Jeff swensen for the new york times theresa brown, rn this story makes me feel sick — sick for that dead baby and her parents, and sick for kim, who must have felt so alone with her pain it’s a pain that i, and every nurse and doctor, can relate to on some level. Disclaimer dartmouth medical school’s department of community and family medicine, the editor, and the authors of the handbook for rural health care ethics are pleased to grant use of these materials without charge providing that appropriate acknowledgement is given. The united states pharmacopeia (usp) has proposed changing the name of hydromorphone to reduce medication errors caused by confusion with morphine read more about this proposed change read more. Nurses taking into account all precautions for medication errors, reduce firstly the incidence of medication errors, maintain the culture of safe hospital environment and ensure safe medications management by them. This work is among the first attempts to justify ethically the disclosure of error-induced adverse events and close calls, facilitating a significant contribution to medical ethics research and practicekeywords: medical ethics, disclosure, medical errors.
In a study on the researchers mention raising nurses’ pharmacologi- incidence of medication errors among iranian cal knowledge as a serious strategy for reducing nurses, nikpima et al concluded that the most medication errors, and conclude that updating the common medication errors were wrong do- information of nurses and nursing students. In order to reduce the incidence of medication errors and improve healthcare standards, nurses can become promoters of continuous monitoring of potential medication errors and educate others about the importance of medication awareness 14 nursing management of medication errors is an important aspect of the healthcare system, given the. Understand the 9 provisions related to the nursing code of ethics students in the rn-bsn program (nurs 440: leadership and management for the rn) frequently discuss issues of unreported medication administration error, documentation dishonesty, work-arounds (“working around standards by unknowingly or unknowingly bending the rules. When administering medications, nurses are responsible for ensuring that the medication given and nursing actions will not harm the client, and accepts this responsibility as a condition of their registration.
Medication errors: believe it or not, medication errors continue to be quite common in fact, according to the 2009 np claims study, more than 80% of medication errors are prescription-related and 1/3 of those involved prescribing the wrong medication. A nurse who re-enters the profession encounters changes in clinical guidelines personal relationships, stress and errors this case study describes a nurse who does not honestly document, in the patient's chart, the services that were ordered. For a nurse who makes a medication error, consequences may include disciplinary action by the state board of nursing, job dismissal, mental anguish, and possible civil or criminal charges in one study of fatal medication errors made by healthcare providers, the providers reported they felt immobilized, nervous, fearful, guilty, and anxious. The medical record is a legal document and is used to protect the patient as well as the professional practice of those in healthcare documentation of the care you give is proof of the care you provide.
Thus nurses have an ethical obligation to help prevent and manage medical errors the remainder of this column will discuss ethical principles related to medical errors for nurses to consider, along with recommendations that can help to shape a culture of safety for the prevention of medical errors. Addressed medication errors, the nurses’ views on the causes of the errors, and their suggestions regarding notification, monitoring, and steps to avoid future medication errors the questionnaires were provided to the nurses for completion by researchers. Describe the medication errors that are most common among professional nurses & other members of the health care team lo 3 identify a framework for professional nursing practice that includes specific measures to prevent medication errors in patients of all ages. Advanced practice nurses and medical errors is offered by the american association of colleges of nursing’s quality and safety education (qsen) implement tenets of the code of ethics for nurses although patients, and even practitioners, may view an apology as a necessary part of the resolution.
And other medications (medication errors), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings [2. Create urgency for health care organizations to reduce medication errors and deliver safe and ethical care to patients (brady, malone, & fleming, 2009) identify the cost of medication/medical errors 2 identify the causes of medication/medical errors reporting medication errors nurses should always follow your health care. Why nurses make medication errors: a simulation study participants pointed out any descriptive phrases in the script of the simulation corresponding to the likely causes of medication errors ethical consideration this study demonstrated three communication problems as to the reasons why nurses make medication errors, when requests. Printable version national association of school nurses code of ethics preamble acknowledging the diversity of the laws and conditions under which school nurses practice, the national association of school nurses (nasn) believes in a commonality of moral and ethical conduct.
Medical errors – prevention and control iworld health organization isbn 978 92 4 150547 5 (nlm classification: wx 185) a strategy to reduce errors, is ethics committee ethical issues in patient safety research. Nurses' experiences with the disclosure of errors to patients debbie greene 1983-1984 staff nurse, neuro-intensive care unit, medical center of central georgia macon, georgia 2001) advocating for disclosure of patient care errors falls within the nurse’s ethical responsibility to protect the rights of the patient further research is. The nurse practitioner is responsible for reporting all errors and as the nurse practitioner that is what i would do the odds are there that a mistake will occur rarely and a plan needs to be in. Nurses have a legal and moral responsibility to report medication errors the steps of reporting these errors include: examining interdisciplinary causes of errors and assisting professional in ways to avoid mistakes.
This article attempts to explore the ethical issues relating to the nursing management of medication errors in clinical areas in macau, china a qualitative approach was adopted. Despite the action by the state nursing board in chastising thao and suspending her license, medical and nursing associations have been almost unanimous in protesting the felony criminal charges in a case of a mistake it is imperative that all health care professionals do everything possible to ensure that medical errors do not happen. Efforts to reduce medication errors and improve patient outcomes have turned toward new types of health information technology , including physician order-entry systems and electronic medication-administration systems, or emar.
The ethics and legalities of medication error disclosureexplain the ethical and legal implications of disclosure and nondisclosure be sure to reference laws specific to your state. Medication administration errors, the role of nurses in such errors, and current initiatives that are underway within new zealand to address this aspect of patient safety included both nursing and medical databases specific karen mcbride-henry, bscn(hons), mn, phd research fellow.