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Medication Error, Emily Heathcote 21001385 Holly Bird 20245496 Jasmine…
Medication Error
Causes
Poor communication
Poor communication between staff
With patient
Failure to handover
Burnout and fatigue (night shifts)
Poor documentation - illegible handwriting
Distractions & Multitasking
Under-staffed
Time stress
Heavy Workload
Increased pressure
Personal life and work stressors
Inexperienced staff or new to the ward
Types of Errors
Wrong medication
Wrong time
Wrong patient
Incorrect dose
Wrong route
Failure to admister medication (omission)
Complience errors (such as failture to follow protocols)
Consequences of Error
Longer hospital stay
Loss of trust
Financial liability
Harm or death of patient
Adverse drug reaction
Emotionally stressful for staff
Prevention
Check 6 Rights and 2 Checks of Medication Adminerstration
Double checking high risks medications such as S4's and S8's
Effective communication and handover
Legible handwriting
Staff Education
Reporting errors when they occur
Legal and Ethical Considerations
Duty of care
Informed consent
Accountability and Transparency
Adherence to scope of practice
NMBA nursing practice standards
Role of Nurse
Educating Patient
Recognising and reporting errors
Continuous learning
Administering safety
Patient advocating for safety
6 rights of medication
Incident form
Route cause analysis
Open disclosure
AIMS (WA System)
Clear handover
Emily Heathcote 21001385
Holly Bird 20245496
Jasmine Willoughby 21550007
Piper Eastland 21132120