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Medication errors

Please explain the a concise explanation of the problem of medication errors in the hospital. Address statistical numbers and propose a solution.


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Medication Errors

Medication Errors

(Author’s name)

(Institutional Affiliation)

Abstract

This paper will look at one of the many issues in medicine that has affected the effectiveness of medical care for a long time. The issue under scrutiny in this case is Medical errors, something that has been found to be extremely common in medicine. For the purposes of an understanding that is comprehensive, three articles are going to be reviewed on the issues and some of the possible lessons for medical practitioners learned in the articles will be used to come up with a recommendation on how these errors can be checked.

Introduction

A medical error is a term commonly used to describe mistakes or errors that occur during medical care of a patient. These errors are usually committed by medical practitioners and they can be as a result of numerous things such as negligence, inexperience, incompetency, using wrong equipments, among others. However, it is not always that these errors are as a result of negligence or inexperience, sometimes other factors affecting the doctor such as stress can cause errors. Errors can be dangerous to the lives of patients. As it follows, they must be checked and programs must be put in place to ensure that mistakes do not occur unnecessarily (The Leap Frog Group, 2008).

Eurobarometer. (2005). Medical Errors

This article argues that health interventions, even those meant to benefit the patient can sometimes result to harmful outcomes. Mistakes, when it comes to medical care, can result and occur anywhere in the health care system. This can be at the doctor’s office, the hospital, pharmacies, nursing homes, and even patient’s homes, and in any part or section of the process of treatment involving improper treatment, wrong medication and delayed or incorrect test results. The article perceives medical errors as an essential challenge in numerous countries. The article goes on and argues that about 78 percent of EU citizens cite medical errors as a persistent issue in their country. The study also indicates that women, more than men, in these counties perceive the problem as significant. However, no straight tendencies can be deducted when it comes to the variable related to socio- demographics of individuals who have been affected by the problem. However, the younger population seems to be in the dark about medical errors (Eurobarometer, 2005).

I have learned from this article that the level of concern and personal experiences and the perceived significance of the problem are essential in determining the individuals who have more knowledge of medical errors. The article indicates that knowledge of medical errors is essential in avoiding and preventing them in the future. This knowledge can be extremely essential in my practice. This is because I can further on knowledge about the existence and the possibility of patients suffering from or encountering medical errors. With this knowledge, patients can be in a better position to determine when they are in danger of experiencing medical errors and when they are not (Eurobarometer, 2005).

Halbach, J. L. & Sullivan, L. (2002). Medical errors and patient safety: a curriculum guide for teaching medical students and family practice residents.

The article gives examples of medical errors as missed diagnosis, incorrect dosage, premature or inappropriate discharge, waiting even when treatment has been indicated, faulty techniques, failure to review plan of treatment, and failure to convey information to the patient during sign- out. The article also provides the reader with several possible reasons why medical mistakes occur. Some of these reasons include hesitation, faulty judgment, ignorance, fatigue, system flaws, failure to carry out close monitoring, job overload, and inexperience. There are four main reasons given by doctors as to why these mistakes are common. These include physician stressors, factors in the process of care, factors related to patients, and characteristics of physicians. From this article, a number of lessons can be learned. For example I have learned that errors will always happen, systems should be created to help avoid and absorb errors, errors are not necessarily caused by negligence, and that institutions should start a supportive culture of reporting errors for the purposes of future avoidance (Halbach & Sullivan, 2002).

These lessons can be assimilated in my practice by accepting the fact that errors are common so as to design methods and systems for checking errors in advance, and for preventing and averting them. This knowledge can also be used to check for root causes of problems and errors instead of blaming or punishing the physician because some errors are not as a result of negligence. Also, this knowledge can be used to inform the concerned parties the essentiality of reporting errors as soon as they happen. This is because this can help immensely in reducing future errors (Halbach & Sullivan, 2002).

The Leap Frog Group. (2008). Computerized physician order entry.

This article argues that in US hospitals more than one million cases of medical errors occur each year. The article indicates that these errors include such things as wrong administration of drugs, overlooked interactions and allergies of drugs, wrong drugs and drug overdoses. They authors argue that these errors occur for numerous reasons such as decimal point errors, and illegible prescriptions that are handwritten. The article argues that these errors usually result to tragic consequences for the patients such adverse drug events that are preventable, 20 percent of which are life- threatening. The article also indicates that medical errors are costly and they result to financial costs that are tremendous. This article has many essential lessons for a health practitioner (The Leap Frog Group, 2008). For example, I learned that computerized physician order entry can be used to avoid and reduce medical errors. Other methods that can be used to prevent errors include such things as a CPOE standard evaluation tools. As a health practitioner, one can adapt these lessons by implementing an effective CPOE evaluation tool that can be used to effectively reduce errors in medication. Computerization of order entry can also be an essential way of reducing medical errors as it can reduce errors that result from handwritten prescriptions or details that are illegible. Decimal point errors can also be considerably condensed with the utilization of computerized systems (The Leap Frog Group, 2008).

Conclusion

As it has been seen, medical errors can result to detrimental impacts on the health of the affected patients. As a result, the task of ensuring that medical errors are kept to a minimal should be taken as first priority so as to safeguard the lives of the patients.

References

Eurobarometer. (2005). Medical Errors. Special Eurobarometer 241/ Wave 64. 1 & 64. 3- TNS Opinion and Social. http://ec.europa.eu/public_opinion/archives/ebs/ebs_241_en.pdf

Halbach, J. L. & Sullivan, L. (2002). Medical errors and patient safety: a curriculum guide for teaching medical students and family practice residents. New York Medical College Department of Family Medicine. http://www.nymc.edu/fammed/medicalerrors.pdf

The Leap Frog Group. (2008). Computerized physician order entry. The Leap Frog Group. Retrieved from http://www.leapfroggroup.org/media/file/Leapfrog-Computer_Physician_Order_Entry_Fact_Sheet.pdf

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Medication Errors

Medication Errors
Paper details:
? Introduction-
? Offers a detailed description of the statement of purpose for the paper.
? Identifies the clinical issue which is the topic of the Capstone evidence based clinical paper.
i. A clinical issue or problem drawn from one of the four main categories of the NCLEX-RN examination blueprint:
1. Assurance of a safe and effective care environment
2. Health promotion and maintenance of health
3. Preservation of the patient population’s psychosocial integrity
4. Preservation of the patient population ’s physiological integrity
? Patient Population: Identifies the patient population that is impacted by the clinical issue.
? Importance: Explains the importance of the clinical issue to the health of the patient population as well as identify the potential long-term negative effect if the clinical issue is not aIDressed.
? Exploration of the literature-
? Background: Provide summary of background information in describing the clinical issue:
i. The effect of the clinical issue on the population of interest.
ii. Identifies at least one contributing factor.
iii. Identifies potential negative effects of leaving the clinical issue unresolved.
? Solution to the clinical problem- Propose the best solution for solving the clinical problem that
can be carried out by a nurse through the use of appropriate evidence based data: i. Peer-reviewed journal articles
ii. Scholarly sources
? Reference Page: (APA 6th edition formatting)
NR452 Capstone Course
NR452 Capstone Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ CIS-LS 1
Capstone Evidence-based Paper Part 1 Guidelines
PURPOSE
In this Capstone paper, the student will have the opportunity to reflect on the knowledge and experience
gained in the baccalaureate nursing program. The student will gather background information on a clinical
problem affecting a particular population and will explore the literature in regard to the role nurses play in
aIDressing or relieving the issue.
COURSE OUTCOMES
THIS ASSIGNMENT ENABLES THE STUDENT TO MEET THE FOLLOWING COURSE
OUTCOMES.
CO # 3: Utilize information technology to manage knowledge, mitigate error, and support decision
making with health team members and consumers of care. (PO# 8)
CO # 4 Integrate critical thinking, clinical reasoning skills, best current evidence, clinical expertise,
and patient/family preferences/values in the implementation of the nursing process. (PO# 4)
DUE DATE
Unless otherwise instructed by the faculty, this assignment is due to be submitted in the course drop box no
later the 12 am (midnight) on the Friday of Unit 3. The college’s Late Assignment Policy applies to this
activity.
TOTAL POINTS POSSIBLE
200 points
REQUIREMENTS
Ultimately, the student will be required to produce an 8-10 page evidence-based paper aIDressing a
significant clinical issue. This evidence-based paper is due in two parts. In Part 1 of the Capstone Evidencebased
Paper assignment, due in Unit 3, the student will identify and begin exploring a solution to a clinical
issue. This first paper will provide the basis for, and will become part of, the Capstone Evidence-based
Paper Part 2 due in Unit 6.
• When selecting a clinical issue to be aIDressed in the assignment, the student is expected to
draw from one of the four main categories of the NCLEX-RN examination blueprint: assurance
NR452 Capstone Course
NR452 Capstone Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ CIS-LS 2
of a safe and effective care environment, health promotion and maintenance of health, the
preservation of the patient’s psychosocial and physiological integrity.
• Length of paper is 3-4 pages excluding the title page and the reference page.
• The sources cited both in text and on the reference page for this assignment will be formatted
according APA 6th edition guidelines.
• Minimum of three (3) peer-reviewed scholarly sources are required in support of the Capstone
Evidence-based Paper Part 1 assignment. (NOTE: An aIDitional three (3) references will be required
for a minimum of six (6) peer-reviewed scholarly sources in support of the final Capstone Evidencebased
Paper Part 2.)
PREPARING THE ASSIGNMENT
The assignment will include the following parts:
? Title Page: (APA 6th edition formatting)
? Introduction-
? Offers a detailed description of the statement of purpose for the paper.
? Identifies the clinical issue which is the topic of the Capstone evidence based clinical paper.
i. A clinical issue or problem drawn from one of the four main categories of the NCLEX-RN
examination blueprint:
1. Assurance of a safe and effective care environment
2. Health promotion and maintenance of health
3. Preservation of the patient population’s psychosocial integrity
4. Preservation of the patient population ’s physiological integrity
? Patient Population: Identifies the patient population that is impacted by the clinical issue.
? Importance: Explains the importance of the clinical issue to the health of the patient population as well
as identify the potential long-term negative effect if the clinical issue is not aIDressed.
? Exploration of the literature-
? Background: Provide summary of background information in describing the clinical issue:
i. The effect of the clinical issue on the population of interest.
ii. Identifies at least one contributing factor.
iii. Identifies potential negative effects of leaving the clinical issue unresolved.
? Solution to the clinical problem- Propose the best solution for solving the clinical problem that
can be carried out by a nurse through the use of appropriate evidence based data:
i. Peer-reviewed journal articles
ii. Scholarly sources
? Reference Page: (APA 6th edition formatting)
NR452 Capstone Course
NR452 Capstone Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ CIS-LS 3
DIRECTIONS AND ASSIGNMENT CRITERIA
Assignment
Criteria
Points % Description
Introduction 25 12.5% ? Provides a detailed description of the statement of purpose for
the paper
? Identifies the clinical issue that will be discussed in the
Capstone Evidence-based paper
? Defines which one of the four main categories of the NCLEXRN
exam blueprint is impacted by the clinical issue
Identification of the
Patient Population
20 10% ? Identifies the patient population impacted by the clinical issue
Importance of
AIDressing the
Clinical Issue
20 10% ? Provides a description of the importance of aIDressing the
clinical issue on the selected patient population
Background of the
Clinical Issue
25 12.5% ? Provides a background summary of the clinical issue:
o Identifies at least one contributing factor to the clinical
issue in the selected patient population
Potential Negative
Effect of Not
AIDressing the
Clinical Issue
20 10% ? Identifies potential negative effects of leaving the clinical
issue unresolved. Among those may be, but not limited to:
o The patient population
o The health care system
o Other negative effects
Proposed
Solution
20 10% ? Proposes the best solution for preventing or helping to resolve
the clinical issue that can be carried out by a nurse
Role of the Nurse 20 10% ? Describes the role the nurse can have in preventing or helping
to resolve the clinical issue
Evidence-based
Support for the
Solution
30 15% ? Provides a minimum of 3 references retrieved from:
o Peer-reviewed scholarly journals
o Scholarly sources
NR452 Capstone Course
NR452 Capstone Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ CIS-LS 4
Assignment
Criteria
Points % Description
APA 6th edition
Format, Grammar
and Punctuation
20 10% ? Uses clear and correct grammar.
? Uses proper sentence structure and flow.
? Adheres to all APA 6th edition formatting guidelines for title
page, margins, and in- text citations.
Total Points = 200
NR452 Capstone Course
NR452 Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ /CIS-LS 5
GRADING RUBRIC
Assignment
Criteria
Outstanding or Highest
Level of Performance
A (92–100%)
Very Good or High Level of
Performance
B (84–91%)
Competent or Satisfactory
Level of Performance
C (76–83%)
Poor, Failing or
Unsatisfactory Level of
Performance
F (0–75%)
Introduction
(25 points)
Completely sets the stage for
selecting the clinical issue in
terms of the impact on the
health of a patient population.
Offers a detailed description of
the statement of purpose for
the paper. Defines which of
the four main categories of the
NCLEX-RN exam blueprint is
impacted by the clinical issue.
(23-25 points)
(
Begins to set the stage for
selecting the clinical issue in
terms of the impact on the
health of a patient population.
Identifies most but not all of
the details describing the
statement of purpose for the
paper. Defines which of the
four main categories of the
NCLEX-RN exam blueprint is
impacted by the clinical issue.
(21-22 points)
Minimally aIDresses the
clinical issue in terms of the
impact on the health of a
patient population. Describes
in general terms the details
describing the statement of
purpose for the paper. Defines
which of the four main
categories of the NCLEX-RN
exam blueprint is impacted by
the clinical issue.
(19-20 points)
Does not aIDress the clinical
issue in terms of the impact on
the health of a patient
population. Fails to define
which of the four main
categories of the NCLEX-RN
exam blueprint is impacted by
the clinical issue.
(0-18 points)
Identification of the
Patient Population
(20 points)
Patient population clearly
identified.
(19-20 points)
Patient population partially
identified.
(17-18 points)
Patient population minimally
identified.
(16 points)
Identification of patient
population missing completely
or lacking in description.
(0-15 points)
NR452 Capstone Course
NR452 Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ /CIS-LS 6
Assignment
Criteria
Outstanding or Highest
Level of Performance
A (92–100%)
Very Good or High Level of
Performance
B (84–91%)
Competent or Satisfactory
Level of Performance
C (76–83%)
Poor, Failing or
Unsatisfactory Level of
Performance
F (0–75%)
Importance of
AIDressing the
Clinical Issue
(20 points)
Establishes a clear description
of the importance of
aIDressing the clinical issue.
(19-20 points)
Provides a limited description
of the importance of
aIDressing the clinical issue.
(17-18 points)
Attempts to provide a
description of aIDressing the
importance of the clinical
issue.
(16 points)
Makes reference to aIDressing
the clinical issue but neglects
to provide a clear description
of the importance or reference
to the clinical issue is missing
(0-15 points)
Background of the
Clinical Issue
(25 points)
Provides a clear description of
the background of the clinical
issue.
(23-25 points)
Provides a limited description
of the background of the
clinical issue.
(21-22 points)
Attempts to provide a
description of the background
of the clinical issue.
(19-20 points)
Little or no reference to the
background of the clinical
issue.
(0-18 points)
Potential Negative
Effect of Not
AIDressing the
Clinical Issue
(20 points)
Provides a clear description of
the potential negative effect
on the population of interest
of not aIDressing the clinical
issue.
(19-20 points)
Provides a limited description
of the potential negative effect
on the population of interest
of not aIDressing the clinical
issue.
(17-18 points)
Attempts to provide a
description of the potential
negative effect on the
population of interest of not
aIDressing the clinical issue.
(16 points)
Identification of potential
negative effect on the
population of interest of not
aIDressing the clinical issue
missing completely or lacking
in description.
(0-15 points)
NR452 Capstone Course
NR452 Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ /CIS-LS 7
Assignment
Criteria
Outstanding or Highest
Level of Performance
A (92–100%)
Very Good or High Level of
Performance
B (84–91%)
Competent or Satisfactory
Level of Performance
C (76–83%)
Poor, Failing or
Unsatisfactory Level of
Performance
F (0–75%)
Proposed Solution
(20 points)
Provides a clear description of
the proposed solution to the
clinical issue.
(19-20 points)
Provides a limited description
of the proposed solution to the
clinical issue.
(17-18 points)
Attempts to provide a
description of the proposed
solution to the clinical issue.
(16 points)
Proposed solution to the
clinical issue missing
completely or lacking in
description.
(0-15 points)
Role of the Nurse
(20 points)
Provides a clear description of
the role of the nurse in
preventing or assisting in
resolving the clinical issue.
(19-20 points)
Provides a limited description
of the role of the nurse in
preventing or assisting in
resolving the clinical issue.
(17-18 points)
Attempts to provide a
description of the role of the
nurse in preventing or assisting
in resolving the clinical issue.
(16 points)
Role of the nurse in preventing
or assisting in resolving the
clinical issue missing
completely or lacking in
description.
(0-15 points)
Evidence-based
Support for the
Solution
(30 points)
Provides three or more
references that are peerreviewed
scholarly journals or
other approved sources.
(28-30 points)
Provides two references that
are peer-reviewed scholarly
journals or other approved
sources.
(26-27 points)
Provides one reference that is
a peer-reviewed scholarly
journal or other approved
sources.
(23-25 points)
Does not provide references
that are peer-reviewed
scholarly journals or other
approved sources.
(0-22 points)
NR452 Capstone Course
NR452 Evidence-based Paper Part 1 Guidelines.docx Revised September 2015 SME-EP/ /CIS-LS 8
Assignment
Criteria
Outstanding or Highest
Level of Performance
A (92–100%)
Very Good or High Level of
Performance
B (84–91%)
Competent or Satisfactory
Level of Performance
C (76–83%)
Poor, Failing or
Unsatisfactory Level of
Performance
F (0–75%)
APA 6th edition
Format, Grammar
and Punctuation
(20 points)
APA 6th edition format is used
accurately and consistently in
the paper, on the title page, intext
citations, and/or the
Reference page. No errors in
grammar or punctuation.
(19-20 points)
APA 6th edition formatting is
used with1-2 errors, on the
title page, in-text citations,
and/or the Reference page.
Less than 2 errors in grammar
or punctuation.
(17-18 points)
No more than 3-5 errors in
APA 6th edition formatting in
the paper, on the title page, intext
citations, and the
Reference page. No more than
3-5 errors in grammar or
punctuation.
(16 points)
More than 5 errors in APA 6th
edition formatting in the
paper, on the title page, in-text
citations, and/or the Reference
page. More than 5 errors in
grammar or punctuation.
(0-15 points)
Total Points Possible = 200 points

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Stuart L
Thanks for keeping me sane for getting everything out of the way, I’ve been stuck working more than full time and balancing the rest but I’m glad you’ve been ensuring my school work is taken care of. I'll recommend Elite Academic Research to anyone who seeks quality academic help, thank you so much!
Mindi D
Mindi D
Brilliant writers and awesome support team. You can tell by the depth of research and the quality of work delivered that the writers care deeply about delivering that perfect grade.
Samuel Y
Samuel Y
I really appreciate the work all your amazing writers do to ensure that my papers are always delivered on time and always of the highest quality. I was at a crossroads last semester and I almost dropped out of school because of the many issues that were bombarding but I am glad a friend referred me to you guys. You came up big for me and continue to do so. I just wish I knew about your services earlier.
Cindy L
Cindy L
You can't fault the paper quality and speed of delivery. I have been using these guys for the past 3 years and I not even once have they ever failed me. They deliver properly researched papers way ahead of time. Each time I think I have had the best their professional writers surprise me with even better quality work. Elite Academic Research is a true Gem among essay writing companies.
Got an A and plagiarism percent was less than 10%! Thanks!

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