Analyze a Current Health Care Problem
One of attendants’ many tasks incorporates medicating their patients around the clock. In any case, as found in Assessment 2, patient safety can be seriously compromised when medication errors happen. The freedoms of medication are in place for a reason, and when they are not followed, it straightforwardly impacts the patient. Medication errors happen for various reasons including information based mistakes, and personal factors, for example, burnout and fatigue. Attendants take an oath to cause no harm and are liable for patients in their most vulnerable minutes, therefore even the most experienced and most knowledgeable attendants, ought to take their time, and allude to one side of medication administration before each medication pass. This subject is of great importance to me as I’m another graduate attendant and however I’m aware mistakes happen, I want to train myself to do my absolute best to forestall them. One of the main examples taught in nursing school is the importance of patient safety, and medication errors compromise that core rule in health care.
Elements of the Problem
Research demonstrates that medication errors keep originating from factors, for example, the lack of information about drugs being administered, as well as personal factors. Starting with information based errors, medical caretakers are expected to demonstrate a certain degree of skill inside their particular unit and specialty. A medication ought to never be administered by a medical caretaker without understanding what it does, the incidental effects it could cause, and ought to know about any contraindications. Author Escrivรก Garcia (2019) observed that nurture that are liable for critically sick patients with heavy workloads are not completely educated on the medications that they are ordered to administer. According to Escrivรก Garcia (2019), a review done on a particular emergency unit, intended to ask attendants a different decision style questionnaire based on medications that would pertain to their unit and everyday practice. The outcomes demonstrated that more than half of the attendants that participated in the review, were unable to answer more than half of the inquiries. This alarming number trade offs the patient’s safety and speaks against the values that medical attendants have made a vow to abide by.
NHS FPX 4000 Assessment 4 Analyzing a Current Health Care Problem or Issue
Furthermore, research proposes medication errors happen while attendants deal with burnout and fatigue. Healthcare foundations are constantly dealing with nursing shortages, especially after a global pandemic, which is expecting medical caretakers to work mandatory extra time shifts. Part of the problem exists in these healthcare organizations excusing unhealthy working circumstances. Shortages lead to unsafe patient ratios, which may lead medical caretakers to feel overpowered and a feeling of looming destruction.
There are reasons why healthcare workers are often alluded to as a “team” because everybody ought to be liable for doing their fair share. This incorporates managers to guarantee legitimate staffing for what it is most important in our field of work, patient safety. Researchers found that nearly 20% of enrolled attendants working in hospitals, experience overload, end up working extra hours, with unsatisfactory staffing. (Alrabadi et al., 2021). Creating dangerous work conditions for the two patients and staff is something that ought to be evaluated assuming the goal remains to have fruitful patient results.
Analysis
As another graduate attendant working in Labor and Conveyance, I’m expected to administer routine medications to laboring mothers. Because this is a specialized unit, and I’m another medical caretaker, my hospital requires I have at least fourteen weeks of orientation to the unit, and classes consistently to further educate me in the specialty and being an attendant in general. There have been classes where “near-misses” with medications have been examined and interviewed. The reason I’m raising this information is because I’m certain my hospital isn’t the main facility who participates in these practices. That being said, medication errors do happen. It is essential to partake in safe practices all of the time regardless of how much experience one may have. Triple-checking my medications before passing them has turned into a staple in my daily schedule, and however it may take me a couple of moments longer to finish the medication pass, I’m guaranteeing safety with my patients and safeguarding my permit as an attendant.
The context for Patient Safety Issues
As referenced in the past assignment, nursing has been America’s most confided in profession for twenty years straight. With that, comes a tremendous obligation to take care of our patients and guard them. With genuine and current problems in our healthcare framework, for example, short staffing of attendants and information based medication errors, safety is being compromised to new limits. The issue at hand is obvious to everyone and is supported by proof in research. As medication in our nation advances, the way medications are administered is also changing, perhaps leading to patient safety issues. In a new quantitative review, Author Justinia (2021) found the quantity of “supersedes” for medications totaled to 1087 abrogates. 738 were finished so inappropriately.
From that point, 283 inappropriate supersedes, and 92 appropriate abrogates were sampled, and the medication errors came about to separately be 7 to 0. (Justinia et al., 2021). Most gadgets used to pull medications have been gotten up positioned pull medications in a safe and systematic way anyway a feature, for example, the “supersede” immediately opens a catastrophe waiting to happen as there probably is a reason why the machine didn’t allow the individual to pull the medication in any case. Our healthcare establishments ought to comprehensively utilize proof based research in applying safety measures with medication administration, as certain factors that create errors are basically inexcusable.
NHS FPX 4000 Assessment 4 Analyzing a Current Health Care Problem or Issue
Populations Affected by Medication Errors
Patients in critical care situations often experience the ill effects of medication errors more than patients on other units. Their acute state of being can often bring about high-risk situations, expecting attendants to administer medications they may not be familiar with. Working in distressing, fast-paced situations can lead healthcare workers to hurry, placing patients at an increased gamble for errors. Areas, for example, the emergency unit many medication errors, as many of the causation factors become gathered, again compromising patient safety.
Considering Options
With realizing what is at stake, a patient’s life, and reading the research, medication administration errors should be cured. Strategies that have been confirmed to work incorporate a technique that expects units to have a designated regulating medical caretaker managing and seeing the administration of high-risk drugs. These high-risk medications like chloride potassium, would have a red label, and be separated from all other medications. (Salar et al., 2020). Medical caretakers are human and humans inevitably make mistakes, therefore having an asset, for example, an overseeing medical caretaker can be that second arrangement of eyes before the medication comes in vicinity with the patient.
Then, a concentrate by author Escrivรก Garcia (2019) referenced above, researched a particular ICU unit and the ability of its medical attendants to answer pharmacology-based questions pertaining to critical care. To further forestall any medication-based errors, attendants ought to be expected to demonstrate skill on drugs they would typically administer daily in their practice. New graduate attendants such as myself, ought to have the option to participate in education courses to orient them into the practice of safely passing medications per the facility’s convention. Education in medication is essential in caring for our patients and safeguarding our licenses.
Additionally, there has been proof that essentially reporting errors, has diminished medication errors in the field. (Mutair et al., 2021). Often nurture are afraid of reporting errors and near misses, as they are afraid of the results. Failing to report errors can set off cascading types of influence, and other medical caretakers may keep on making the same mistakes, constantly compromising patient safety. Creating a culture at work where reporting such instances is encouraged, can assist with alleviating the fear of perhaps losing your employment, yet rather saving a day to day existence. Organizations can take such errors as learning opportunities and interview on them utilizing the main driver analysis style to further forestall any potential harm.
Solution
Being a heavy devotee to education, and based on the research introduced above, creating a learning climate inside the healthcare framework can straightforwardly and decidedly impact patient results. This solution can also remain closely connected with creating a culture where it is encouraged to report errors. Instead of reprimanding medical caretakers, educating them on the medications and interviewing the situation as a team allows for a healthy work climate.
Implementation and Ethical Implications
Healthcare foundations are often placing changes into the workplace and with that comes backlash from workers who are not ready to change their ways. Now and again this may cause them to avoid carrying out the changes. Notwithstanding, there ought to never be any inquiries or debates with regards to patient safety. Having support from managers, coworkers, and higher-ups is critical in finding true success with change.
The standards of nonmaleficence and usefulness are implanted around this subject of medication errors as our one of the core values remains to not cause any harm to a patient anyway on the off chance that medication isn’t administered as expected, this rule would be compromised. It would greatly help establishments, attendants, and especially patients assuming they would take this proof based practice into reforming the ways medications are administered. Then, autonomy and veracity, Would take this proof based practice into reforming the ways medications are administered. Then, autonomy and veracity, which safeguard our patient’s self-determination, parallel the prudence of tell the truth. To regard our patients, the standard ought to be to come clean with our patients when medication errors happen. As medical attendants are being educated on pharmacology information as introduced in the solution above, they ought to also be helped to remember such standards to use in their practice. Most importantly, abiding by the freedoms of medication administration will guarantee the ethical standards of autonomy, helpfulness, nonmaleficence, and veracity are being practiced.
NHS FPX 4000 Assessment 4 Analyzing a Current Health Care Problem or Issue
Conclusion
Medication administration is part of the healing system in taking care of a patient. To help a patient, heal safely, legitimate strategies ought to be used to forestall harm. Errors can happen for various reasons, for example, not understanding what they do, or unsafe working circumstances causing fatigue and burnout. Have designated, assigned overseeing attendants on units to observe high-risk medication passes, can be an asset medical attendants can use to guarantee safety. Furthermore, educating attendants and assessing their skills regarding drug information has recently been found beneficial in decreasing error rates. Finally, creating a culture at work where medical attendants feel comfortable to report medication errors, can help both other medical caretakers, and patients. Actively utilizing proof based practice can work on clinical and patient results.
References
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Carver, N., Hipskind, J. E., & Gupta, V. (2019, April 28). Medical error. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430763/
Gates, P. J., Hardie, R.-A., Raban, M. Z., Li, L., & Westbrook, J. I. (2020). How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. Journal of the American Medical Informatics Association, 28(1), 167โ176.https://academic.oup.com/jamia/article/28/1/167/5961439?login=false
Grossman, S. A., Gurley, K. L., & Wolfe, R. E. (2020). The ethics of error in medicine. Rambam Maimonides Medical Journal, 11(4), e0033. https://www.rmmj.org.il/issues/47/articles/1066
Isaacs, A. N., Chโng, K., Delhiwale, N., Taylor, K., Kent, B., & Raymond, A. (2020). Hospital medication errors: A cross sectional study. International Journal for Quality in Health Care, 33(1). https://academic.oup.com/intqhc/article/33/1/mzaa136/5925732?login=false
Kalra, J., Zoher Rafid-Hamed, Wiebe, L., & Seitzinger, P. (2022). Medical error disclosure: A quality perspective and ethical dilemma in healthcare delivery. AHFE International, 10. https://openaccess.cms-conferences.org/publications/book/978-1-958651-27-8/article/978-1-958651-27-8_16
Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: A systematic review. Therapeutic Advances in Drug Safety, 11(1), 1โ29. https://journals.sagepub.com/doi/10.1177/2042098620968309
Rodziewicz, T., & Hipskind, J. (2020). Medical error prevention (pp. 1โ37). http://www.saludinfantil.org/Postgrado_Pediatria/Pediatria_Integral/papers/Medical%20Error%20Prevention%20-%20StatPearls%20-%20NCBI%20Bookshelf.pdf
Sadowska, M. (2019). Medical errors and their consequences for human life and health. Studia Iuridica Toruniensia, 22, 321. https://apcz.umk.pl/SIT/article/view/SIT.2018.017
