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Report On Inpatient Medication Administration

  • Anjali Bajpai
  • Agency : Medication, Columbia Asia Hospital, Medication Errors, Tablet PCs
  • Objective : A study on Inpatient medication Administration was carried out at the Columbia Asia Hospital Yashwantpur Bangalore, with a sample size of 450 Patients during a period of one month of study. The main objective was to determine the levels of the medication errors made by nursing staff and pharmacy along with the reasons for the same, in order to derive and recommend important suggestions for decreasing such errors. The study method was through a Direct Observation method. This was done through Cross checking denoted timings as against the actual administration of medications, shadowing the nursing staff to determine cause of lapses of time in medication administration, cross checking order entries of medications administered. Finally the findings were presented by using graphs to measure level of medication errors and delay and the percentage of specific reasons for the delays and errors. The information thus gathered was ultimately used, to determine the reasons for the delay of medication and associated medication errors. The data was presented as descriptive tables and bar graphs and pie charts followed by suggestions to reduce or eliminate such medication errors and delays. Some of the suggestions were, to create pop up alarm system on existing Tablet PCs given to the nurses, in order to gain attention of nurses half an hour before the medication so that they may prepare medicines for serving to the patients without any delay. Other important suggestions included Monthly management and doctors meeting which should discuss about the delays and medication errors and together come to the solution. Management should make it mandatory to use the provided tablet PCs for noting the administering time of medication by the nurses. For avoiding any unnecessary interruptions and disturbances during medication administration, nurses should wear Do Not Disturb Aprons while serving the medicines to the patient. Clinical Pharmacist should take several rounds during medication timings to fill up any medication delivery gap caused by the pharmacy. Training programs about Types of Medication Errors and their prevention can add value to the work flow of nursing staff.
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A study on Inpatient medication Administration was carried out at the Columbia Asia Hospital Yashwantpur Bangalore,