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AL KHAFJI NATIONAL HOSPITAL

NURSING TRAINING AND EDUCATION

MEDICATION ERRORS:
A THREAT TO PATIENTS
SAFETY
Clifton John S. Bareng, RN
Jhessie L. Abella, RN, RM, MAN
KNH Nurse Educators

Objective of the Lecture

To update the Nursing Service staff on the current statistics of medic


ation errors of KNH as a healthcare institution.
To give a birds eye view on the global perspective of medication err
ors.
To reorient the nursing staff on the policies and guideline of KNH on
medication administration (CBAHI standards)
To apply appropriate nursing action in recognizing adverse medicati
on reaction and to apply preventive action to eliminate medication er
rors
Bring up to date technology in medication administration system

The Impact of Medication Error

Common Location of Medication Errors


20
18
16
14
12
10
8
6
4
2
0

Age Bracket of the Patients Affected


35
30
25
20
15
10
5
0

Gender of Patients Affected by Errors

FEMALE; 55

MALE; 51

In which PROCESS does it occurs?

PRESCRIBING
DISPENSING
ADMINISTRATION

Type of ERROR
40
35
30
25
20
15
10
5
0

Medication Error
Any preventable event that may lead to i
nappropriate medication use or patient
harm while the medication is in the cont
rol of the health care professional,
pa
tient, or consumer.

Global Perspective of Medication Errors


Conservatively at least 1.5 millions people per ye
ar are harmed by medications. Many medication e
rrors are never reported.
100,000 people each year die each year as a
res
ult of medication errors
At least 400,000 drug related injuries occurs
ea
ch year in hospital or approximately one
medic
ation error per patient per day

Global Perspective of Medication Errors


The proportion of medication errors attributable to the
ordering/prescribing stage range from 79 percent.
Transcribing errors accounts 14 percent of the total ADEs
60 percent of the medication administration errors were
mainly i
n form of WRONG TIME, WRONG RATE or
WRONG DOSE
FDA had reported that injectable drugs were most often the proble
ms, the most common type of errors was drug overdose and the sec
ond most common type is administering the
wrong drug to a pat
ient.

Factors Associated with Medication Errors


Medication with similar names or packaging
Medications that are not commonly used or pre
scribed
Commonly used medication to which many pat
ients are allergic
Medication that requires testing to ensure
proper therapeutic levels are maintained.

acetaZOLAMIDE

acetoHEXIMIDE

clonaZEPAM

LORAzepam

cochiCINE

cloniDINE

DOXOrubicin

DAUNOrubicin

Same Label and Packaging

New Technology in Drug Administration


Patient Safety Improvements

New Technology in Drug Administration


Improved nursing staff satisfaction.
Patient satisfaction.
Improved community relations.

THANK YOU AND


HAVE A GREAT DAY!

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