Preview

Medication Errors Case Study

Better Essays
Open Document
Open Document
1058 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Medication Errors Case Study
Case Study #2- Medication Error

1. Define “overdose.” What are some symptoms of overdose and statistics? Contrast accidental and intentional overdoses.
An overdose is when a dangerous dosage of a drug is ingested. Fluctuation vital signs, exhaustion, dizziness, and chest, hear, and lung pain are all symptoms of overdose. Prescription drugs are the largest cause of deaths from overdose. In 2005, out of the 22,400 overdoses, 38.2% were the result of pain killers. Intentional overdose is the misuse of prescribed or not prescribed medications taken in excessive quantities in attempt to self-harm. Accidental overdoses happen due to misreading of dosages or failing to understand the label. It is also possible that the doctor does not realize the
…show more content…
Make sure the patient has two forms of identifiers, verify allergies, note any critical diagnoses, current medication, and height and weight. Another recommendation is up to date drug information. Use multiple drug references, guidelines, and high-alert meds. One last recommendation is communication, share information, write clear, and avoid abbreviations. Require all unused drugs to be returned to the pharmacy and having the computerized checking system double check doses every time.
6. What are some risk factors that lead to medication errors?
Medication errors can be a result of long work shifts, inexperience staff, medical services such as an interpreter, multiple medications for a single patient, environmental factors, fatigue in doctors and nurses, dosage requirements, poor communication, distribution system error, improper drug storage, miscalculations or measurements, confusing labels or packaging of medications, poor handwriting, verbal commands, lack of authority in policies and procedures, poor overseers.
7. What are some ways that medication errors can be
…show more content…
A conversion factor is a numerical quantity used to multiple or divide when converting from one system of measurements to another. For example, when converting milligrams to grams, the milligrams is always divided by 1000 to get the final answer in grams. If someone had 35 milligrams of NaCl and wanted to know how much 35 milligrams of NaCl would be in grams, they would divide 35mg by 1000 to determine the number of grams. 35mg x 1g/1000mg= .035g. The mg would cancel leaving the final unit as grams. Conversion factors are especially critical when administering medicine to child, because children vary greatly in weight from an adult so children cannot accept the same dosage as an adult would. The less they weigh, the less dosage they can receive. If a child receive the dosage intended for an adult the child would experience an

You May Also Find These Documents Helpful

  • Good Essays

    Upon admission, a medication history is obtained by an RN. If the patient is unable to provide the history at that time it can be done a number of ways: family interview, written patient med list, rx vials, recent H&P, transfer records, recent discharge med list, and/or retail pharmacy list. The pharmacist uses a program on the computer to pull up this gathered information to evaluate it for completeness and may interview the patient themselves. There is only one pharmacist responsible for med-rec therefore many patient…

    • 405 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Any kind of error, whether it causes no harm to the patient or kills the patient, is still an error that needs to be reported and addressed. This collection of data begins with looking at the CPOE (electronic physician orders), Pyxis dispense history, eMAR, narcotic waste history (if a narcotic error), barcode scans, and the stage that the error occurred. These are all important data pieces to collect and analyze in order to pain the picture of what happened and why. The stages of where/when the error occurred are very important for identifying patient harm. Stage one is considered a prescribing error where the incorrect drug or dose is selected for a patient. This kind of error is also the cause of illegible handwriting and/or the misspelling of a drug with a similar name (Williams, 2007). Prescription errors make up for between 1-11% of all written prescriptions (Sanders & Esmail, 2003). Stage two is where dispensing errors occur. This is considered to be selection of the wrong product where usually there are look alike and sound alike drugs involved such as Losec and Lasix. Step three and four are the preparation and administering stages and the rates of these errors vary between 3.5% and 49% (NPSA, 2007). These stages are areas of high risk within nursing practice where nurses fail to verify important information such as drug, patient, dose, time, and route (Williams, 2007). IV drugs are suggested to be as high as 25% of medication errors in these stages (Bruce & Wong, 2001). Stage five is errors in monitoring outcome. Patients take certain drugs that require continuous monitoring to ensure the dosing is correct and there are no adverse…

    • 1069 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Prescription Errors

    • 1266 Words
    • 6 Pages

    “The five main categories of traditional prescribing errors are wrong patient; wrong drug; wrong dose, strength, or frequency; wrong drug formulation; and wrong quantity. Out of those main categories, the four most common errors observed were wrong drug quantity (40%), wrong duration of therapy (21%), wrong dosing directions (19%), and wrong dosage formulation (11%).” (Graham and Scudder). Some common errors of prescribing would be: wrote the prescription incorrectly, illegible handwriting leads to miscommunication, and physician error of simply choosing the incorrect medication/dosage when writing the…

    • 1266 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    Opiate overdose has many cumulating factors that intertwine causing an actual overdose. Many believe that the rise of opiate overdoses is due to an increase in opiate addicts primarily heroin addicts. However, research shows that the reason for overdose rate increases is due to the following factors; fear of reporting an overdose, tolerance, and polysubstance use. Usually when a person overdoses the majority of the time it is due to injecting heroin. Most of the time it is a fellow heroin addict with them that fails to seek medical attention for that person while they still can, due to the fear that they will get in trouble and face legal consequences. Therefore, they just leave the person where ever they are and take off in fear. The second risk factor increasing the chances of an opiate overdose is tolerance. This is when a person builds, over time the need to use more of the substance at one time to gain the same effect. Or the addict increases use of other drugs to compensate for the decreased effectiveness of the opiate they have such a high tolerance for. Another risk factor is polysubstance abuse; this is when a person uses more than one drug in combination with other drugs, usually at the same time. Many addicts will mix alcohol and benzodiazepines together along with the opiate which in combined acts…

    • 2570 Words
    • 11 Pages
    Better Essays
  • Powerful Essays

    80% of emergency room visits for prescription drug overdoses are due to abuse of analgesics (pain relievers) or psychotropics (anti-depressants). This reported by the Nevada Division of Mental Health and Developmental Services, Department of Health and Human Services.…

    • 1145 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Opioid are derived from opium or synthetic drugs that have similar properties. These drugs possess the ability to reduce pain. Using opioids for extended periods of time causes the body to become adapted to them. As a result, the body becomes physically dependent on the drug (Paulozzi, 287). According to the Pennsylvania Medical Society, Americans consume 80% of the world’s opioid supply (“More White, Middle-aged Women Overdose on Opioids, Study Says.”). This number is should be shocking and should signal a red flag. Having such easy access to opioids in the United States explains why drug overdoses have increased so drastically. Opioids are not the only drugs that have caused an increase in drug overdose rates. Heroin overdose rates have almost…

    • 241 Words
    • 1 Page
    Good Essays
  • Satisfactory Essays

    Medication Errors

    • 397 Words
    • 2 Pages

    When doing the job of nursing one of the most important aspects is patient safety. The biggest danger to patients is medication. A medication error is when the nurse gives a patient the wrong medication or the dose of medication could be wrong. The danger of the medication error is that it can lead to an over dose, a reaction, or even death to a patient. There are several things to know when dealing with medication errors like who should fill it out, who should receive a completed report, why would you fill one out, what is included, and what a near miss is.…

    • 397 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Recent research has had little success in identifying the specific factors that are associated with high medication error rates but nursing professionals can help to reduce the amount of medication errors in health care facilities by participating in research and educating others on the identified factors associated with medication errors.…

    • 909 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Medication error defined is any preventable event which may cause or lead to inappropriate medication use or harm to a patient (Treas & Willkinson, 2014). Medication mistakes are the most common type of healthcare error. Clinical factors which can contribute to medication error can include inadequate nursing education about patient safety and quality, excessive workloads, staffing inadequacies, fatigue, illegible provider handwriting, flawed dispensing systems, and problems with the labeling of drugs. Mistakes which can result in medication error can involve giving the wrong medication or the wrong dose at the wrong time, omitting doses, giving the wrong dose,…

    • 703 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    The Rate of Young Accidental Overdoses have Recently Increased Because Prescription Medication Abuse is Now on the Rise.…

    • 1644 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Medication Error Essay

    • 352 Words
    • 2 Pages

    According to their research, 526,186 incidents occurred, with 16% of the incidents causing patient harm and 0.95% resulting in serious harm or death (Cousins et al. 2012). A U.S. study by the Institute of Medicine found that medication errors cause harm to approximately 1.5 million people and kill several thousand each year in the U.S. (Diamond, 2006). While not Canadian statistics, these values are a demonstration of the seriousness of drug errors. Medication errors can lead the patient and their family to become increasingly worried about the safety of their loved ones and about the quality of care they are receiving (Kim & Bates, 2012). The adverse effects of the drug could also result in a prolonged hospital visit, leading to further isolation from the patient’s normal routine and social life. In addition, the nurse who administered the medication would also face several social issues. Often a nurse who makes a medication error faces increased scrutiny from their peers; if the mistake is severe enough the nurse could face disciplinary action such as a suspension of their nursing license. This…

    • 352 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Medication errors occur often in the nursing field. “A medication error is defined as a failure in the treatment process that leads to, or has the potential to lead to, harm to the patient.” [(Aronson, Medication Errors.)] Nurses make unfortunate mistakes everyday . “According to a April 7 report in Health Affairs, medical errors now cost our over-burdened health care system over $17.1 billion dollars a year; the cost of avoidable hospital readmissions adds another $13 to $18 billion dollars a year.” [(Reducing the Cost.)] It is important to reach out to a supervisor immediately so that mistakes can be fixed if possible. This article was interesting because a study was done between experienced registered nurses and bachelor degree nursing…

    • 697 Words
    • 3 Pages
    Good Essays
  • Good Essays

    I would also be sure to have the right dose to prevent over or under dosing. I would use measuring devices and conversions to calculate the correct dose and be sure to know which drugs can and cannot be crushed such as extended release tablets or specially coated tabs. An error in dosing can cost a nurse their license and potentially a patient's life. I will make sure I am able to calculate the medication doses and know how to calculate drug doses by weight. I will also research the drug before…

    • 1285 Words
    • 3 Pages
    Good Essays
  • Better Essays

    For example: On January 22,2008, acclaimed Australian actor, Heath Ledger, died from an accidental overdose of six types of prescribed painkillers and sedatives. Ellen Borakone, spokesperson for the New York Medical Examiner’s office, said…

    • 1871 Words
    • 8 Pages
    Better Essays
  • Better Essays

    International Council of Nurses. (n.d.) Nursing matters: Medication errors. Retrieved February 18, 2008, from http://www.icn.ch/matters_errors.htm…

    • 2098 Words
    • 9 Pages
    Better Essays