Unsafe medication practices and medication errors
are a cause of significant patient harm and injury globally.
1,6,14] Currently, in SA, there is no standardised medication error
database for the identification and quantification of medication errors
A medication error
can occur at any one or more of the five stages of medication use, viz.
Many topics were identified as key content for effective preceptor training courses, but none addressed medication error
reduction strategies (Klein, 2009; Owens, 2013).
records were collected from 24 medical-surgical units in 8 hospitals.
It is however recommended that whenever a medication error
has taken place the details of the mistake should be provided to the relevant supervisor, and such notification is important for understanding the causes of the errors and to allow steps to be taken to reduce such errors in the future (Fernald 2004).
Conclusions: High medication error
rate in public sector health care facility indicates potential health risk to the children.
The National Coordinating Council for Medication Error
and Prevention of US (NCC MERP) has approved the following as its working definition of medication error
Created with the assistance of AAJ plaintiff members, "Medication Errors
" explores analysis of medical records, the duties of nurses and other health care providers, drugs commonly implicated in medication error
cases, and medication standards for health care professionals.
In their study on how to manage medication error
outcomes, nurses were found to be reluctant to report medication errors
for fear of the consequences.
With the right mindset, following a medication error
, any nursing manager could probably think of at least one systematic change that could be implemented to prevent the same mistake from happening in the future.
In the previous article by author Elizabeth Dowdell, "A Pediatric Drug Overdose," relates a distressing story about a medication error
that contributed to the death of a child.
A medication error
is an error in the process of ordering, dispensing or administering a medication, regardless of whether an injury occurred or whether the potential for injury was present.
The most common cause of a medication error
was performance deficit--when a health care provider has the necessary knowledge and experience but does not perform accordingly--which occurred 38% of the time.
These changes revised the medication error
definition by increasing the focus on appropriate drug delivery technique; assessing medication use through 5 of 24 quality indicators; and expanding the list of medications considered potentially inappropriate for the elderly resident.