Knox, C., & schoenly, L. (2012). Medical administration risks. Omnisure advocate.1-7. Retrieved from http://www.omnisure.com/newsletters/Medication_Newsletter.pdf
Knox and schoenly views medical administration as a task with most risks in nursing practice and one that requires safeguarding in its delivery. Many errors occur as medicine is prescribed on patients including death. Medication delivery system has element such as prescription, communication of the order, labeling of the product, packaging it, and nomenclature. The process follows with compounding, dispensing the medicine, distributing it, administration of the medicine, and educating patients. There are five rights of medical administration. Ensuring that the right patient receives the right medication. The medicine is given at the right time and through correct route. Proper documentation is given and right reasons are given with the right response.
Over fifty failures result in errors as well as unsafe practices during medical administration practice. Findings from the institute of Medicine indicate that errors of medication are main causes of 19% of errors in patient safety events. Administration and prescription account for 75% of all errors in medication. Approximately five American adults take one medication a day and one third of the proportion take five types of medication per day.
Clinicians should monitor elements of medication delivery in the system to reduce risk. In addition, there should be clear formulated policies and procedures that do not include assumptions and misinterpreted roles. Nurses should order standard medication with complete patient information, appropriate time, patient, and dose. Patients are to be involved in the administration to promote safety.
Various limitations hinder proper medical administration such as Limitations similar drugs but different chemical composition, discontinued medication, wrong medication concentration, lack of adequate information while prescribing medicine.
Garett, S. & Craig, J. (2016).medication administration and the complexity of nursing workflow.1-6.
Garett and Craig argue that medical administration is complex and is influenced by market medications prescribed to patients and procedures and policies formed for use in administration.
Various medical studies indicate that nurses spend 16% of personal time preparing and administering medication. In the process, nurses are interrupted during critical processes, which affect cognitive workload creating an environment that increases chances of increasing occurrence of errors. One patient may receive 18 types of medications a day while nurses administer more than 50 medications in each shift. In addition, medications are administered according to the trainings and education given to nurses.
There are many errors committed during medication administration caused by the complexity of nurse processes. Thus, proper safeguards are required to ensure robust systems, which reduce error probability rates and adverse events. Processes of medical administration include patient assessment to get pertinent data, gathering medications, confirmation of the five rights, administering medication, documenting it, and observation of therapeutic and onward effects.
Medical administration is faced by limitations such as interruptions, lack of proper environment to administer care in shifts, emerging technology with revised policies and procedures increase chances of errors.
Elliot, M., & Liu, Y. (2010). The nine rights of medication administration: an overview. British journal of nursing, 5 (9), 300-306.
Authors view point
Elliot and Liu assert that clinical nursing practice aims at providing safety to patients and quality care. Nurses aim at maximizing the health and wellness of patients to improve their lives. However, improper administration of medication poses a great risk to patient lives. Nurses have a role in surveillance of patients and prevention of errors.
Studies done in UK hospitals indicate that 10% of admitted patients experience adverse events while others experience multiple events. More than 30% of patients experience high cost adverse events due to administration errors.
Types of medical errors include poor labeling of medication, lack of proper communication among clinicians, and improper verification of medicines. Disorganized medical trolleys, inadequate staff and incomplete prescription of medicines also constitute many errors.
Limitations such as busy environment, absence of a night shift, short interval administration in busy wards lead to many errors in medical administration.