What procedure should be followed for medication errors near misses?

Safety in the medication process

We know that one of the main adverse events encountered by our patients during healthcare are medication-related errors. Within these errors, those due to erroneous medication administration are especially conflictive, as 98% of them are not intercepted.

Therefore, for today’s post we have Pau (@Paumalap), a nurse who is going to tell us first-hand what are the 10 “correct” ones that all nurses should follow when preparing and safely administering any medication, and thus avoid errors in the long term.

Normally we only talk about “the right 5” (or sometimes even the right 8), but today we want to go a step further in Patient Safety and show you some more recommendations to improve the quality and safety of the medication administration process.

But be careful, a medication error is not the same as a medication-related adverse effect. When we talk about an adverse effect we refer to any undesirable event that occurs to a patient during healthcare, regardless of whether it is an error or not (e.g., a “de novo” allergic reaction).

What is considered a medication error?

Medication error (ME): A preventable event caused by inappropriate use of a medication, while the medication is under the control of healthcare personnel, the patient or the consumer. It can result in harm to the patient6.

What are the 10 correct nursing ones?

The 10 corrects in the administration of medications are standards, rules and protocols of health institutions, these activities are performed by the nursing professional and consist of a series of steps among which stand out: patient, medication, dosage, route of administration, correct time, date of administration, …

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What are the 5 golden rules for drug administration?

Five correct: – Right patient. Correct medication. Correct dose. Correct route.

Essential actions for patient safety who

We know that one of the main adverse events encountered by our patients during healthcare are medication-related errors. Within these errors, those that are due to erroneous administration of medications are especially conflictive, as 98% of them are not intercepted.

Therefore, for today’s post we have Pau (@Paumalap), a nurse who is going to tell us first-hand what are the 10 “correct” ones that all nurses should follow when preparing and safely administering any medication, and thus avoid errors in the long term.

Normally we only talk about “the right 5” (or sometimes even the right 8), but today we want to go a step further in Patient Safety and show you some more recommendations to improve the quality and safety of the medication administration process.

But be careful, a medication error is not the same as a medication-related adverse effect. When we talk about an adverse effect we refer to any undesirable event that occurs to a patient during healthcare, regardless of whether it is an error or not (e.g., a “de novo” allergic reaction).

What are the most common errors in drug administration?

According to a November 2010 INCA (National Cancer Institute) study, the most common errors in drug administration are improper technique, wrong route, inadequate preparation, and administration without taking into account the care related to that drug.

What is a WHO medication error?

Medication errors can occur because healthcare professionals are tired, because they are overstaffed or understaffed, because poor training has been provided or because incorrect information has been communicated to patients, for example.

What is a dispensing error?

A dispensing error implies any discrepancy between the medication dispensed and the medical prescription (7), so that during a proper dispensing process it is possible to detect and correct any error at any stage (5).

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Correct medication administration guidelines who

Hospital Safety is defined as: “the condition that guarantees that workers, patients, visitors, infrastructure and equipment within a health care center are free of risk or danger of accidents”. The construction of a culture of prevention is based on knowledge of the risks, and the culture of safety is directly related to the quality of the service provided, which is why these terms are of special interest in healthcare institutions3 .

2. Effective communication. Improve communication between health professionals, patients and family members, in order to obtain correct, timely and complete information during the care process, and thus reduce errors related to the process of listening-writing-reading-transcribing-confirming and verifying8. 5.

5. Reduce the risk of healthcare-associated infections (HAIs). Reduce infections through the implementation of a comprehensive hand hygiene program during the care process and perform hand washing during the 5 moments proposed by the World Health Organization (WHO)8.

What are the medication errors you can make as a dispenser?

Medications with orthographic or phonetic similarities: the similarity in the name of 2 medications, or the coincidence in the pharmaceutical form, dosage or administration interval can lead to dispensing errors.

How to avoid a medication error?

How to prevent medication errors due to incorrect patient identification? Using at least two patient identifiers, ensuring proper matching between treatment and patient, and educating patients are some of the ISMP’s recommendations in its recent bulletin.

What are essential actions for patient safety definition?

Patient safety. According to the Institute of Medicine, it is defined as care free from accidental harm, ensuring the establishment of operational systems and processes that minimize the probability of error and maximize the probability of its impediment.

8

Patient Safety (PS) is the conscious attempt to avoid injury to the patient caused by care, is an essential component of Quality of Care and the precondition for the performance of any clinical activity.

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Patient safety is fundamental to the delivery of quality essential healthcare services. Indeed, there is a clear consensus that quality healthcare services worldwide must be effective, safe and people-centered. Moreover, for the benefits of quality health care to be effective, health services must be delivered in a timely, equitable, integrated and efficient manner.

There are at least two ways of classifying adverse events, by the possibility of anticipating their occurrence or not, and whether or not they are associated with the drug or medication:

These events are associated in most cases to human or equipment errors during the health care process.  The importance of the correct identification of sentinel events lies in the fact that most of them are avoidable by implementing correct action protocols. The goal is for their rate to approach zero.