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Medication Safety Clinical Audit
2
Standard 4 - Medication Safety Clinical Audit
Background
Medication Error
Any incident where there has been error in the process of prescribing, dispensing, preparing, administering, monitoring
(Kavanagh 2017)
Aim
Improve safety of medication charting in hospitals
Identify what stage medication errors occur to help intercept and improve compliance of the five rights
Reduce occurrence of medication errors
Results
Method
Systematic Sample of 20 Charts - Every 3rd Patient
Long stay Medication Charts - more common to be have incorrect weight documented
Reviewed Paediatric Inpatient Medication Chart
Administering compliance within target
Audit Tool - Australian Commission on Safety and Quality in Healthcare The Paediatric National Inpatient Medication Chart Audit Tool (Adapted Short Version)
(Australian Commission on Safety and Quality in Healthcare 2012)
Conclusion
- Ayden et al (2014) identified Medication Errors our frequently at drug ordering stage (74%)
- Audit found over half of errors occuring at the first hurdle
Lee, Y
References
Kavanagh, C 2017, 'Medication governance: preventing errors and promoting patient safety', British Journal of Nursing, vol. 26, no. 3, pp. 159-165, viewed on 19 September 2017, CINAHL (EBSCO)
Keers, R, Williams, S, Cooke, J, Walsh, T & Ashcroft, D 2014, 'Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review', Drug Safety, vol. 37, no. 5, pp. 317-332, viewed on 19 September 2017, CINAHL (EBSCO)
Australian Commission on Safety and Quality in Healthcare 2012, ‘The Paediatric National Inpatient Medication Chart (Paed-NIMC) AUDIT TOOL (short version)’ viewed 10 September 2017, <https://www.safetyandquality.gov.au/wp-content/uploads/2012/02/16689-PaedWebAuditTool-ShortVer.pdf>
Useful Links
Aydon, L, Hauck, Y, Murdoch, J & Foster, C 2014, 'Developing a culture of nursing research in neonatal clinical care in Western Australia', Neonatal, Paediatric & Child Health Nursing, vol. 17, no. 2, pp. 2-9, viewed on 19 September 2017, CINAHL (EBSCO)
Toruner, E & Uysal, G 2012, 'Causes, reporting, and prevention of medication errors from a pediatric nurse perspective', The Australian Journal of Advanced Nursing, vol.29, no. 4, p. 28-32, viewed on 19 September 2017, Informit Health Collection (EBSCO)
- Inadvertently harm patients
- 1/3 of adverse drug events considered preventable - arising due to medication error
(Keers et al. 2014)
- Medication Error in Paediatric Population 3-fold higher than Adults