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Pages:
6 pages/≈1650 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 31.1
Topic:

Adverse Medical Events Related to Medication Errors

Coursework Instructions:

References must be peer reviewed journal within 5 years
Prepare a comprehensive analysis of an adverse event or a near miss from your professional nursing experience that you or a peer experienced. Provide an analysis of the impact of the same type of adverse event or near miss in other facilities. How was it managed, who was involved, and how was it resolved? Be sure to:
Analyze the implications of the adverse event or near miss for all stakeholders.
Analyze the sequence of events, missed steps, or protocol deviations related to the adverse event or near miss using a root cause analysis.
Evaluate QI actions or technologies related to the event that are required to reduce risk and increase patient safety.
Evaluate how other institutions integrated solutions to prevent these types of events.
Incorporate relevant metrics of the adverse event or near miss to support need for improvement.
Outline a QI initiative to prevent a future adverse event or near miss.
Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.
Analyze the implications of an adverse event or a near miss for all stakeholders.
Analyze the sequence of events, missed steps, or protocol deviations related to an adverse event or a near miss using a root cause analysis.
Outline a quality improvement initiative to prevent a future adverse event or near miss based on research and evidence-based practices.
Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
Evaluate and identify quality improvement actions or technologies related to an event that are required to reduce risk and increase patient safety.
Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Coursework Sample Content Preview:
Adverse Medical Events Related to Medication Errors tudent’s Name Institutional Affiliation Course Code and Name Instructor’s Name Date Due
Adverse Medical Events Related to Medication Errors Medication errors and the associated adverse medical events are common in hospitals. During nursing placements, nursing students are highly likely to cause adverse medical events related to the nursing tasks they ought to perform. An adverse medical event risks delivering high-quality healthcare services, especially in poor hospital settings (Alhassan et al., 2019). Many medication errors lead to the occurrence of adverse drug events. A medication error is an omission or commission error that occurs at any point along the path that starts when a physician prescribes a drug and ends when a patient gets the prescribed drug (Agency for Healthcare Research and Quality, 2019). An adverse drug effect is harm caused to a patient due to exposure to the wrong medication (Agency for Healthcare Research and Quality, 2019). Alhassan et al. (2019) reported that adverse medical events cause 30% of deaths in sub-Saharan Africa, and many of these go unreported. This paper aims to analyze adverse medical events related to medication errors in hospital setups.
An Adverse Event during Nursing Placement
Medication errors are among the most common medical errors that lead to significant mortality and morbidity. Such errors are preventable and could cause patient harm or inappropriate medical usage (Dreijer et al., 2018). During professional nursing placement, a nursing student experienced an adverse drug event related to the wrong dosage during drug administration. The student administered a high intravenous anticoagulant heparin, leading to bleeding complications. They failed to safely use heparin, which needs weight-based dosing and frequent tests to monitor blood clotting (Warnock & Huang, 2020). Abnormal laboratory results detected an overdose of heparin. As a result of the high dosage administration, the patient died due to bleeding complications, hence an adverse medical event.
The Adverse Event in Other Facilities
In other facilities, medication errors related to administering high doses of intravenous anticoagulant heparin occur in the inpatient setting. If a clinician fails to respond quickly and appropriately, the impact is a bleeding complication, among other complications, which could cause death (Warnock & Huang, 2020). The usual adverse effects of high and chronic heparin administration include injection site reactions, thrombocytopenia, blood in stools or urine, nosebleeds, easy bruising, black stools, continuous and severe bleeding, hyperkalemia, osteoporosis, alopecia, and petechial rash (Warnock & Huang, 2020).
In a study conducted in a specific hospital setting, Kovacs et al. (2022) reported that a 77-year-old man experienced adverse effects of heparin-induced hyperkalemia. Initially, the man presented with shortness of breath and a productive cough. He was later found to have concomitant symptomatic COVID-19 disease and a non-ST-elevation myocardial infarction. His condition necessitated a prescription and an infusion of high-dose unfractionated heparin. The clinician prescribed the appropriate high dose o...
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