Chapter 9 Flashcards
Non-maleficence
do no harm
Beneficence
do good for others
Medication error
preventable event that may cause harm
Medication error index
evaluates extent of harm an error causes
Types of medication errors
Misinterpretations Miscalculations Misadministration Handwriting misinterpretation Misunderstanding of VO
Factors that contribute to errors
Omitting one of the 10 rights
Failing to perform an agency system check
Failing to take into account client variables such as age, body size, and renal or hepatic function
Giving medications based on verbal orders or phone orders
Giving medication based on an incomplete order or an illegible order
Practicing under stressful work conditions
Misreading order or writing sloppy order
Factors Contributing to Medication Errors by the Client
Polypharmacy not refilling medication incorrect administration taking expired meds taking med that was prescribed for something else
Documenting an error
factual/non-blaming
note interventions to protect the PT after the error
Note all people notified of error
note in MAR if dose was omitted or given
Sentinel events
unexpected occurrences involving death or serious injury
are always investigated
Strategies for decreasing med errors
assessment
planning
implementation
evaluation
Tall man letters
used to show differences in similar medications
ex: novoLOG or novoLIN
Most common types of errors
improper dose
wrong drug
wrong route
Population at risk of medication errors
Elderly
Children
Reporting an error
legal & ethical responsibility to report all errors
Organization established to standardize medication error reporting system, Examine interdisciplinary causes of medication errors & promote patient safety
Harm
impairment of the physical, emotional or psychological function or structure of the body and/or pain resulting
