vigade tekke põhjused ravimite manustamisel ja õe tegevus

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Transcript vigade tekke põhjused ravimite manustamisel ja õe tegevus

CAUSES OF MEDICATION
ADMINISTRATION ERRORS AND
NURSING ACTION IN
REPORTING AND PREVENTING
ERRORS
Kaire Kirikmäe
North Estonia Medical Centre
2010
Medication errors result from
many different causes
 specific of the unit
• work dynamics, team-work,
communication
• person-centered factors
 underlying system factors
Classifications of error
• Psychological: knowledge, rules,
performance and memory
• according to consequences
• period of the way in which errors
occurred: prescribing, transcribing,
dispensing, administering.
The main causes of medication
administration errors
• omitted drug
• wrong drug error
• wrong timing of drug administration,
• wrong patient error.
Action and managing of
nursing practice errors
• reporting
• dealing with the error quickly and
efficiently
• documentation
• analysing
• the counselling and supporting
Prevention
 renovation of organizational model
 education and training
 researches
 technological innovation
 “5-rights”
 error reporting
Thank you!