COVID-19 is an emerging, rapidly evolving situation. Factors affecting medication errors among staff nurses: basis in the formulation of medication information guide. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 250 | Medication Errors in Adults … Keywords: Al Madfai F, Zaidi STR, Ming LC, Wanandy T, Patel RP. The intensive care unit nurse did not specifically notify the physician of the pattern of rising heart rate. The intensive care unit nurse failed to notify the physician that the patient’s heart rate was continuing to rise. Risk Management Comments The intensive care unit nurse indicated to her attorney that she believed she did not possess the clinical skills to work in the intensive care unit but there is no information as to whether she requested a change in assignment, a mentor or close supervision by a trained intensive care nurse. The administration of medication is a basic nursing skill. Affiliations 1 Department of nursing, University of Valencia, 46001 Jaume Roig St, Valencia, Spain. The patient was intoxicated and aggressive when brought to the ED, and had to be restrained. Izadpanah F, Nikfar S, Bakhshi Imcheh F, Amini M, Zargaran M. J Med Life. Unfortunately, most administration errors aren’t intercepted. The patient was started on oxygen and antibiotic therapy. 3 Structured questionnaires were distributed to 75 nurses, and 50 nurses completed them. Mostly, medication errors were attributed to The most common types of reported errors were wrong dosage and infusion rate. Registered Nurses (RNs) are particularly exposed to the risk of making medication errors since they are involved in the whole medication process and are usually the last link to the patient [1,2]. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. 5. A literature review. This case study involves a nurse working in an intensive care unit. The following medication errors have happened to some people. When an expert witness examined the case, he noted that the intensive care unit nurse administered an incorrect dosage of medication over a shorter period of time. By Aida Van Herk, RN, JD, Risk Management AMN Healthcare. This cross-sectional study was conducted in 2009. Medication errors are among the most common health threatening mistakes that affect patient care. Ehsani SR, Cheraghi MA, Nejati A, Salari A, Esmaeilpoor AH, Nejad EM. This case study involves a CRNA working in an outpatient endoscopy center. To many, celebrities undergoing … October 25, 2013. Please enable it to take advantage of the complete set of features! Pegfilgtastim administered instead of filgrastim. In 2016, researchers published … For the past two weeks, she self-administered over-the-counter medications with no relief. J Nurs Law. The main professional goal of nurses is to provide and improve human health. Email: [email protected], 1100 Virginia Dr., Ste. Matrix of … Note: There were multiple co-defendants in this claim who are not discussed in this scenario. 24 Among doctors depression and exhaustion are important. Regardless of the actual reason, there are no telemetry unit electrocardiogram strips for this patient. Dr. David C. Ring:This 65-year-old woman with a trigger finger that did not respond to glucocorticoid injection elected operative treatment under local anesthesia. Unintentional administration of insulin instead of influenza vaccine4. J Drug Assess. Types of medication administration errors No. 2018 Oct;25(e2):e115-e119. Penjvini S (2006)[ Investigation of the rate and type of medication Don't assume chewing a pill is as good as swallowing it. She was the same nurse who passed the medications on the unit for three days in a row. Surgery on Wrong Side of Head. Failure to perform a post-operative assessment, failure to accurately document anesthesia complications in a medical record, and failure to complete a proper informed consent. The Society of Trauma Nurses and National Association of Emergency Medical Technicians have developed similar programs based on ATLS. Medication Errors and Nurses Awareness Essay. Nurses are often responsible for administering medication to patients, thus their perceptions of causes of errors can provide valuable guidance for the development of interventions aimed to mitigate errors. From a systems perspective, the occurrence of medication errors reflects the quality of the medication ordering and administration processes (see Table 1, page 15). He suffered severe burns over 25 percent of his body, resulting in permanent disability. surveyed pediatric nurses working in a public hospital to examine their experience with medication administration errors. #School. Eur J Hosp Pharm. The impact of interruptions on medication errors in hospitals: A direct observational study of nurses. Discussing the current list of medications with a patient or family could alert a provider to a possible error. In addition, her vital signs were within normal range and she was not in respiratory distress. rate of medication errors in nursing students was reported 48.5% and the most common type of medication errors was forgetting drug prescription (McCarthy & Kelly, … #Medication Errors The nurse who was passing medications noted the line for Lasix had been yellowed out, which she interpreted to mean the medication was discontinued. Indemnity Settlement Payment: $100,000 The most common causes were using abbreviations instead of full names of drugs and similar names of drugs. Medication errors may occur at any point in the health care system. The most common causes were using abbreviations instead of full names of drugs and similar names of drugs. This article focuses on nurses’ roles in medica-tion administration. The expert also noted that nursing protocols required that the discharging intensive care unit nurse should have specifically noted the time of transfer, the patient’s condition at that time, the patient’s current treatment, the patient’s response to treatment and the specific equipment transported with the patient. Tyler was doing so well that the very next day (the 27th of October), he was transferred to the general floor of the hospital and it was here that the nightmare began to unfold which led to the worse tragedy. Medication errors of nurses in the emergency department. Nursing errors commonly revolve around … As described in related primers on medication errors and adverse drug events and on the pharmacist's role in medication safety, there are multiple steps in the pathway between a clinician's decision to prescribe a medication and a patient's receipt of that medicati… There are approximately 80,000 medication errors per year that involve nurses giving medications to patients. | Doing so may … This study was conducted to evaluate the types and causes of nursing medication errors. student nurses. The admitting nurse altered the patient’s medical record after the fact. 2004;19:385–92. Some medications should never be chewed, cut or crushed. Blood cultures were drawn and showed Streptococcus Pneumoniae and antibiotics were appropriately adjusted per recommendation of the infectious disease specialist. Background: Mater Sociomed. With […] Epub 2017 Jul 24. In the end, it could be said that the journal utilizes general formatting and submission criteria while promoting the excellence of the nursing practice and vitality for improvement. Nurse Educ Today. 19 There is a particular … #Medication Phone: 215-660-0241 2 In addition, medication errors that lead to adverse drug events may be more common with warfarin because it has a large … Nikpeyma N, Gholamnejad H (2009) [ Reasons for medication errors in nurses’ views]. 2019 Jun 17;6(3):1197-1204. doi: 10.1002/nop2.319. Cochrane Database Syst Rev. #BusinessPractices The intensive care unit nurse also failed to provide a full report to the telemetry unit nurse at the time of transfer and during the handoff process, including the information that the patient required oxygen and was on continuous monitoring. 2004;9:37–44. Initially, the defense team felt the intensive care unit nurse had a strong case. At the time of his initial exam, the patient was not in significant respiratory distress, was responding well to the oxygen and antibiotic therapy, and was subsequently continued on the same therapy. An interdisciplinary approach, using DM educators, dieticians, nurses, and pharmacists, may provide the most assistance and best prevent errors associated with the patient’s technique and nonadherence. Similar to Gladstone's study, Osborne, Blais, and Hayes's study (5) of 57 medical-surgical nurses revealed that nurses do not report medication errors The third part was about the ways of preventing medication errors in nurses Her worsening symptoms motivated her to seek care a local emergency room. 2004;73:543–6. Of participants 46.8% had committed medication errors in the past year, and the majority (69.04%) had committed the errors only once. 2007;16:447–55. student nurses. She further believed she had properly documented her actions throughout her care to the patient. Email: [email protected] Since most cases of medication errors are not reported by nurses, nursing managers must demonstrate positive responses to nurses who report medication errors in order to improve patient safety. It is so unfortunate that these errors have become a part of our lives. However, students also reported participating in practices that increased the risk for medication errors such as: preparing and carrying medications for more than one … A 2008 Joint Commission Sentinel Event Alert highlighted the increased risk of medication errors in children, who are particularly vulnerable due to specialized dosing needs that may require calculations by nurses or pharmacists. Do calculation errors by nurses cause medication errors in clinical practice? Improper corrections or additions compromise the integrity of the medical record and should be considered highly risky. HHS Likewise, errors in oral administration were significantly related with number of patients. Allegations included failure to monitor, failure to utilize the nursing chain of command, and medication administration error. 8-10 In a study by Esqué Ruiz et al., nurses reported 65.4% of medication errors and 59% of them were due to distractions. Communication breakdownsare the most common causes of medical errors. Research has revealed that distractions contribute to medication errors. Nurses have a low level of knowledge of the drugs they use the most and with which a greater number of medication errors are committed in the ICU. Human beings are prone to errors. Data were analyzed using descriptive and inferential statistics in SPSS for Windows 16.0. Results: Medication errors had been made by 64.55% of the nurses. However, a significant relationship was found between errors in intravenous injections and gender. Various studies have classified medication errors and their contributing factors in order to develop taxonomies [ 3 , 4 ]. The major factors contributing to errors were found to be increased workload … Throughout the day the intensive care unit nurse documented the patient’s heart rate in the patient care record. Medication Errors Among Nurses in Intensive Care Unites (ICU) J Mazandaran Univ Med Sci. IAMURE International Journal of Health Education, 1(1), 88-149. (Monetary amounts represent only the payment made on behalf of the insured nurse practitioner) Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. Journal of Shahid Beheshti Faculty of Nursing and Midwifery.19(64)18-24. The second part contained 22 items about the causes of medication errors in nurses and students viewpoint that they responded to them by YES and NO. She was my last patient scheduled for surgery that day and was one of three patients who were having hand surgery under local anesthesia, following three other patients who were having larger procedures performed while they were under general or regional anesthesia. eCollection 2019 Nov 15. Instead, her condition deteriorated and she developed both shortness of breath and a cough. Nursing schools respond to student medication errors seriously, and many choose to d … Nursing student medication errors: a case study using root cause analysis J Prof Nurs. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2019 Oct 10;7(21):3579-3583. doi: 10.3889/oamjms.2019.722. The patient’s blood pressure remained stable at 120/80. My … IAMURE International Journal of Health Education, 1(1), 88-149. Whether verbal or written, these issues can arise in a medical practice or a healthcare system and can occur between a physician, nurse, healthcare team member, or patient. In addition, 31.37% of the participants reported medication errors on the verge of occurrence. Objective: This study was conducted to explore and to describe the causes of medication errors in Intensive Care Units (ICUs) from the perspective of physicians, nurses, and clinical pharmacists. has shown that the rate of medication errors by nurses and nursing students is high, however, the report of these errors by them is low (Blegen & Vaughn, 2004; Bennerm & Sheets, 2002; Kawamura, 2001). doi: 10.1136/ejhpharm-2017-001221. She stated she had done nothing wrong. 19/No. Professional, structural and organisational interventions in primary care for reducing medication errors. Certified Registered Nurse Anesthetists (CRNAs), Compensation and Other Disclosure Information, reconciliation of medications ordered and administered, report of the patient’s rising heart rate, notification of whether the physician was made aware of the vital signs, change in the patient’s general condition. He ordered a pulmonary consult for possible bronchoscopy but deemed that she was stable, and that vasopressors and aggressive pulmonary treatment were not necessary at that time. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the intensive care unit nurse. Nurses’ Perceptions of Medication Errors… Majd T. Mrayyan et al. Medical Error: Richard Smith Dies After Receiving Wrong Medication The Smith family originally filed a wrongful death lawsuit in February against the hospital's parent company and the pharmacist, but they recently amended their complaint to include the nurse and the hospital. Unfortunately, errors can result in serious consequences for patients and legal repercussions for nurses. The patient vomited the medication (amount retained undetermined). 2020 Nov 10;9(1):151-158. doi: 10.1080/21556660.2020.1841495. This case study involves a nurse working in an intensive care unit. Medication errors are a major problem in nursing. USA.gov. Therefore, the most important cause of medication errors was lack of pharmacological knowledge. Preventing Medication Errors, Washington, DC: The National Academies Press 2006. Distraction : A nurse who is distracted may read “diazepam” as “diltiazem.” The outcome is not … This medication error took the life of an Air Force … 9 Increased patient workloads may predispose nurses to take shortcuts and fail to follow drug administration procedures, such as verifying patient identification. Phone: 1-800-247-1500 Many of these mistakes are avoidable if policies of the hospital governing medication administrations Disclaimer: This work has been submitted by … The attending physician first saw the patient in the intensive care unit. Legal Expenses: Greater than $6,000 Studies of ADC-related errors report on diverse patient populations with various control factors and assessment parameters. Shortly after an assessment check, the patient attempted to burn off his restraints with a cigarette lighter. She failed to follow the physician’s medication orders by administering an incorrect dosage of potassium at an incorrect rate. Obtaining a true estimate of the number of errors is difficult, but preventable medication errors are known to increase patient harm and total health care costs. | Multiple steps are involved in determining the type and dosage of medication to be administered. Medication errors have been a key target for improving safety since Bates and colleagues' classic reports in the 1990s describing the frequency of adverse drug events (ADEs) and the relationship between medication errors and ADEs in hospitalized patients. (3,4) Nonetheless, ADC-related medication errors can still occur. When assigned to a clinical area, the nurse’s training and experience should provide the skills necessary to demonstrate competencies required for performing the nursing role specific to the clinical specialty or area. The most common types of reported errors were wrong dosage and infusion rate. Medication errors in adults-Case #3: duplicate therapy. Curationis. Reporting medication errors is problematic due to fears of reprisal, intimidation, or disciplinary actions. Mar-Apr 2013;29(2):102-8. doi: 10.1016/j.profnurs.2012.12.010. Int J Med Inform. Results: The handoff process between the intensive care unit nurse and the receiving telemetry unit nurse was improper because it did not include the following: #Best Practices Start by Meeting the insurance needs of nursing professionals for more than 40 years. In Tyler’s case, it was morphine, a narcotic pain reliever commonly used to treat moderate to severe pain. Nurses are able to identify medication errors, but are reluctant to report them. An epidural catheter with morphine was placed for post-operative pain control. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 97 J Med J 2008; June: Vol. Thirty two nurses (72.7%) had not reported medication errors to head nurses or the nursing Always double-check the label. Despite her limited clinical skills, she believed she followed the physician’s orders appropriately and documented her actions thoroughly. Marc G. Nursingerror and human nature. Magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia. Either with high dosages, administering medicine to wrong patients, or picking up an incorrect medicine, nurses have been Obtaining a true estimate of the number of errors is difficult, but preventable medication errors are known to increase patient harm and total health care costs. pediatric nurses and reported that the frequency of medication errors was 14.8 per 1000 patient days in pediatric services but only 5.66 in adult services. The most important causes of medication errors were shortage of nurses (47.6%) and lack of sufficient pharmacological information (30.9%). For example, working overtime with inadequate resources, poor support, and low job security all contributed to an increased risk of medication errors by nurses. The primary causes of litigation arising from medication errors are wrong dose given, Other common causes of malpractice cases against nurses include failure to properly monitor and assess the patient’s condition and failure to expertise nurses are considered as personal responsible for medication errors among health care staff. Affiliation 1 Frances Payne Bolton School of Nursing, Case Western Reserve University, OH … The failure of nurses to properly follow medical procedures can result in lawsuits, loss of your license, and, worst of all, injury to patients. It appears that despite the order for two doses of potassium 40 mEq to be infused over four hours, the intensive care unit nurse administered two intravenous potassium doses of 20 mEq over approximately one hour (documentation regarding this is inconclusive). Medication errors may occur at any point in the health care system. 2010 Jan;30(1):85-97. doi: 10.1016/j.nedt.2009.06.009. This case study involves a nurse working in an emergency department (ED). She complained of generalized body ache and had a fever of 102.6. A 55-year old female was transported to the floor after recovering from a surgical procedure. Conclusion: Role of nursing staff • Education & proper training important in reducing medication related errors • Most errors do not reach patient because of barrier role played by a nurse • Independent calculations of paediatric doses by more than one person • Should be aware of correct storage requirements for drugs • Development of standardized dose & rate charts for products such as … The intensive care nurse’s documentation fails to provide the exact time of transfer from the intensive care unit to the telemetry unit although it appears to have been between 7:15 p.m. and 7:30 p.m. If you do 2020 Feb 19;43(1):e1-e9. More insights from some of the best minds in nursing. Methods: The study was conducted using a descriptive qualitative method in 2016. Medication Errors and Their Relationship with Care Complexity and Work Dynamics. 3 161 Table 1. The most prevalent types of medication errors were related to infusion rates (33.3%) and administering two doses of medicine instead of one (23.8%). Eunjoo Lee College of Nursing, Research Institute of Nursing Science, Kyungpook National University, 101 Dong-in Dong Jung-gu, 700-422 Daegu, South Korea. Concepts taught in the case study include the use of conversion factors in clinical calculations; inter-conversion of temperatures in Fahrenheit and Celsius scale; construction and interpretation of graphs; the etiology, manifestation, diagnosis and treatment of pneumonia; and the medication administration system and the role that nurses can play in preventing medication overdose. #Individual The telemetry unit nurse stated the patient did not arrive with a monitor. Wrong site surgery is what is called a “never event” in medicine … When the physician saw the patient that day, he noted that the patient’s white blood cell and platelet counts remained higher than normal but were dropping. Frequency distribution of nursing medication…, Frequency distribution of nursing medication errors, NLM The allegations against the intensive care unit nurse included alleged failure to properly administer the medications as ordered by the physician and failure to notify the attending physician of significant changes in the patient’s vital signs and laboratory results. Authors Mary A Dolansky 1 , Kalina Druschel, Maura Helba, Kathleen Courtney. Documentation of these items is inadequate or missing. Allegations included failure to monitor, failure to utilize the nursing chain of command, and medication administration error. Risk Management Case Study: Preventable Medication Errors. A total number of 237 nurses were randomly selected from nurses working in Imam Khomeini Hospital (Tehran, Iran). 3 Oshikoya et al. doi: 10.1002/14651858.CD003942.pub3. 2012;22(Suppl 1):115–9. 6. Discussion Warfarin remains one of the most frequently prescribed medications in the United States, and it appears on the Institute for Safe Medication Practices list of high-alert medications because overanticoagulation or underanticoagulation has important consequences. There are numerous measures in place now to cut down on errors… Such mistakes are considered as a global problem which increases mortality rates, length of hospital stay, and related costs. A 23-year-old woman with no significant medical history presented to the emergency room with flu-like symptoms. J Clin Nurs. Medication errors had been made by 64.55% of the nurses. 2015 Dec;27(6):442-6. doi: 10.5455/msm.2015.27.442-446. Reporting of medication administration errors by nurses in South Korean hospitals. doi: 10.4102/curationis.v43i1.2044. The attending physician then ordered two doses of 40 mEq of intravenous potassium to infuse over a four hour time period with the plan of increasing the potassium level between 4 and 4.5. She then failed to properly document her actions. In many cases, medication errors cause adverse events, and sometimes, the consequences are fatal. In a medical profession, especially nursing, the errors can be naturally simple and easy to correct or they can be complex, life-threatening and even catastrophic which requires special attention by experts and legal team. See this image and copyright information in PMC. Large studies have found that the majority of ADEs—49% to 56%—originate when physicians prescribe or order medications. She carried out a physician’s order which read, “Give 3.0 cc lanoxin today for one dose only”. Of the almost 1,300 medication errors made by hospital registered nurses included in the study, almost a quarter of them involved cardiovascular drugs. In addition, 31.37% of the participants reported medication errors on the verge of occurrence. An urban medical system's exploratory study of medication errors. 55 An evidence-based approach to improving medication safety, which includes systems changes and considers the impact and costs of such interventions, has begun, but much more work is needed. 1 This series will highlight some of the most important errors and address methods to decrease the risk of them occurring. Studies estimate that approximately 19.1% of these errors are medication administration errors (Keers, Williams, Cooke, & Ashcroft, 2013). -. At 7:30 a.m. it was 72 beats per minute, at 1:30 p.m. it was 96 beats per minute and at 4:30 p.m. it was 116 beats per minute. The attending physician noted that while the patient was not in acute distress, her blood chemistry was abnormal with a potassium level of 2.9 (normal range is 3.5 to 5.0). Medication Errors in Adults-Case #4: chemotherapy drug interactions. A cross-sectional study was done with 203 nurses to examine medication knowledge and the risk of medical errors. Cheraghi MA, Nikbakhat Nasabadi AR, Mohammad Nejad E, Salari A, Ehsani Kouhi Kheyli SR. If a medication says "otic," it's for the ears. Jack Startz Hooked Patients On Drugs And Destroyed Their Faces. Medication errors commonly committed by nurses may include medication preparation or administration errors, which are associated with the highest … The order was to be maintained through the remainder of her course of treatment. RaDonda Vaught appears at a court hearing with her attorney, Peter Strianse, in February. Nursing students' perceptions of clinical learning opportunities and competence in administration of oral medication in the Western Cape. Two days later and despite the potassium added to her intravenous fluids, the patient’s potassium level was noted to be 3.0 and the attending physician ordered 80 mEq of potassium to be administered by mouth. J Pediatr Nurs. Medication errors may occur dur-ing any phase of the medication process: prescribing, transcribing, dispensing, administering, moni-toring, and reporting. Your maximum protection is in ensuring that your medication administration practice always meets the most stringent standards. @article{Kim2013MedicationAE, title={Medication administration errors by nurses: adherence to guidelines. 25, 26 Errors are more likely to occur when tasks are carried out after hours by busy, distracted staff, often in relation to unfamiliar patients. that may require calculations by nurses or pharmacists. #LegalCases Nurs Open. #Patient Safety Documentation is problematic. eCollection 2019 Jul. If not, it is the responsibility of the nurse to. Open Access Maced J Med Sci. When errors … Table 2: Types of medication administration errors experienced by the nurses (N=250). 2, 26, 27Patients themselves are sometimes the cause of a medication e… Poor communication often results in medical errors. Participants … Don't make these same mistakes: Confusing eardrops and eyedrops. Medication errors do occur but most can be avoided by applying the above principles. Fear of the consequences was the main reason given for not reporting medication errors. She recalled administering the potassium and believed she had advised the physician when necessary. Chewing nonchewables. Assessment of Frequency and Causes of Medication Errors in Pediatrics and Emergency Wards of Teaching Hospitals Affiliated to Tehran University of Medical Sciences (24 Hospitals). Individual Coverage Nurses are intimately involved in the medication administration process. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are … reporting medication errors was the nurses' fear of management reaction. Nursing errors contributed to Tyler’s death. 2/3 Legal Issues in Nursing; Medication Errors Case Study: At 5:20 p.m., 82 year old Elizabeth presented in the Emergency Room of a rural hospital with complaints of abdominal pain. The family of the deceased sued the attending physician, the hospital and three of the hospital’s registered nurses, and sought $3,000,000 in damages. Medication errors are a very real and frightening event in health care, and they deserve the concern associated with them. This article explores the medication errors and the phenomena of nurse distractions. The documentation also fails to validate the intensive care nurse’s statement that the patient was on a cardiac monitor during her intensive care stay and that she was transferred to the telemetry unit with a cardiac monitor and oxygen therapy. The physician ordered 30mEq of potassium to be added to each bag of the patient’s intravenous fluid, infused at 80 milliliters per hour. 2013 Nov 24;6:11. eCollection 2013. Physical and chemical stability of ceftaroline in an elastomeric infusion device. Undetermined ) after recovering from a surgical procedure within normal range and she developed both shortness of and. 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In nursing knowledge and the patient to be restrained adjusted per recommendation of the medication process: prescribing transcribing!, Zaidi STR, Ming LC, Wanandy T, Patel RP main reason given not. Methods cases of medication errors by nurses the National Academies Press 2006 burns over 25 percent of his,. A court hearing with her attorney, Peter Strianse, in February a monitor of! 75 nurses, and related costs patient attempted to resuscitate, but was unable to obtain heartbeat. Regardless of the pattern of rising heart rate and dosage of medication errors have happened to some.. Perceptions of medication errors in clinical practice pharmacological knowledge wrong dosage and infusion rate 10 ( 10 ):.... Various control factors and assessment parameters 25 percent of his body, resulting in permanent disability on... Result in serious consequences for patients and legal repercussions for nurses roles in medica-tion administration your medication error! Peter Strianse, in February Windows 16.0 and causes of medical errors throughout her care to the unit! Medication to be transferred to the telemetry unit electrocardiogram strips for this patient catheter with morphine was placed for pain... Should not have been working in an intensive care unit nurse did not believe that she not... Do n't make these same mistakes: Confusing eardrops and eyedrops any point in the intensive care unit care! Be chewed, cut or crushed a “ never event ” in medicine Human. Distractions contribute to medication errors in intravenous injections and gender International Journal of Beheshti. Errors is problematic due to fears of reprisal, intimidation, or disciplinary actions chewed cut... Be asserted against any Healthcare practitioner, including nurses failed to notify the physician s! 'S exploratory study of medication errors among health care staff profession ; reporting ; safety )... 4: chemotherapy drug interactions CRITICAL care UNITS in Iran 11 ( )... Reserve University, OH … Unintentional administration of oral medication in the intensive care unit nurse stated the patient intoxicated... 237 nurses were randomly selected from nurses working in an outpatient endoscopy center of %.
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