Medication errors can occur due to both human error and system errors healthcare
Summary
TLDRThe video script highlights the alarming global scale of medication errors, advocating for the 'Principle of Eight Rights' in drug administration to prevent these mistakes. It outlines the process from physicians writing daily drug orders in a digital system without abbreviations, to pharmacists' checks, nurse verifications, and patient education. The script emphasizes the importance of barcode checks, proper preparation, administration, and disposal, ensuring patient safety and error prevention.
Takeaways
- 🚨 Medication errors are alarmingly high, with over a million errors globally and over 100,000 resulting in death.
- 📝 The principle of 'eight rights' for drug administration is crucial to prevent errors.
- 💻 In digital systems, no abbreviations are allowed for drug orders to avoid confusion.
- 👩⚕️ Physicians write daily drug orders, which are visible to pharmacists on a monitor for review.
- 👩🔬 Pharmacists write and approve special notes about all drugs, ensuring they are appropriate.
- 🏥 Drugs delivered from the pharmacy are checked by nurses and placed into drug boxes for administration.
- 🤒 Nurses check for drug interactions, food interactions, side effects, and safe dosages, especially for pediatric patients.
- 🏷️ A patient-specific barcode is used to verify identity details and drug information before administration.
- 🧪 High-risk drugs are checked twice before preparation, adhering to the principle of 'eight rites'.
- 🧼 Hygiene is emphasized with hand washing and glove wearing before and after drug preparation.
- 📚 Patient education is important; nurses inform patients about the drug, its use, and potential side effects, obtaining verbal consent.
- ⏰ Drugs are administered at the scheduled hour and rate, with no leftover drugs left near the patient.
- 🗑️ Proper disposal of syringes and needles is mandatory, using the designated yellow box.
- 🔄 An electronic check is required after drug administration, with reasons specified if there's a deviation from the schedule.
- 📝 Observation findings are recorded for reassessing the patient's condition if necessary.
Q & A
What is the global scale of medication errors according to the transcript?
-The transcript states that there are more than one million medication errors globally, with over 100,000 of these errors resulting in death.
What is the 'principle of eight' in drug administration?
-The 'principle of eight' refers to eight key practices for safe drug administration, which include writing the daily drug order, using a digital system with no abbreviations, pharmacist review and approval, checking for drug interactions and adverse effects, ensuring safe dosage for pediatric patients, using barcode verification, and following proper preparation and administration procedures.
Why is it important for physicians to write the daily drug order?
-Physicians writing the daily drug order helps to ensure clarity and accuracy in medication orders, reducing the risk of errors that can lead to patient harm.
How does the pharmacist's role in the medication process contribute to safety?
-The pharmacist reviews and approves the medication orders, writes special notes about all drugs, and checks for drug interactions, side effects, and safe dosage ranges, which helps to prevent medication errors.
What is the significance of barcode verification in the medication administration process?
-Barcode verification is a crucial step that helps to ensure the correct patient receives the correct medication, dose, and route, by matching the patient's barcode with the medication's barcode.
Why are high-risk drugs checked twice before preparation?
-High-risk drugs are checked twice to adhere to the principle of eight rites, which is a double-check mechanism to prevent errors in the preparation of these potentially dangerous medications.
What precautions are taken before administering drugs to a patient?
-Before administering drugs, the nurse must wash hands, wear gloves, verify the patient's identity, and ensure the drug is prepared and administered immediately after preparation. The nurse also educates the patient about the drug, its intended use, and potential side effects, and obtains verbal consent.
How is the medication administration process monitored after the drug is administered?
-An electronic check is required after the drug is administered. If the drug is given before or after the scheduled hour, reasons must be specified in writing, and a reassessment may be needed based on the drug's time of action and observation findings.
What is the importance of proper disposal of used syringes and needles?
-Proper disposal of used syringes and needles into a designated yellow box helps to prevent needlestick injuries and the spread of infections.
How does the script emphasize the importance of preventing medication errors?
-The script emphasizes the importance of preventing medication errors by highlighting the significant number of errors and deaths they cause, and by outlining the principles of eight rights as a means to prevent such errors.
What is the final message conveyed by the script regarding the role of healthcare professionals in medication administration?
-The final message is that healthcare professionals play a crucial role in ensuring safe medication administration by following the principles of eight rights, which can help prevent medication errors and contribute to healthy care for all patients.
Outlines
💊 Medication Safety and the Eight Rights
This paragraph discusses the alarming statistics of medication errors, which result in over one million incidents globally and more than 100,000 deaths. It emphasizes the importance of adhering to the 'principle of eight' for drug administration, which includes writing clear and unambiguous orders, using digital systems that prohibit abbreviations, and ensuring visibility and approval of orders by pharmacists. The paragraph outlines the process from the physician's order to the pharmacist's review, the nurse's preparation and administration, and the importance of checking for interactions, side effects, and safe dosages, especially for pediatric patients. It also highlights the use of barcode technology for patient-specific medication verification and the necessity of hygiene practices before and after drug preparation and administration.
Mindmap
Keywords
💡Medication Errors
💡Principle of Eight Rights
💡Digital System
💡Pharmacist
💡Nurse
💡Barcode
💡High-Risk Drugs
💡Gloves
💡Patient Education
💡Electronic Check
💡Observation Findings
Highlights
Millions of medication errors occur globally, with over 100,000 resulting in death.
The 'principle of eight' is crucial for drug administration to prevent errors.
Physicians write daily drug orders to ensure accuracy.
In digital systems, no abbreviations are allowed for drug orders.
Electronic orders entered by physicians are monitored by pharmacists.
Pharmacists write and approve special notes about all drugs.
Nurses check and place drugs into boxes after they are delivered from the pharmacy.
Drug interactions, food interactions, side effects, and administration issues are carefully checked.
Safe dosage ranges for pediatric patients are verified.
Barcodes with patient-specific information are used for drug verification.
High-risk drugs are checked twice before preparation, following the principle of eight rites.
Hand hygiene and glove use are emphasized before drug preparation.
Drugs are reconstituted immediately before administration.
Nurses fix patient-specific barcodes on drugs before administration.
Patients are educated on the drug's name, intended use, and potential side effects.
Verbal consent is obtained from patients before drug administration.
Drugs are administered by the nurse who prepared them, ensuring the correct route.
Oral preparations require verification that the drug is swallowed by the patient.
Drugs are administered at the prescribed hour and rate, with no leftovers.
Syringe needles are disposed of in designated containers.
Hands are washed after drug administration, and an electronic check is required.
Reasons for administering drugs before or after the scheduled hour must be documented.
Observation findings may require reassessment depending on the drug's time of action.
Prevention of medication errors is emphasized through adherence to the eight rights.
Transcripts
figures of medication errors are more
than one-million at global scale and
more than 100,000 errors result in death
let's learn the principle of eight
writes for drug administration
physicians writes the daily drug order
in the digital system no abbreviation is
allowed for drug orders electronic order
that is entered by physicians can be
seen on the monitor by the pharmacist
the pharmacists writes and approves
special notes about all drugs the drugs
that are delivered from the pharmacy are
checked and placed into drug boxes by
nurses drug drug interactions drug food
interactions side and adverse effects
and issues requiring attention and
administration as well as safe dose
range for pediatric patients are checked
over
vadoma cool a patient specific barcode
is printed where identity details and
drug info are available the drug is
checked over both barcode and electronic
drug order dose of the drug is
calculated after powder preparations are
constituted volume of the dry powder is
calculated high risk drugs are checked
twice in line with the principle of
eight rites before they are prepared
hands are washed and gloves are worn
before drugs are prepared
drugs are reconstituted immediately
before they are administered the nurse a
fixes the patient specific bar code
where identity details and drug info are
available on the drug the drug is
administered immediately after it is
prepared gloves are removed and hands
are washed after drugs are prepared a
new glove is worn in the patient's room
identity is verified before the drug is
administered patients are educated on
name of drug the intended use and
potential side-effects and verbal
consent is obtained from the patient
[Music]
drugs are administered by the nurse who
prepared the drug through the correct
route for oral preparations it is
necessary to verify that the drug is
swallowed by the patient drugs are
administered at priests scheduled hour
and rate no drug is left near the
patient the syringe needles are disposed
to the yellowbox that is available the
treatment tray and gloves are removed
before leaving the room treatment tray
is arranged and waste is properly
disposed hands are washed after a drug
is administered electronic check is
required after the drug is administered
it is necessary to specify reasons in
writing if the drug is administered
before or after the scheduled hour
reassessment may be required depending
on the time of action and findings of
observation are recorded everybody
deserves healthy care we can help
prevention of medication errors we can
prevent medication errors by following
principles of eight rights
[Music]
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