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It’s often been said that to eliminate medication errors in health care, we have to get five things right: the right medication, right patient, right dose, right route, and right time. Closed loop medication management is an example of a patient-centric technology, designed to protect patients from adverse drug events. Yet, an increasingly popular approach to medication management is based on the idea that no technology should stand alone, but should integrate with all other steps in the medication process. To “close the loop” and eliminate gaps in the four steps above, technology is used to automate every part of the process and eliminate many of the most common types of errors. American Sentinel University is accredited by the Distance Education Accrediting Commission, DEAC (Formerly Distance Education and Training Council-DETC), which is listed by the U.S. American Sentinel's bachelor's and master's nursing education programs are accredited by the Commission on Collegiate Nursing Education (CCNE).
The Accreditation Commission for Education in Nursing (ACEN, formerly NLNAC) has awarded accreditation to American Sentinel University's Doctor of Nursing Practice (DNP) program with specialty tracks in Executive Leadership and Educational Leadership. Medication errors, drug mistakes, and instances where medicine has hurt or killed a patient are notoriously under-reported in the United States; sometimes, it is only the suspicion of loved ones and their diligence in discovering what has happened to cause an untimely death or serious injury that results in the revelation that a doctor, nurse, or other care provider has made a tragic mistake in the giving of medicines or drugs.
There is an organization that has been trying to lift the veil on the horrors of medication errors in this country: the Institute for Safe Medication Practices (ISMP) is the sole non-profit organization operating in the United States working toward ending medication error injuries in this country. ISMP operates the Medication Errors Reporting Program (MERP) where medical professionals can report drug mistakes and medication errors.  Additionally, it runs the Medical Error Recognition and Revision Strategies Program (MERRSP) where drug companies work to alter causes of medication errors and drug mistakes by changing pharmaceutical industry practices such as changing labels on medicines or altering drug names to avoid confusion between two similarly-spelled medicines.
In 1996, ISMP’s Medication Errors Reporting Program (MERP) established its “Medication Error Index” to organize medication errors and drug mistakes by how serious the harm done to the patient. Information is provided to build the Medication Error Index by reports filed by health care providers (with their names and contact information protected from revelation unless the doctor, nurse, etc., gives their okay) as well as others in medical care with knowledge of a medication error and patients or loved ones who believe that harm has occurred due to a drug mistake. If you think that you or someone you know has been the victim of a drug dosage mistake or medication error, then first make sure that they have received proper medical treatment, of course, as well as protecting their possible legal claims via documentation of the event for later evaluation by a Medication Error personal injury lawyer, as well as reporting the event to the ISMP online here.
A good piece of advice if you have been harmed by a medication error, is to at least speak with an experienced personal injury lawyer before you file a claim to learn about some of the issues that can arise with these claims, including the type of evidence needed to prove a claim and the type and amount of damages you can recover. If you found this information helpful, please share this article and bookmark it for your future reference.
To learn about the 5 things you get when you hire Alan Sackrin, click on the "About" link above. How Do You Know If A Business Acted Reasonably In Trying To Prevent an Office Slip and Fall Accident?
How Do You Know If A Business Acted Reasonably In Trying To Prevent a Restroom Slip and Fall Accident? The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Before you decide, ask us to send you free written information about our qualifications and experience. Generate detailed reports that will benchmark your facility against national and international best-practice standards. MED e-care e-Assessment is packaged with a wide range of focused assessments addressing clinical and activation needs with an easy-to-use, colourful user-interface. MED e-care specializes in healthcare software for professionals in continuing care settings. MED e-care also generates quarterly reports comparing each resident's MDS data to all residents in an organization's database. Integration of e-Assessments with other MED e-care software solutions is a solid and popular choice.
MED e-care MDS allows facilities to preview potential funding levels with RUG-III classification, the funding model used in complex continuing care and based on the MDS assessment. Significantly reduce submission errors to CIHI with built-in data validation features and error checks. RAI-MH is MED e-care's newly enhanced software module that allows hospitals to submit mandated data to CIHI (Canadian Institute for Health Information).
A need has been identified to compensate the lack of technological involvement in the Mental Health environment. MED e-care's RAI-MH product can interface easily with other applications, including patient management systems such as Meditech, McKesson and MediSolutions. MED e-care's Rehabilitation software enables user-friendly collection and submission of data for the National Rehabilitation System (NRS) and interfaces directly with MED e-care's entire suite of clinical software.

Multiple reporting and real-time data views at the hospital, program, unit and individual level. Detailed reports that use nationally accepted indicators providing detailed information about the population you serve. The Integrated Assessment Record (IAR) is an application that allows authorized staff to view a consenting resident's assessment information to effectively plan and deliver services to that resident. Safeguard accountability in assessment-sharing support networks and learning venues across HSPs.
Enable quicker care planning, easier collaboration (between residents and workers and among HSPs).
Relationship Builder uses MED e-care's PUSH technology to push data from any completed assessment into a resident's care plan; automatically generating a best-practice care plan and ensuring consistency across a resident's clinical documentation.
This fully customizable module drastically decreases care planning documentation time, allowing valuable staff time to focus on resident care. MED e-care's powerful BPM software is designed for managing and analyzing quality indicators for organizations of all sizes, from an individual facility to a national care corporation.
The data is reported in easy-to-read reports, facility and corporate 'score cards' and color graphics for ease of analysis.
The product is designed for comparing major areas of risk and significant core competencies in various departments. Af Thomas Soderqvist Den 20 Dec 2010 Under aesthetics of biomedicine, art and biomed, history of medicine, history of technology, medical scientific instruments, medical technology, visualization · 3 Comments One of my favourite fellow bloggers, medical photographer Oystein Horgmo, has just written about how he was recently invited to document a family taking farewell of a young father in an intensive care unit.
Based on a photograph from the Dartmouth-Hitchcock Medical Center’s first intensive care unit, circa 1955 (read more here), the painting is reminiscient of Norman Rockwell-realism.
Compare Dwaihy and Dykstra’s painting of the 1955 ICU motif with a photo of a contemporary ICU unit. Thanks for digging up that very interesting article about the Dartmouth ICU, and thanks for the link! And lately even medical technology had to clear the field to make place for infographics or the cause of the disease itself, for instance viruses and bacteria. I did a quick search once and of course much more research has to be done to draw conclusions. Copyright Except where otherwise noted, content on this site is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Hospitals often invest in technology that helps to prevent errors at various points in the process – like the bar codes that nurses check at the bedside when administering a drug, for example.
It’s known as “closed loop medication management,” to reflect its focus on eliminating gaps in information and minimizing the opportunities for error when tasks are handed over to another department.
If you have a keen interest in health care informatics, you might want to consider a career specialization in this area. Department of Education as a nationally recognized accrediting agency and is a recognized member of the Council for Higher Education Accreditation.
For more information, contact CCNE at One Dupont Circle, NW, Suite 530, Washington, DC 20036, (202) 887-6791.
Since 1975, ISMP has been researching and educating both health care professionals as well as the public at large on the need for increased medication safety as well as monitoring medication errors through a variety of methods – including voluntary reporting by practitioners as well as patients. This Index is shared with drug manufacturers, pharmacies, hospitals, doctors, care facilities, clinics, and other health care providers in the hopes that it will provide a standardized way to track medication errors in this country. Most personal injury lawyers, like Alan Sackrin, will offer a free initial consultation (over the phone or in person) to answer your questions.
Facilities can also choose sister sites to perform comparison reporting for more meaningful analysis at an enterprise level. Plus, make use of online resources, conveniently located within the MED e-care system, such as the criteria for triggering RUGs and the history of RUGs and ADL scores. Validation checks at the field, assessment, unit, program and facility levels ensure that data is verified as thoroughly as possible, avoiding the cumbersome re-submission process. Our company has a team of psychiatric nurses who have helped build the interface and the nursing reports.
Our RAI-MH based module is a web-based clinical assessment and data collection system that allows hospitals to collect individual patient information, incorporate this data into their care planning activities and help to identify key clinical issues related to patient care. The software is fully integrated with MED e-care's software suite including e-Plan, e-ADT and e-Financials.

The IAR allows assessment information to move with a resident from one health service provider (HSP) to another.
Track and analyse indicators such as Staffing, Financial Information, Clinical Indicators, Environmental Issues and Dietary Information, for examples. The facility can be separated into key areas where unique indicators can be created and tracked for each department, facility or region. But what actually caught my interest was this painting (by medical doctor Joseph Dwaihy and artist Sara Dykstra), which Oystein uses the illustrate the story. Today, there are indeed still people (a patient, a doctor, maybe a relative) around—but they seem to play a secondary role to the instruments. There are of course always med tech people on stand-by, but when I’m in ORs or ICUs I often wonder if the staff know what to do if one or more vital instruments malfunctioned. Physicians may inadvertently prescribe a drug that is inappropriate for a patient because of known allergies, potential drug interactions, or an existing medical condition like high blood pressure. Errors of transcription occur at the pharmacy and generally involve illegible handwriting on a paper prescription. When pharmacy staff is busy or distracted, they may grab the wrong medication or dosage off the shelf or count pills incorrectly. Errors at the bedside make up the second largest category of medication errors – between a quarter and a third, depending on the study being cited.
This tool is integrated with the EMR, so providers receive instant alerts regarding patient allergies or other potential safety issues.
Pharmacists may fill orders manually or may rely on automated dispensing systems to eliminate counting errors.
Barcodes and other bedside technologies help nurses ensure the right patient is receiving the right dose of the right medication.
Health care is in need of nurses who can analyze technologies from both the bedside and IT perspectives, to help create patient-centric tools.
Facilitate smooth communication among staff and departments with the Kardex and assignment sheets, allowing for a unified working facility and a reduction in documentation errors. Optimize your funding with the MDS CCRS system which calculates key indicators such as RUG-III, 35 Quality Indicators (QIs), 18 Resident Assessment Protocols (RAPs) and automatically updates the RAP tool for easier data entry and care planning. This software module implements the RAI-MH that has been developed by interRAI, a collaborative network of researchers from over 20 countries committed to improving healthcare for persons who are elderly, frail, or disabled. Backed by one of the best technical and clinical support services in the business, MED e-care's RAI-MH offering remains unsurpassed in value and quality.
HSPs can use the IAR to collaborate with other care providers and to view timely and accurate assessment information electronically, and securely. When they are working from memory, they may jot down the wrong dose or frequency – or even get the name of the drug wrong, since so many sound alike. Even when a prescription is written legibly, a busy pharmacist may enter it into the system incorrectly.
It may also be considered a dispensing fault if the pharmacist fails to catch a known drug allergy or potential drug interaction.
These occur anytime a patient gets the wrong drug or wrong dose, misses a dose, or is medicated at the wrong time. Ideally, nurses have access to all prescription and pharmacy information, as well as the patient’s clinical data, so they can speak up if they see a discrepancy that has slipped through the cracks.
An online MSN degree in nursing informatics is the perfect way to improve your knowledge, skills, and value to your organization. And it’s amazing when you do a search on medicine to notice how medicine is presented through time. Many studies have found that the majority of all medication errors (up to 50 percent) occur at the prescribing stage. American Sentinel University is an innovative, accredited provider of online nursing degrees. From the 70’s onwards medical technology (brain scanners, synthesizers etc) would explain (or represent) what was going on in medicine better than the person who was working with it.

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