When it comes to prevention in prescription error, we need to review the patient’s medication list at each encounter, it’s fairly important not to rely on the memory like, “this is a that was most likely that he’s taking this or that medication”, you have to review it at each encounter, whenever you see the patient.
Be vigilant about high risk drugs and avoid prescribing them whenever possible. Because high risk drugs need, as we said before, the double checking and we need to make sure that they are entered in the computer order by someone who is trained to do so after double checking and replace high risk drugs with drugs that are less likely to cause adverse events. By definition, high risk drugs are the drugs of higher risk of developing adverse events. So if we can avoid them, this obviously will be better.
Discontinue unnecessary medications, and that’s why we need to check the medications at each encounter. Considering drugs as a cause of any new symptom if the patient develops any new symptom that that was not there before the administration of the drug, they accused the drug, it could be the possible cause of the new symptom.
Avoid treating side effects with another drug if possible, because basically, you might be complicating things.
Educate the patients for each medication, it’s very important not to write the instructions in the medical record only or give the instructions to the nurse only, but it’s also important to educate the patient, that “you are going to have this drug, this frequency in that form before the meal after the meal” instructions will have to be clear while given to the patient and again, using of computerized prescriber order entry, or any other kind of a computerized entry, as we said to avoid overlapping to avoid drug interactions to avoid contraindications and to make to keep track of the medications that are given to the patient.
Now we come to the 10 rights of medication administration, we need to there are 10 drug things or to think we need to make sure that they are right.
First, make sure that you are dealing with the right patient by the defining the patient with at least two identifiers.
<h3>Remaining Rights ...</h3><p>Second, you are giving the right medication and the right dose at the right time through the right route. And you make the right assessment and the right evaluation for the patient. And for this the clinical condition of the patient, you are making the right education for the patient for the drugs that they are having or will have.
And then the right to refuse it’s very important to consider the consent is not a matter of acceptance only, it could be a refuser, the patient have the right to accept or refuse a certain treatment, it perhaps it’s your duty, to clarify to the patient to give them the information that this drug, this is the effects of this drug, these are the side effects of these drugs. If you don’t take this drug, this could happen there are other alternatives to these drugs which are this and that or no drug at all. Give your patient information and let them decide, but don’t force them to accept your claim.
This is the essence of full consent and it’s their right to accept or refuse and write documentation, whatever happens whatever interaction you have with your patients write it down, as they say and say again, and again, the medical record, what you write or what you document could be at one point of the treatment life saving if something bad happens.
Characteristics Of Root Cause Analysis:
We have been introduced to the Accident Causation Model or as known as “Swiss Cheese Model”.
We’re going to talk about the prevention and management of medical errors.
Medication errors 101.