Reflecting on practices in medicine administration

DysuriaMenstrual disorder. However, the most significant events are listed below as alerting information to the physician. MigraineSpeech disorders.

Reflecting on practices in medicine administration

A medication error is an error of commission or omission at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication.

Reflecting on practices in medicine administration

An adverse drug event ADE is defined as harm experienced by a patient as a result of exposure to a medication. As with the more general term adverse eventthe occurrence of an ADE does not necessarily indicate an error or poor quality care. Preventable adverse drug events result from a medication error that reaches the patient and causes any degree of harm.

It is generally estimated that about half of ADEs are preventable. Medication errors that do not cause any harm—either because they are intercepted before reaching the patient or because of luck—are often called potential ADEs. An ameliorable ADE is one in which the patient experienced harm from a medication that, while not completely preventable, could have been mitigated.

Finally, a certain percentage of patients will experience ADEs Reflecting on practices in medicine administration when medications are prescribed and administered appropriately; these are considered adverse drug reactions or nonpreventable ADEs and are popularly known as side effects.

For example, the intravenous anticoagulant heparin is considered one of the highest-risk medications used in the inpatient setting. Safe use of heparin requires weight-based dosing and frequent monitoring of tests of the blood's clotting ability, in order to avoid either bleeding complications if the dose is too high or clotting risks if the dose is inadequate.


If a clinician prescribes an incorrect dose of heparin, that would be considered a medication error even if a pharmacist detected the mistake before the dose was dispensed. If the incorrect dose was dispensed and administered but the patient experienced no clinical consequences, that would be a potential ADE.

If an excessively large dose was administered, the overdose was detected by abnormal lab results, but the patient experienced a bleeding complication due to clinicians failing to respond appropriately, that would be considered an ameliorable ADE that is, earlier detection could have reduced the level of harm the patient experienced.

Adverse drugs events are one of the most common preventable adverse events in all settings of care, mostly because of the widespread use of prescription and nonprescription medications.

Clinicians have access to an armamentarium of more than 10, prescription medications, and nearly one-third of adults in the United States take 5 or more medications. Each year, ADEs account for nearlyemergency department visits andhospitalizations. Ambulatory patients may experience ADEs at even higher rates, as illustrated by the dramatic increase in deaths due to opioid medicationswhich has largely taken place outside the hospital.

Transitions in care are also a well-documented source of preventable harm related to medications. Polypharmacy—taking more medications than clinically necessary—is likely the strongest risk factor for ADEs.

Elderly patients, who take more medications and are more vulnerable to specific medication adverse effects than younger patients, are particularly vulnerable to ADEs.

Pediatric patients are also at heightened risk, especially when hospitalized, since many medications for children must be dosed according to their weight.

Other well-documented patient-specific risk factors include limited health literacy and numeracy the ability to use arithmetic operations for daily tasks. It is important to note that in ambulatory carepatient-level risk factors are probably an underrecognized source of ADEs.University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health Medication administration and final year nursing.

The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice.

Emergency Medicine Bedside Ultrasound

Reflective practice plays a big part in healthcare today and is becoming increasingly. The 4-year, multipayer Comprehensive Primary Care Initiative was started in October to determine whether several forms of support would produce changes in care delivery that would improve the.

review current evidence, policies and practice for medication management in residential aged care, and to consult with peak stakeholder organisations and samples of local users to develop this document. Reflecting consolidated billing rules, the form requires that the physician distinguish between professional services (billed to Medicare by the physician) versus the technical component and "incident to" codes (billed to the SNF by the physician) and list the latter on the form.

Athletics Health Care Administration Best Practices Independent Medical Care for College Student-Athletes Guidelines The NCAA Sport Science Institute and leading scientific and sports medicine organizations have developed recommendations for athletics departments and athletics health care providers to use in the delivery of care for college.

Medication Preparation Questions | Injection Safety | CDC