Medication Administration II Flashcards
(27 cards)
Category A
actual error did not occur, almost did
Category B
error did not reach patient
Category C
error did not harm patient and there was no intervention needed to preclude harm nor was extra monitoring needed
Category D
Error did not harm patient and interventions were made to preclude harm and extra monitoring was required
Category E
Patient was harmed. Required interventions to sustain life. Harm was temporary and required prolonged hospitalization
Category F
Patient was harmed. Required interventions to sustain life. Harm was temporary and did not require prolonged hospitalization
Category G
patient was harmed, required interventions to sustain life, harm was not temporary- harm was permenant
Category I
error contributed or resulted in patient death
Category II
patient was harmed, which required interventions to sustain life, but harm was not permentant
Near Misses
Error did not reach patient
Adverse Events
any undesirable experience associated with the use of a medical product in a patient. Sometimes preventable sometimes not. Rarely reported
Sentinel Events
Reportable to Joint Commission. Errors that did harm or caused patient death. Investigation done to determine root cause to determine cause and required interventions
Medication Error Definition
any preventable event that may cause or lead to inappropriate medication use or patient harm during Medication Administration Process
Factors contributing to Med. Errors (11)
6 Rights, Agency checks, Client variables, verbal/phone orders, illegible/incomplete orders, stress/fatigue, short-term memory, being late or in a hurry, multitasking, interruptions, environment
Patient’s Impact of Med Errors
prolonged hospitalization, increased cost and time, harm to patient, loss of trust in healthcare team
Staff Nurse’s Impact of Med errors
self-doubt, traumatized, poor reputation
Administrative Personnel Impact
may be penalized b/c of errors in their dept. Investigations
Hospital’s Impact
Poor reputation, perceived as unsafe, penalization, financial costs
Med Error Prevention- Assessment (5)
Ask patient: Allergies, concerns, OTC meds/herbal supp, Med taken prior
Assess: Kidney/liver functions for impairments and pharmacotherapeutic effects
Med Error Prevention- Planning (5)
Minimize Contributing Factors: abbreviations, question orders, don’t accept verbal orders, follow policies/procedures, ensure patient can demonstrate/understands goals of therapy
Med Error Prevention- Implementation Pre-Admin (6)
Eliminate distractions, 6 Rights, verify patient ID, correct route techniques, calculate doses correctly, double check
Med Error Prevention- Implementation Post-Admin (5)
record meds on MAR immediately, confirm patient swallowed, be alert for long-acting oral dose forms, medication reconciliation, Patient education
Med Error Prevention- Evaluation
expected outcomes, adverse events, quality improvement
First step once Error is recognized
Assess patient’s reactions, document findings, notify PCP
