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Reducing Medication Errors in Nursing

1. The document summarizes a group activity and reflection journal on medication errors for a pharmacology course. 2. The group identified four main factors that contribute to medication errors: knowledge, administrative, personal, and environmental. They discuss applying the nursing process to safely administer medications. 3. The 10 rights of medication administration are outlined to prevent errors, including ensuring the right patient, drug, dose, route, time and documenting properly.

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Joan Babiera
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0% found this document useful (0 votes)
19 views3 pages

Reducing Medication Errors in Nursing

1. The document summarizes a group activity and reflection journal on medication errors for a pharmacology course. 2. The group identified four main factors that contribute to medication errors: knowledge, administrative, personal, and environmental. They discuss applying the nursing process to safely administer medications. 3. The 10 rights of medication administration are outlined to prevent errors, including ensuring the right patient, drug, dose, route, time and documenting properly.

Uploaded by

Joan Babiera
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines


College of Nursing
Telephone No: (032) 231- 8631

NCM 106 – Pharmacology

Course Outputs / Assessment of Learning for CILO # 1


Written Outputs (Mental Models, Group Activity and Reflection Journal)

Name of Student : Algones , Marites E. Yr.& Sec. : BSN 2-B


Aparicio , Kyla Ashley
Avanceña , Vhinz Kharl P.
Babiera , Joan Glezelle M.
Cañada , Johannelyn M.
Decipulo , Magnoulia V.
Filomeno , Clent Jacob L.
Menchavez , Hannah Gwyneth R.
Nicolas , Mary Sheena T.
Ruiz , Len Jullian Annro T.
Module/Topic : Module 2- Explore Date : September 27,2021

At a minimum, you must address the following questions:


1. Explain the main point of the article.
 Medication errors are a major concern among nursing schools and health care
facilities in the Philippines as it is a critical issue for patient safety. In particular,
administering medication is an essential part of medical care that is given safely
and accurately by the medical practitioner. This article points out the perception
of nursing students in Iligan City regarding the contributing factors to medication
errors. The categories of factors that are being identified in correlation to the
perceived medical errors include knowledge, administrative, personal, and
environmental factors.

2. How will you apply the insights you gained from this article? Connect it to the concept of
the nursing process in pharmacology.
 The information in this article helped comprehend how important the nursing
procedure is when it comes to administering and providing medicines to patients.
It is critical that we put what we've learned about the nursing process into
practice. This will help us make drug administration decisions as nurses and
ensure that our patients' safety and medical needs are met. Overall, this study
st
Pharmacology Module 1 Semester S.Y. 2021- 2022 UCBC Page 1
UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

shows that students' administration errors may be more frequent than suspected,
and Faculty might consider curriculum revisions that incorporate medication use
safety throughout each course in nursing major courses. Following the nursing
procedure ensures the safety of the patient as well as an organized flow while
providing medication and a sense of confidence in our responsibility.

3. Discuss the rights of medication.


 Understanding the 10 Rights of Drug Administration can help prevent many
medication errors. Nurses, who are primarily involved in the administration of
medications, benefit from this simplified memory aid to help guide them to
administer medications safely. Nurses are responsible for ensuring safe and
quality patient care at all times. As many nursing tasks involve a degree of risk,
medication administration arguably carries the greatest risk. Research on medical
administration errors (MAEs) showed that there is a 60% error rate mainly in the
form of wrong time, rate, or dose. Some medication errors cause permanent
disability and for others the errors are fatal. Follow these 10 rights of drug
administration to ensure safe patient care.
1. Right Drug.
 The first right of drug administration is to check and verify if it’s the right name
and form. Beware of look-alike and sound-alike medication names. Misreading
medication names that look similar is a common mistake. These look-alike
medication names may also sound alike and can lead to errors associated with
verbal prescriptions. Check out The Joint Commission’s list of look-alike/sound-
alike drugs.
2. Right Patient.
 Ask the name of the client and check his/her ID band before giving the
medication. Even if you know that patient’s name, you still need to ask just to
verify.
3. Right Dose.
 Check the medication sheet and the doctor’s order before medicating. Be aware of
the difference between an adult and a pediatric dose.
4. Right Route.
 Check the order if it’s oral, IV, SQ, IM, etc..
5. Right Time and Frequency.
 Check the order for when it would be given and when was the last time it was
given.
6. Right Documentation.
 Make sure to write the time and any remarks on the chart correctly.

st
Pharmacology Module 1 Semester S.Y. 2021- 2022 UCBC Page 2
UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

7. Right History and Assessment.


 Secure a copy of the client’s history to drug interactions and allergies.
8. Drug approach and Right to Refuse.
 Give the client enough autonomy to refuse the medication after thoroughly
explaining the effects.
9. Right Drug-Drug Interaction and Evaluation.
 Review any medications previously given or the diet of the patient that can yield a
bad interaction to the drug to be given. Check also the expiry date of the
medication being given.
10. Right Education and Information.
 Provide enough knowledge to the patient of what drug he/she would be taking and
what are the expected therapeutic and side effects.

References:
[Link]

Prepared by:

MAGNOULIA V. DECIPULO
Students Signature over
Printed Name

Submitted to:

Lemuel C. Candelasa, EdD(c) ,MAN,RN


Professor – Pharmacology

st
Pharmacology Module 1 Semester S.Y. 2021- 2022 UCBC Page 3

Common questions

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Medication errors in Iligan City are perceived by nursing students to be influenced by knowledge, administrative, personal, and environmental factors . These factors impact patient safety by increasing the risk of errors during medication administration, which can lead to severe outcomes such as permanent disability or fatality if not addressed .

The 10 Rights of Drug Administration are essential in preventing medication errors because they provide a structured guideline to ensure each aspect of medication administration is safely executed, addressing errors related to wrong drug, dose, patient, route, time, documentation, history, patient refusal, drug interactions, and patient education . This systematic approach primarily targets errors involving wrong time, rate, or dose, which constitute a significant portion of medication administration errors .

Medication administration carries arguably the greatest risk among nursing tasks . This is due to the high potential for errors, such as wrong dosage and timing, which can have severe consequences for patient safety, including permanent disability or death .

Integrating medication use safety into the nursing curriculum can reduce administration errors by equipping nursing students with the necessary skills and knowledge to navigate complexities in drug administration. It ensures that safety protocols, such as the 10 Rights of Drug Administration, are thoroughly understood and practiced, potentially reducing the instances of wrong time, rate, or dose errors .

Following the nursing process helps in making drug administration decisions by providing a framework that ensures patient safety through methodical assessment, planning, implementation, and evaluation of care. It facilitates organized medication delivery and enhances the nurse's confidence and responsibility. This approach aids in identifying patient-specific needs and potential risks, thereby mitigating errors and ensuring therapeutic effectiveness .

Documentation plays a critical role in ensuring adherence to the 10 Rights of Drug Administration by providing a detailed record of the administration process, covering time, remarks, and any necessary patient information. Accurate documentation supports the continuation of care, facilitates communication among healthcare providers, and helps verify that all procedures align with safety protocols .

Providing patients with education about their medications is significant because it empowers them to understand their treatment, anticipate therapeutic and side effects, and participate actively in their care. This knowledge supports patient autonomy, reduces anxiety, and decreases the likelihood of misuse or non-adherence, thus enhancing the overall safety and effectiveness of drug administration .

Personal factors impacting the frequency of medication errors among nursing students include stress, fatigue, inexperience, and lack of confidence. These factors can impair judgment and decision-making, increasing vulnerability to mistakes during medication administration. Addressing these through mentorship, supportive environments, and stress management training can help reduce error rates .

Neglecting the 'Right Drug-Drug Interaction and Evaluation' step can lead to adverse drug reactions, which may exacerbate the patient's condition, induce new health issues, or result in hospitalization. This oversight can also contribute to treatment failure or severe complications from conflicting drug interactions, highlighting the necessity for vigilant evaluation before administering medications .

Environmental factors such as inadequate lighting, high noise levels, and interruptions can contribute to medication errors by impairing a nurse's focus and increasing the risk of miscommunication. Strategies to mitigate these risks include designing workspaces that minimize interruptions, ensuring adequate lighting, and implementing standardized protocols to enhance concentration and clarity during the medication administration process .

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