Literature Review Assignment : Nursing

   

Added on  2020-10-04

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Literature Review:Nursing
Literature Review Assignment : Nursing_1
TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1BACKGROUND.............................................................................................................................1LITERATURE REVIEW................................................................................................................2Medication errors in health care setting in regard to the administration and dispensing ofmedicines....................................................................................................................................2System to improve medicine administration and dispensing......................................................3Standard 4: Medication and Safety.............................................................................................3System promoting multidisciplinary care...................................................................................4DISCUSSION..................................................................................................................................5CONCLUSION................................................................................................................................5REFERENCES................................................................................................................................7
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INTRODUCTIONThe process of prescribing, dispensing, manufacturing, compounding and monitoringmedicines is critical which involves numerous clinicians. As there are multiple tasks andinteractions occurred in the whole process, the probability of medication errors increasessimultaneously (Hayes, Davidson and Power 2015, pp. 3063-3076). The role and responsibilityof nurses and health care centre is to ensure patient’s safety while providing him or her precisetreatment. Any harm to patient due to medication error can be catastrophic (Jember, Demeke andHassen 2018, pp. 9). Importantly, however these errors are often preventable. The best practicefollowed by the health care management is to avoid the medication errors. To manage safe andhealthy practices in the health care organisation, The Australian Commission on Safety andQuality in Health Care (ACSQHC) has developed 10 NSQHS standards. The primary aim ofNational Safety and Quality Standards safeguard the people from harm and enhance the qualityof health safety provisions (Hutchinson and et.al. 2015, pp. 70).These standards concentrate on client’s engagement, governance, clinical related areas andprovide conformable statement of the level of care that health care seekers expect from healthservices. The aim of this review is to analyse the factors that causes medication errors andreviewing Standard 4: Medication Safety in order to get knowledge about how to avoid theseerrors efficiently (Debono and et.al. 2017, pp. 42). This will be attained by reviewing theavailable literature on these topics. Nurses plays a pivotal role in preventing the errors related tothe administration of medication in hospitals where such type of error is one of the topmostreason behind injuries to the patients hospitalised in the health care settings. Some major factorsthat mainly contributes to the medication administration errors involves drugs looking alike anddistraction where the nurses are mostly tired and exhausted. Also, physicians non-understandable handwriting leads to such type of errors in medication. However, most of thecases are not reported due to a fear from supervisors or peer’s adverse reactions, etc. BACKGROUNDAccording to Hutchinson and et.al. (2015) medicines are most commonly usedterminology in health sector and it refers to the deviations done from a doctor’s prescribedinstruction. This includes errors like unreadable written prescriptions, errors in dispensing,calculating, monitoring and administration, etc. It is with a foremost involvement of the nurses1
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who are mostly seen in making such type of errors that increases when remains unreported. As aresult, they are one of the major reason for higher incidence of errors and show adverse effectsthan other health care interventions. 25 per cent of incidents occurred in public hospital ofAustralia were caused by medication errors (Mitchell, Williamson and Molesworth 2016, pp.185-195). Medication errors can be catastrophic as it can harm patient’s health drastically. Themotive of health care centres is to ensure the safety of health care seekers. According to Mitchell,Williamson and Molesworth (2015) in order to improve the health and safety practices inAustralia, the Australian Commission on Safety and Quality in Health Care (ACSQHC) hasformulated National Safety and Quality Standards which aim to ensure the protection andpreservation of patient and improve quality of health and safety provisions. As per Debono and et.al. (2017) the quality framework possesses 10 standards each ofwhich focuses on improving the quality of health and safety, clinical process and provisions.Standard 4 which is Medication Safety intends to make sure that clinicians safely prescribe,dispense and administer appropriate medicines to inform the patients and carers (Heneka andet.al. 2018). There are several policies and procedures formulated by health care services in orderto use medicines in an appropriate and precise manner (Parry, Barriball and While 2015, pp. 403-420). It is essential to access, comprehend and adhere to systems, policies and proceduresdeveloped by specific health care service centre. The NSQHS Standard 4, 4.2 recommend thatthe management of health care centre needs to innovate effective strategies that help inadministering reduction of medication errors in the health care centre in order to ensure qualitycare provided to patients (Mitchell, Williamson and Molesworth 2015, pp. 163-174). LITERATURE REVIEWIn literature review, numerous studies were analysed which are relevant to the subjectmatter. All the findings were categorised into different themes which help readers to comprehendeach aspect effectively and efficiently. These themes are medication errors in the health caresetting, system to improve medicine administration and dispensing, Standard 4: Medication andsafety and system promoting multidisciplinary care. 2
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