Nursefriendly.com: Medication Safety

Showing posts with label Medication Safety. Show all posts

Saturday, July 16, 2011

Medication Errors, FDA U.S. Food and Drug Administration

FDA receives medication error reports⁴ on marketed human drugs (including prescription drugs, generic drugs, and over-the-counter drugs) and nonvaccine biological products and devices. The National Coordinating Council for Medication Error Reporting and Prevention⁵ defines a medication error as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use."
The American Hospital Association⁶ lists the following as some common types of medication errors:
incomplete patient information (not knowing about patients' allergies, other medicines they are taking, previous diagnoses, and lab results, for example);
unavailable drug information (such as lack of up-to-date warnings);

via fda.gov

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Friday, July 8, 2011

When Nurse Make Mistakes (Theresa Brown, RN) - NYTimes.com

By THERESA BROWN, R.N.
This year, a Seattle nurse named Kim Hiatt committed suicide. Ms. Hiatt’s death came nearly seven months after she had given an unintended overdose to an infant heart patient, a medical error that was said to have contributed to the child’s death days later.
Ms. Hiatt had been a nurse for 27 years and had often cared for the 8-month-old girl during the child’s stay in the pediatric intensive care unit of her hospital. She had probably drawn up the right dose of the drug hundreds of times in her career. But once, she made a life-changing error. A baby died, and she was suspended, then fired from a profession she loved. And now she’s dead.

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Saturday, May 14, 2011

Silent Treatment Study, silenttreatmentstudy.com #rnchat #nursing #nurses

Research and regulatory bodies have long confirmed that poor communication in healthcare is harmful at best and deadly at worst.

In the 2005 study, Silence Kills, VitalSmarts and the AACN found that 84 percent of healthcare professionals observe colleagues take dangerous shortcuts when working with patients and yet less than 10 percent speak up about their concerns.

Since that time, the healthcare community has turned to safety tools and checklists to reduce unintentional slips and errors. And yet, a new study called The Silent Treatment has found that the effectiveness of safety tools is undercut by undiscussables. Every day, healthcare professionals are making calculated decisions to not speak up—even when safety tools alert them to potential harm.

The Silent Treatment reveals that despite the safety interventions taken in the last decade, silence still kills. Safety tools do not compensate for crucial conversations failures in the hospital.

via silenttreatmentstudy.com

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Friday, April 29, 2011

Tough Demands on Nurses Adversely Affect Patients

Better working conditions and better staffing of nurses can significantly improve the care of patients with serious conditions, according to the latest nurse labor study by the University of Maryland School of Nursing.

Several troubling trends in patient outcomes surfaced as researchers analyzed survey data from 633 nurses in 71 hospitals in North Carolina and Illinois concerning patient outcomes, says lead investigator Alison Trinkoff, ScD, FAAN.

For example, pneumonia deaths were significantly more likely in hospitals where nurses reported increased psychological demands and more adverse work schedules. Trinkoff says they measured high psychological demands by very fast work, lack of time to complete work, excessive required work, being slowed by delays from other workers, and frequent interruptions. Another trend was that patients were more likely to develop deep vein thrombosis after surgery in hospitals where nurses reported high psychological demands. Staffing also was controlled in the analysis, so that the effects occurred independent of staffing.

via infectioncontroltoday.com

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Thursday, April 21, 2011

Popular birth control pills may boost clot risk (Yasmin, Yaz-Drospirenone )- Health - CBC News

Two of the most popular birth control pills available in Canada — Yasmin and Yaz — carry a higher risk of serious blood clots than some other oral contraceptives, two new studies say.

The studies — both published Thursday in the online edition of the British Medical Journal — show that pills containing a new type of progestogen hormone called drospirenone carry up to triple the risk of serious blood clots (known as venous thromboembolisms) over an older generation of pills containing a hormone called levonorgestrel.

Drospirenone is the key ingredient in Yasmin and Yaz, which are manufactured by Bayer and widely prescribed in Canada.

Drospirenone-based pills like Yasmin and Yaz had worldwide sales of $2 billion US in 2009, reports indicate.

via cbc.ca

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Monday, April 18, 2011

FDA orders safety studies for some asthma drugs | Reuters

U.S. health regulators have ordered drugmakers to conduct clinical trials involving a total of 53,000 patients to test the safety of a controversial class of inhaled asthma drugs that are already on the market.

The trials are being required to demonstrate the safety of medicines known as long-acting beta-agonists (LABAs) when used in combination with inhaled steroids, another class of asthma drugs, the U.S. Food and Drug Administration said on Friday.
LABAs to be studied are AstraZeneca's Symbicort, GlaxoSmithKline's Advair Diskus, Merck & Co's Dulera, and Novartis AG's Foradil.

via reuters.com

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Wednesday, March 30, 2011

The Epidemic of Preventable Medical Harm, HealthcarePSI.org

The Centers for Disease Control reports that 1.7 million people who enter the hospital this year - for any reason - will contract a Hospital Acquired Infection which is completely unrelated to the condition they entered with, and 99,000 of those patients infected will die within the year. Many thousands more will never fully recover.
The Sepsis Alliance - a physician group studying the condition - states that 215,000 people die each year from sepsis, a blood stream infection. The Alliance also states that half of those deaths could be prevented if hospitals would identify and treat patients in a timely manner.
In November 2010, the Office of the Inspector General released a damning report stating that every month in US hospitals, 15,000 Medicare patients over the age of 65 are killed by preventable medical harm. That's 180,000 needless deaths a year. Another 45,000 Seniors on Medicare are injured every month, but survive their hospitalization.
The three studies above document more than 386,000 preventable deaths a year in US hospitals - and that's only a small glimpse of a problem that has reached epidemic proportions.
The Institutes of Medicine estimates there are 100,000 documented preventable harm deaths per year, however they also reluctantly admit that only 5%-20% of preventable medical harm incidents are ever documented on patient records. That means their figure is badly underestimated. By how much? You do the math.

via healthcarepsi.org

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Wednesday, March 23, 2011

Report: Communication Breakdown Leads to Hospital Errors - Health Blog - WSJ

We’ve written about how a small but significant number of health-care workers show disrespect for colleagues, dole out verbal abuse and engage in other unacceptable behavior. Now a new report suggests this kind of poor workplace communication can also contribute to medical errors, even if other preventive steps are being taken.

According to a two-pronged survey of operating-room and critical-care nurses conducted by their professional associations and VitalSmarts, a global training and consulting firm, 85% of 2,383 nurses surveyed said they’d been in a situation where measures put in place to reduce errors – including checklists or hand-off protocols — warned them of a problem that would have otherwise harmed a patient.

That’s the good news. The bad is that 58% of the nurses said they’d been in situations where it was “either unsafe to speak up or they were unable to get others to listen.”

via blogs.wsj.com

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Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

When nurse staffing levels fell below target levels in a large hospital, more patients died, a new study discovered.

The finding may provide guidance in an era of nursing shortages and cost-cutting, in that the focus should shift from cost to patient safety, said the authors of the research, appearing in the March 17 issue of the New England Journal of Medicine.

"Hospitals need to know what their nursing needs are for their patients, and they need to bring staffing into line," said study senior author Jack Needleman, a professor of health services at the School of Public Health of the University of California Los Angeles.

"Patients are entitled to be safe in the hospital and to have care delivered reliably and to have nurses with enough time to make sure they aren't developing avoidable complications with permanent consequences," Needleman said.

via businessweek.com

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Saturday, March 19, 2011

How to Give an IM Injection, Kathy Quan RN BSN

When it is necessary to inject medication, the route is determined by the chemical make up and viscosity of the medication. Many times the route will be intramuscular (into the muscle) known as an IM injection or "shot' as opposed to subcutaneous or intradermal injection.

The injection site will be determined by the volume of medication to be injected. Other considerations are the age of the patient, the size and weight of the patient and mobility issues. The patient’s ability to relax and cooperate can also play a role in determining a safe injection site. Needle size depends on factors such as the site, medication and size/weight of the patient.

via thenursingsite.com

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Sunday, March 13, 2011

Pain Medication Mistakes: Overdoses, Side Effects, and More

It's been a hard day, and Joe's back is killing him.

His wife has some Percocet left over from a trip to the dentist, and there's that big bottle of Tylenol under the sink, so Joe grabs a couple of each and washes them down with a slug of beer.

Luckily for Joe, he's a fictional character invented for this article. But there are a lot of real-life Joes out there making big mistakes with over-the-counter and prescription pain pills.

Can you spot Joe's mistakes? Joe didn't make every mistake in the book. But he made quite a few.

Here's WebMD's list of common pain pill mistakes, compiled with the help of pharmacist Kristen A. Binaso, RPh, spokeswoman for the American Pharmacists Association; and pain specialist Eric R. Haynes, MD, founder of Comprehensive Pain Management Partners in Trinity, Fla.

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Friday, March 11, 2011

FDA takes over Johnson & Johnson's Tylenol plants - Mar. 10, 2011

The government is taking over three Tylenol plants following a blizzard of drug recalls and a Food and Drug Administration criminal investigation into safety issues at the factories.
The FDA and the Justice Department on Thursday took action against McNeil PPC and two of its executives -- its vice president of quality and its vice president of operations for over-the-counter products -- for failing to comply with federally-mandated manufacturing practice.

McNeil, a division of Johnson & Johnson (JNJ, Fortune 500), said it had agreed to put its plants -- one in Las Piedras, Puerto Rico, one in Fort Washington, Pa. and one in Lancaster, Pa., under FDA supervision.

The agreement, known as a "consent decree," is subject to approval by a federal judge in Pennsylvania.

via money.cnn.com

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Monday, February 28, 2011

Food safety, drug safety, and pregnancy information are among eight new topics included in our survey. | Pew Internet & American Life Project

Health information remains one of the most important subjects that internet users research online. The Pew Internet Project and California HealthCare Foundation have added eight new topics to our national survey measuring internet users’ interest in health information:

29% of internet users look online for information about food safety or recalls.

24% of internet users look online for information about drug safety or recalls.

19% of internet users look online for information about pregnancy and childbirth.

17% of internet users look online for information about memory loss, dementia, or Alzheimer’s.

16% of internet users look online for information about medical test results.

14% of internet users look online for information about how to manage chronic pain.

12% of internet users look online for information about long-term care for an elderly or disabled person.

7% of internet users look online for information about end-of-life decisions.

via pewinternet.org

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Friday, February 11, 2011

Medical News: Nursing Home Med Errors Vary by Form of Drug - in Geriatrics, General Geriatrics from MedPage Today

Residents in nursing and old age homes are four times as likely to get an incorrect dose of medication if it's in liquid rather than pill form, researchers reported.

In a study in 55 British homes, errors included such things as incorrect measurements and not shaking a suspension, according to David Phillip Alldred, PhD, of the University of Leeds in Leeds, England, and colleagues.

Errors also were more likely with inhalers and other drug formulations, compared with pills or tablets dispensed using a monitored dosage system, Alldred and colleagues reported online in BMJ Quality and Safety.

Monitored dosage systems -- also known as unit dose systems -- consist of a tray or cassette with compartments for one or more doses for a particular day and time and are intended to simplify the administration of medications for staff, the researchers noted.

But such systems can't be used for all medications -- liquids, among others -- and it's not clear that they are safer than delivering drugs from the manufacturer's own packaging, Alldred and colleagues noted.

via medpagetoday.com

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Monday, January 31, 2011

Institute For Safe Medication Practices

Newsletters Professional Development

Consulting Services Self Assessments

Educational Programs Consumers

NEW Standard Concentrations of Neonatal Drug Infusions

FDA and ISMP List of Drug Names with Tall Man Letters

Guidelines for Standard Order Sets

Tool to assess risk in community pharmacy

Quarterly Action Agenda (Free CE)

High-Alert Medication List

Updated Confused Drug Name List

Community Pharmacy Medication Safety Tools and Resources

Articles of Interest

List of Products with Drug Name Suffixes

Error-Prone Abbreviation List

Pathways for Medication Safety

ISMP Guidelines

"Do Not Crush" List

Improving Medication Safety with Anticoagulant Therapy

ISMP and Doctor's Digest iPhone app.

More Tools...

via ismp.org

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Nursefriendly.com

Saturday, July 16, 2011

Medication Errors, FDA U.S. Food and Drug Administration

Friday, July 8, 2011

When Nurse Make Mistakes (Theresa Brown, RN) - NYTimes.com

Saturday, May 14, 2011

Silent Treatment Study, silenttreatmentstudy.com #rnchat #nursing #nurses

Friday, April 29, 2011

Tough Demands on Nurses Adversely Affect Patients

Thursday, April 21, 2011

Popular birth control pills may boost clot risk (Yasmin, Yaz-Drospirenone )- Health - CBC News

Monday, April 18, 2011

FDA orders safety studies for some asthma drugs | Reuters

Wednesday, March 30, 2011

The Epidemic of Preventable Medical Harm, HealthcarePSI.org

Wednesday, March 23, 2011

Report: Communication Breakdown Leads to Hospital Errors - Health Blog - WSJ

Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

Saturday, March 19, 2011

How to Give an IM Injection, Kathy Quan RN BSN

Sunday, March 13, 2011

Pain Medication Mistakes: Overdoses, Side Effects, and More

Friday, March 11, 2011

FDA takes over Johnson & Johnson's Tylenol plants - Mar. 10, 2011

Monday, February 28, 2011

Food safety, drug safety, and pregnancy information are among eight new topics included in our survey. | Pew Internet & American Life Project

Friday, February 11, 2011

Medical News: Nursing Home Med Errors Vary by Form of Drug - in Geriatrics, General Geriatrics from MedPage Today

Monday, January 31, 2011

Institute For Safe Medication Practices

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