MEDICATION ADMINSTRATION ERRORS SPECIFIC TO THE OLDER ADULT

1. Search online for an article related to MEDICATION ADMINSTRATION ERRORS SPECIFIC TO THE OLDER ADULT.

2. Search terms can include medication error cases, medication error case studies, cases of
medication errors by nurses, etc.  Be sure to get as many versions and sources of the
incident as possible, to get all the details. Try to find one that involves nurses. Include the
links to the articles in the reference section of the paper.

3. Look up the medication or medications involved in a drug reference book, so you know
what they are for, the usual dose, etc. Include that in your paper.

4. Be sure to include the following information
a. Provide a detailed description of the event.  [Check the 5 rights (right patient,
medication, dose, time, route) and documentation, plus allergies, refusal, and patient
education.  Describe in your own words what happened.  Be specific. State the original
providers order, how it was dispensed, who administered it and how.  What was the
problem? Describe the patients response, and what harm was done. If no harm was done,
describe what harm COULD have happened?
b. Where in the chain is the origin of the error? Identify where the error occurred and
with whom.  Was it prescribed incorrectly? Dispensed incorrectly? Administered
incorrectly? Or was there a known drug interaction or allergy that could have been
anticipated? 
c. Were there any special circumstances involved? Was there an
emergency at the time? Was there short staffing? Was someone distracted?
 
  5. Using all the information above, explain WHY the error occurred, WHY it got as far as it
did, and WHAT can be done to stop it.
a. What circumstances contributed to or preceded this error?
b. Where in this situation could the error have been stopped? How?
What would need to have happened for the error to be prevented?
c. Where in this situation would a nurse have been able to intervene to stop a potential
error from occurring? (It may be more than one place.)
   
6.  APA Style:
a. The paper should be typed, double-spaced, with a cover sheet and reference page in
APA format.  (Be sure to reference the original article, the drug reference, and any other
sources used.)

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