack of knowledge about drugs and patients * Rule violations, slips and memory lapses Advantages of POE When a physician places an order, all the relevant information are shown such as 1) Lab test results 2) Medication the patient is currently on 3) Allergic history etc.. * Everything is in real time – info about new drugs in the market, research finding, patient files * Reduced faulty drug identity checking – name mismatch problem solved * rule violations could also be lower – enhanced monitoring * ordering more streamlined * Reduced transcription error – handwriting issue solved All these will bring greater name to the hospital as the error rates will increase -> one of the Leapfrog’s recommendation is “Evidence-based Hospital referral”, hence this will generate positive name for the hospital. CRM could also be improved as the customer will be more satisfied with lesser errors and reduced cost due to increased efficiencies. Current Plan: how to implement...
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...Medication errors are flaws in the healthcare system that can result in injury, disease, and even death. There are ways to prevent these mistakes and to make a facility more safe by enforcing certain rules and regulations. In order for these rules to be effective, the entire healthcare team including doctors, nurses, pharmacy, etc., need to cooperate and work together. It's very common for someone to make a clumsy move which is why triple checking is becoming more and more effective today. First scenario: A patient was prescribed two completely different medications to her but with similar names. The first drug was hydroxyzine 100 mg PO QID as needed and the second was hydrochlorothiazide 25 mg PO daily. When the nurse was supposed to be giving the 100 mg dose of hydroxyzine they instead pulled four 25 mg hydrochlorothiazide pills from the automated dispensing cabinet. The nurse proceeded to administer the medication before using the barcode scanning system. Not using the barcode was her first mistake. The nurse scanned the barcode after the patient had already consumed the pills. A pop up error came up saying "medication not found" because the daily dose of hydrochlorothiazide had already been given that day. Thankfully, the patient survived this incorrect administration of medication with no side effects to report. The nurse in this scenario administered the wrong medication that ended up being four times the prescribed dose of something that had already been given...
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...A medication error was discovered when we were counting narcotics at the end of the shift on my last day of my clinical. What happened was that I administered Oxycontin 80mg at 10 am instead of at 12pm, Methadon 5mg was the one scheduled at 10am was skipped. This happened after I found out that the resident was getting ready to go out, and I rushed and pulled the medication according the EMar but failed to check with eMar if it was the right drug or not. The Md was then notified and ordered to hold the 4pm scheduled Oxycontin and to do Q2 hours vitals until midnight. Right away I checked the resident's condition, didn’t notice any respiratory distress, and vitals were, Bp 100/52, RR 12, po2 92% and pulse was 86.At 10:30pm I call the night shift R.N to follow up on the condition of the resident and he told me she was doing fine. My Other mistake was I didn't call my instructor right away. I thought it was ok to tell her the next day which was the last day of the clinical but I wrote everything on my report what happen. Also when I asked my preceptor if my instructor would be informed she said the D.O.N will report it to her as soon as she gets the incident report from us. Then in the next morning the preceptor nurse came angry she assigned me only four new patients and told me to get a urine sample form catheter of the patient I never work with, and I said never done it before but i will try if you watch me. So I went to the med room to get the syringe but I couldn’t find it....
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...MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) Which of the following is an advantage of seniority pay systems? 1) _______ A) they reward exemplary performance B) they encourage employees to continue to increase their skillsets C) they reward employees on an objective basis D) they help to promote product quality 2) This term refers to a difference between the output of a human judgment processes and that of an objective, accurate assessment. This difference could be due to bias, prejudice, or other subjective, extraneous influences. 2) _______ A) content validity B) a first-impression effect C) rating error D) the performance appraisal process 3) In 2009, employees were expected to earn average merit increases of what percent? 3) _______ A) 8.3% B) 2.9% C) 5.2% D) 1.3% 4) Management by objective is part of which type of performance appraisal system? 4) _______ A) behavioral observation scale B) behaviorally-anchored rating scale C) goal-oriented system D) trait system 5) This occurs when a rater generalizes good performance behavior in one aspect of the job to all aspects of the job. 5) _______ A) negative halo effect B) positive halo effect C) first-impression effect D) similar-to-me effect 6) Which comparison system requires...
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...Billing and coding errors, the causes for billing and coding errors are incorrect dates; this can cause patient information to be billed or sent to the insurance provider to soon or may be late. Double billing happens more often than not. It is sad that it has to happen this way; I believe it is caused by computer errors or misplaced information. If double billing occurs you can credit the doubled amount back to the patient if the patient has paid both amounts. There are also typos that can happen that can happen on a patient’s bill and may cause issues for the insurance carriers, the payers or the patients. The solutions to these billing and coding errors. If the errors occur on your bill, patients can review their billing statements and contact their doctor office. Or they can send a written response asking for the proper information. For typos they can call and provide the correct information and hopefully get a good response from the receptionist. If billed twice for the same amounts they can request a credit for the double charge with proof that it had happened. All coding policies come from the proper coding guidelines of the national medical societies. Thousands of coding and billing combinations are used for checking all ...
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...Therefore, it is advisable that students seek for guidance from their instructors or professionals in research papers writing. INRODUCTION Research assignments give you an opportunity to demonstrate practically the skills and knowledge learnt in class. In the effort to give the best in writing research papers, students unconsciously make mistakes. This article highlights common mistakes students make in research paper writing especially in their early days of undertaking research assignments. COMMON ERRORS IN RESEARCH REPORT WRITING Topic selection some students’ select wide topics making it difficult to provide a satisfactory...
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...do it today, and this serves them fine. Larger companies have switched to computerized accounting systems today which run faster and are more accurate than manually. They both perform essentially the same thing, and are under the very same principles and concepts with the only differences being in the mechanics (Shanker, 2011). There are many factors facing manual accounting compared to computerized accounting today: speed, cost, and back up. Speed is important in accounting today due to the large companies and their investors. Using today’s computerized accounting systems, processing data, and reports are faster and more accurate causing less errors, and increases efficiency. This is all done with the push of a button (Shanker, 2011). Doing accounting manually is cheaper, but takes longer and is more likely to have errors. Using the computerized system is more costly due to the purchases of software, computer, training, and program upkeep. Other expenses with the computerized system...
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...feedback to pupils provides an opportunity for them to see how the respond given to their works which may be engaging or just being ignored by pupils. However, the teachers may have their own perspectives and beliefs underlying their practices. Therefore, this study aimed to identify the way teachers give written feedback to pupils’ writing, belief of their practices and factors that influencing their belief on practices in written feedback. A number of writing exercise books selected from upper level primary pupils are collected to be analysed and a few follow- up interviews being done to elicit the information data required for the purpose of this study. The results shows that most teachers focus more on the language form, giving uncoded error feedback and less written commentary given in writing. It is assumed that the factors that influence these practices are mainly because of examination culture, the time constraints and the teacher’s personal belief of written feedback. CHAPTER 1 INTRODUCTION 1.0 Introduction Written feedback is a long-standing educational practice that can arguably be linked to almost everything we learn (Evans, Hartshorn, McCollum, & Wolfersberger, 2010; Hattie & Timperley, 2007). According to Hyland & Hyland (2006), teacher written feedback is designed to carry a heavy informational load, offering commentary on the form and content or other aspects of a text to encourage pupils to develop their writing and consolidate learning...
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...NORTHCENTRAL UNIVERSITY ASSIGNMENT COVER SHEET Student: Yvette Davis THIS FORM MUST BE COMPLETELY FILLED IN Follow these procedures: If requested by your instructor, please include an assignment cover sheet. This will become the first page of your assignment. In addition, your assignment header should include your last name, first initial, course code, dash, and assignment number. This should be left justified, with the page number right justified. For example: DavisYBTM7104-6 1 | Academic integrity: All work submitted in each course must be your own original work. This includes all assignments, exams, term papers, and other projects required by your instructor. Knowingly submitting another person’s work as your own, without properly citing the source of the work, is considered plagiarism. This will result in an unsatisfactory grade for the work submitted or for the entire course. It may also result in academic dismissal from the University. | | BTM8104-8 | Dr. Amy Grace Vaughan | | | Statistics I | BTM8104-6 Population in the News | | | ------------------------------------------------- Faculty Use Only ------------------------------------------------- Statistics is used for a variety of things in today’s society. It is used to determine valuable information in reference to information shared through the news as well. In fact, the news topic discussed in this...
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...want to promote electronic health records, Therefore the electronic prescriptions will increasingly be asked. 3) At first my reaction wil be bad because the prescprtion hand does not cost me anything. Fortunately, the application makes life easier for customers and it is safer than hand prescpition and the government pushes to modernized the management of health I'll end to adopt it. Over the cost of the iphone and subscription this aplication offers several advantages including security (greatly reduces errors) ease (easy to use) and effectiveness (prescription sent directly to the pharmacy) for me and customer. 4) The pharmacy will be more reticent in front of this project because the application takes a commission on the sale, which reduces her margin especially as the competition is fierce with the online pharmacy is growing in the market. 5) The application allow to be clearer and avoids the mistakes of understanding and writing, but if the error comes from a wrong manipulation of the doctor the Script Pad is not 100 % safe. The solution is to create a security step in the aplication where the physician must read again his manipulation then aprove it and sign it 6) First we have to try to sign partnership with the government in order...
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...wishes and intentions, making false steps turns out to be inseparable part of our life. Moreover failure is considered to be one of the greatest man’s fears. There is no need to deny the fact that up-to-date life is sure to lay high claims to every person and to enhance the importance of competition. Seeking after perfection and willing to make some favorable impression one, in contrast, grows weaker before failure. Frankly speaking the very point, not to be forgotten, is that perfection exists only in our imagination but not in real life. Thus understanding of such thing can become the only way to accept one’s own and somebody else’s failure. You can’t but take into account that all greatest discoveries happened mostly by trial and error. Society imposes certain conditions, according to what it can result in the fear of misfortune that leads us, in turn, to more sizable blunder. Right for mistake means often the right for some innovation, research, experiment, discovery and progress in some new directions. They say: “Only one is not mistaken, who does nothing”. It’s also worth mentioning that a lot of outstanding personalities also failed and that sometimes few people possessed faith in them. That’s why the main thing to stress is that we should be patient and learn lessons from our failures. Furthermore it is said: “Wise man...
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... Dear Location Managers, Great job on trying to manage the extensive amount of customers. Lei and I have heard that the employees are overwhelmed by the volume of customers. Thanks for noticing and reporting the increase of errors in customer orders. Lei and I have decided to adopt an e-customer order system that will allow customers to input their own orders. This would address the issue of employees being overwhelmed by the increased pace of the workplace. When need to implement Kotter's Eight Steps to Leading Change to reach our goals. We know that making change in technology to automated customer service will be a difficult task but Lei and I are going to be with you the whole step of the way. Our vision is to decrease the number of errors to a minimum while introducing a new system. I will send you a guidance handbook to operate the new system. Cross-training will definitely have to go into effect, the old employees will have to train the new ones. To touch base with the number of errors, I need that number to decrease to one error a day per employee. Since I know that we just got new equipment the monitoring will go in effect next month. To motivate the employees each month I will give a reward to the ones who have limit number of errors. You should let your employees that you are watching them to ask questions if they have a concern. Please try not to intimidate them. It should be praise an reward.I want them to be able to talk to you about any concern. Everyone...
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...Quezon City Polytechnic University 673 Brgy. San Bartolome, Quirino Highway Novaliches, Quezon City The Effects of Social Networking Sites on the Students in Writing Skills A library paper presented to the Faculty of Department of Languages in Partial fulfillment of the Requirements for the course (Writing in Discipline) Submitted to: Ms. Meldred O. Avila Submitted by: Caparas, John Carlo A. Cayanan, Emilinda Gatdula, John Paul B. Legazpi, John Jayson Oseo, Emma Tesorero, Mark Lester Madiam, Erika Malto, Domingo III B March 30,2012 Acknowledgement We are heartily thankful to our Professor, Ms. Meldred O. Avila, whose encouragement, guidance and support from the initial to the final level enabled me to develop an understanding of the subject. Our grateful thanks also go to our friends and classmates of BSIT-1I who give us idea about this program. A big contribution and hard worked from all of you during the four weeks is very great indeed. All projects during the program would be nothing the enthusiasm and imagination from all of you. Besides, this program makes us realized the value of working together as a team and as a new experience in working environment, which challenges us every minute. The whole library paper really brought us together to appreciate the true value of friendship and respect of each other. Also we want to thank www.google.com for giving us resources and information. Lastly, We offer our...
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