MEDICATION ERROR
WHAT IS A MEDICATION ERROR?
A medication error is defined as “any
preventable event that may cause or lead to
inappropriate medication use or patient harm
while the medication is in the control of the
health-care professional, patient, or consumer”
TYPES OF MEDICATION ERROR :-
1) Wrong Dose,
2) Wrong Drug Due To Mix-up Of Drugs,
3) Wrong Patient Due To Mix-up Of Patients,
4) Omission
5) Unauthorized Drug
6) Wrong Route
7) Wrong Judgement Or Inadequate Assessment
Of The Patient's Need For Treatment,
8) Wrong Management Or Storage Of The Drug
9) Allergy-related Error.
CAUSES OF MEDICATION ERRORS
Distraction
Environment
Lack of knowledge/understanding
Incomplete patient information
Memory lapses
Systemic problems
CATEGORY OF MEDICATION ERROR :-
FIVE RIGHTS :-
1. Right Drug
2. Right Dose
3. Right Route
4. Right Time
5. Right Patient
PREVENTING MEDICATION ERRORS :-
1. Know The Patient
2. Know The Drug
3. Keep Lines Of Communication Open
4. Double Check High Alert Medicines
5. Document Each Drug Administered
6. Take An Active Role In Correcting Issues You Identify
7. Inform The Patient Of The Drugs They Are Receiving
8. Ask For Continuing Education
MANAGEMENT ROLE IN ADDRESSING
MEDICATION ERRORS :-
Establish a Culture of Safety
Education and Training
Clear Policies and Procedures
Error Reporting System
Root Cause Analysis (RCA)
Implement Corrective Actions
Monitor and Evaluate
Technology Utilization
Interdisciplinary Collaboration
Continuous Quality Improvement (CQI)
Communication and Transparency
Regulatory Compliance
Staff Support and Well-being
Documentation and Record-keeping
Audits and Quality Assurance Reviews
THANK YOU