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Enhancing Patient Safety and Minimizing Drug Errors in Healthcare Settings

 

Annual pharmacy drug cost has increased from $10,300,000 to $16,800,000 in the past five years. The hospital is experiencing an increase in drug cost even though actual drug usage has remained stable.

Along with the increase in drug cost, drug related errors have also increased. Patient safety has become an even more serious issue. As you know, patient safety is the number one item on the national health care agenda for the next several years.

At the hospital the number of dispensing errors has increased by two percent during the past twelve months. The registered nurses who are administering the drugs have discovered many of the dispensing errors; however, the ones not discovered resulted in patients getting the wrong drug, wrong dosage, and/or the wrong frequency. When the overall drug error rate was analyzed, it was found that dispensing errors in the pharmacy were the number one cause. The overall drug error rate had increased from three percent to five percent.

Fortunately most of the dispensing errors were discovered before the medications were administered to the patients. When the incorrect drugs were administered, it resulted in adverse effects in three cases. One patient received the right medication but the wrong dosage because the medication label was incorrect. This patient had to be admitted overnight to the Intensive Care Unit for intense cardiac and respiratory monitoring. The patient stayed in ICU for approximately twenty-four hours. Another patient received the wrong medication on the day of planned discharge and had to remain in the hospital for an additional day, though only for observation. In the third case, the patient had reported that he was allergic to a certain category of drugs, but nonetheless received a drug of that type. He had an adverse reaction–a rash–which delayed his discharge by one day.

On the basis of your understanding of the above case study, express your views on the following:

What measures should be adopted to reduce the overall drug error rate in the hospital?
What special benefits should be given to the patients who have suffered due to negligence by the hospital staff for wrong drug administration and other reasons?
In your opinion, should the hospital staff who were responsible for the dispensing errors be held personally liable for the errors? Why or why not?

Use the following resources as well as your Textbook for this assignment.

Ellsworth, M. A., M.D., Aakre, C. A., M.D., Dziadzko, Mikhail,M.D., PhD., Peters, S. G., M.D., Pickering, Brian W,M.B., B.Ch, & Herasevich, Vitaly,M.D., PhD. (2016). Early computerization of patient care at mayo clinic. Mayo Clinic Proceedings, 91(7), E93-E101. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1016/j.mayocp.2016.04

Lan, H., Thongprayoon, C., Ahmed, A., Herasevich, V., Sampathkumar, P., Gajic, O., & O’Horo, J. C. (2015). Automating quality metrics in the era of electronic medical records: Digital signatures for ventilator bundle compliance. BioMed Research International, 2015, 1-6. doi:10.1155/2015/396508

 

 

Sample Answer

 

Enhancing Patient Safety and Minimizing Drug Errors in Healthcare Settings

Measures to Reduce the Overall Drug Error Rate

1. Implement Barcode Medication Administration (BCMA): Utilize BCMA technology to verify medication administration at the bedside, reducing the risk of errors during drug dispensing and administration.

2. Enhance Staff Training: Provide comprehensive training programs for pharmacy personnel and nurses on medication safety protocols, proper drug handling, and error prevention strategies.

3. Establish Double-Check Procedures: Implement double-check processes where two healthcare professionals independently verify medication orders before dispensing and administration.

4. Utilize Automated Dispensing Systems: Introduce automated dispensing systems in the pharmacy to enhance accuracy and reduce manual errors in medication preparation.

Special Benefits for Affected Patients

1. Compensation for Adverse Events: Offer financial compensation or coverage for medical expenses incurred due to adverse effects resulting from medication errors.

2. Additional Monitoring and Support: Provide additional monitoring, follow-up care, and support services to patients who have experienced harm or inconvenience due to medication errors.

3. Enhanced Communication: Ensure transparent communication with affected patients and their families, offering explanations, apologies, and reassurance regarding steps taken to prevent future errors.

Personal Liability of Hospital Staff

Hospital staff responsible for dispensing errors should be held accountable for their actions; however, the approach to addressing liability should be balanced and fair. Factors to consider include:

1. Root Cause Analysis: Conduct a thorough investigation to determine the underlying causes of the errors, taking into account system failures, workflow issues, and individual actions.

2. Training and Support: Provide remedial training, guidance, and support to staff members to prevent future errors and promote a culture of safety.

3. Disciplinary Action: Consider disciplinary measures based on the severity of the errors, adherence to protocols, and individual accountability, ensuring a just and constructive approach to addressing negligence.

In conclusion, prioritizing patient safety through proactive measures, compassionate care for affected individuals, and a balanced approach to addressing staff accountability are essential components of fostering a culture of safety and quality in healthcare settings. By implementing robust error prevention strategies and supporting both patients and staff through adverse events, hospitals can strive towards minimizing drug errors and enhancing overall patient outcomes.

 

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