Medical Error Research 2022

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MEDICAL ERROR
By (Name)
Course
Professor (Tutor)
The Name of the School
The City and State where it is located
The Date

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Introduction
National Medication Error Reporting and Prevention council define medical error as
event that is preventable and can cause harm to a patient while under control of a medical
specialist. An “event that is preventable” means that error is avoidable. Medical error is a
national challenge and accounts for two or three percent of hospital admissions. This show that
230,000 of all hospital admission in Australia are caused by medical faults (Robertson, and
Long, 2018). Essentially, it is brought by patient taking wrong medicine, taking less or too much
of medicine which is estimated to have a yearly cost of $1.2 billion. Moreover, it occurs due to
human factors and other aspects that affect how drugs are administered, dispensed or prescribed.
Unsafe medication practices are a major cause of death, injury, and admission (Hines, Kynoch,
and Khalil, 2018). Therefore, avoiding them would improve the quality of health care system and
should and thus enhancing medical safety is a critical domain for the Australian Commission on
Safety and Quality in Health Care.
Monitor and evaluation is carried to identify medical errors related to marketed drug
products. This includes, generics, prescription, and over-the-counter (OTC) drugs. Voluntarily
reporting of errors is available but manufacturer, consumers, patients, and healthcare providers
are encouraged to report. Both confusing information and container labels that may lead or cause
medical errors. Regulatory action may be taken depending on roots cause, safety risk,
contributing factors and type of error to prevent further problems from occurring. In some cases,
propriety name may be changed to grapple safety concerns resulting from name confusion. Also,
tools to support safety in healthcare amenities include specialist medical charts, standardized
inpatient medication chart which reduces the chances of medical names being misread. This

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research purpose to find cause of medical error, effective intervention and handle safety concerns
that lead to medical errors.
PICO Question
Our research is “Does medical error reduce by using computerized physician order entry
system than using the paper system?” This is an important question for population who are at
risk for medication error. Nurses are normally last resort of protecting individual from effect of
error as they are in charge of monitoring, administrating and dispensing medication. In hospital,
computerized system is utilized to facilitate effective dissemination information between
healthcare specialists. When computer is used, physician can record prescription, therefore,
reducing error that would be encountered by misspelling, bad while interpreting handwriting. As
such, computer system minimizes errors at very early stage. Also, it gives opportunity for nurses
to countercheck if the dosage prescribed to patient is as required or if there error at any level of
prescription. Patient safety is overarching goal of all medical practitioners and stopping medical
error at first stage is valuable step to minimize harm to society. Therefore, using computer will
be able to reduce medical error by ensuring counterchecking and order completeness.
P: population: what disease? - Outpatients in alpha hospital I
I: intervention: accurate medical record including the purpose of medication
C: Comparison: standard/alternative treatment.

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0: Outcome: Results you are trying to bring, measure and impact. Reducing medication
reconciliation error at admission so as to enhance quality of patient safety. This enables the
patient to receive correct medication throughout medication period.
Timeless: duration taken
Problem statement
A significant proportion of medical error results in serious harm to patient because of
unclear prescriptions, drug omission, wrong doses, and delayed medication. When this problem
occurs, the inconsistency goes through the system bring potential harm to consumers.
Contribution to nursing knowledge
The nursing function has evolved from helping physician to become independent and
autonomous healthcare providers who advocate for safety of the patients. It is seen that nurses
are responsible for identifying error in the system by analyzing and counterchecking errors to
hone patient safety. Also, it is clear that there is no standard setting for medication reconciliation.
Therefore, by introducing advanced technology into hospital settings, satisfaction level of nurses
will improve. As satisfaction increases, their outcome thus increasing quality of care within
hospital setting.
Description of tenets
When I began analyzing issues related to medical error to hospital I was attached. I found
that numerous aspect causes this problem. Some staff raised the issue and relevant parties were
willing to address it to underpin medical safety and I volunteered to be a member of medical
administration team. We conducted the unit audit and discovered that only 40% of medical
administration was at per. Also there were discrepancies on free text notes in dosage were