Medication errors an interdisciplinary approach
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Medication Errors: An Interdisciplinary Approach. Roberta McIntyre, MSN, RN. Nursing Service Consultant Office of Developmental Programs Western Region. Goals:. 1. Define medication error 2. Identify types of medication errors 3. Identify strategies to reduce medication errors .

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Medication Errors: An Interdisciplinary Approach

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Medication errors an interdisciplinary approach

Medication Errors: An Interdisciplinary Approach


Roberta mcintyre msn rn

Roberta McIntyre, MSN, RN

Nursing Service Consultant

Office of Developmental Programs

Western Region


Goals

Goals:

  • 1. Define medication error

  • 2. Identify types of medication errors

  • 3. Identify strategies to reduce medication errors


Definition

Definition:

  • Any wrongful or incorrect administration of a medication

  • Any preventable event that may lead to inappropriate medication use or patient harm

  • A failure in the treatment process that does or has the potential to lead to patient harm


Keys to prevention

Keys To Prevention:

  • Report all near misses and med errors

  • Turn drug administration into a protected time

  • Do not be afraid to question anything you suspect is not correct


The five rights

The Five Rights

  • Right person

  • Right medication

  • Right dose

  • Right route

  • Right time


Three goals of medication administration

Three Goals of Medication Administration:

  • 1. Reduce or eliminate the possibility of an error

  • 2. Make errors visible before they reach the patient

  • 3. Minimize the consequence of an error if it does reach the patient


Abbreviations and symbols

Abbreviations and Symbols


Quality process and risk management

Quality Process and Risk Management

  • Make it difficult for staff to make an error

  • Promote detection and correct errors before reaching the patient and causing harm


Methods to investigate errors

Methods to Investigate Errors


Debriefing process

Debriefing Process

  • 1. Approach Staff

  • 2. Ask staff

  • 3. Ask staff


Achieved objectives

Achieved Objectives

  • Agency intent

  • One on one time with staff

  • Uncover additional issues

  • Staff ownership


Debriefing goals

Debriefing Goals

  • 1. Prevent or minimize future occurrences

  • 2. Decrease the harm of future med errors

  • 3. Identify systemic problems

  • 4. Identify need for change


Hcsis reporting system

HCSIS Reporting System


Why report errors

Why Report Errors

  • Potential risks

  • Actual errors

  • Cause of errors

  • Prevention


What to report

What To Report

  • Risk

  • Near misses

  • Errors, no harm

  • Errors, harm


Informative reports include

Informative Reports Include:

  • HOW

  • WHY

  • SUGGESTIONS


Hcsis system

HCSIS System

  • WHY

  • WHAT

  • AGENCY RESPONSE


Any questions

Any Questions?


Contact information

Contact Information

  • Roberta McIntyre, MSN, RN

    Nursing Service Consultant

    ODP – Western Region

    301 Fifth Avenue Suite 490

    Piatt Place

    Pittsburgh, PA 15222

    412-880-0594

    [email protected]


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