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medication errors

Medication Errors are among the biggest issues devoted in health care setting today in America. According to a recent Journal of the American Medical Association, medication error causes more than 10,000 of injures and deaths every year. Medication giving include five basic rights: Right patient, Right medication, Right route, Right dose, and Right time. Contrary to the above is medication errors. However, most common errors are occurred by poor transcriptions, drug interactions, drug name confuse, and poor documentation. One of the great concerns with medication errors is order transcription. Poor transcriptions or orders that are passed from doctors to nurses could cause serious injury by giving wrong amount or name of drug to patients. The problem is that most nurses have poor concentrations due to the amount of their workload. They could difficulty call back the doctor to clarify either the order clearly written or and illegible order, then arriving to their own assumptions. In addition, doctors and nurses make the medication errors by misreading and miswriting prescriptions such as misplacing points and misreading zeros. Researchers at Brigham and Women's Hospital have found that there were extraordinary drug errors made


For example, some prophylactics given before or after according to specified order are lifesavers. On April 2, 1999, The Institute for Safe Medication Practice has given a warning to doctors and pharmacists to be careful when prescribing, and using celecoxib (Celebrex) and other products whose names look and sound like Celebrex. Drug interactions occur immediately or over several weeks. It also has been said, if you don't chart is you didn't do it. Drug interaction is a major cause of Iatrogenic illness caused by practitioners. As a matter of fact, about 50% of medication errors have resulted from confusing the name Celebrex, a new COX2 inhibitor. For example, both ddI and ddC can cause peripheral neuropathy, a tingling or pain in the legs, hands or feet. Giving a medicine at wrong time to a patient can cause serious accident. In fact, some researchers found that 55percent of the errors has dropped when doctors put down their pens and typed on the computers. Jack Berry, president of the Colorado Medical Society, medicine is more complex than it was 20 years ago which means that medicine becomes more technologically complex. The problem is that doctors don't press hard enough while writing prescriptions on carbonless paper, so the decimal point doesn't come through on the copy. Interactions can occur when one-therapy affects how another is absorbed, distributed or excreted. It is not recommended that they be used together because the similar side effects of the two drugs may increase the chance of neuropathy.

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