Medication errors could be a result of incomplete information or insufficient of
information about patient's previous clinical characters and treatment, and also the errors could
be a result of inadequate communication between the health practitioner and the nurse. And in
our case the mistake in dose selection represent 50% of all prescribing errors
(Velo &
Minuz,2009)
On my part 1 of this scenario, one of my weakness of my final solutions was to do a
follow up appointment to the patient and sine the patient is already at hospital, the appointment
then is unnecessary. The other weakness I did is to inform the patient's family and make sure this
error wasn't made by them and in this case the patient safety was under the supervision of the
hospital health care facility only. I think this kind of weakness happened because I missed
reading the passage clearly, I should pay attention to the problem details before make any further
decisions or solutions.
As the medication error occurred inside the hospital then as I think the dose error occur
during the whole process of prescribing the patient medication. Now one of the ways to
strengthen any weakness I noticed is to review first the hospital health system policy and notify
the senior and junior doctors and the nurses who was in charge of morning shift at that time
immediately. Beside that review the issue with pharmacist who was reviewing the drug that
ordered and the prescription that received for this child. And if the medication was administered
by IV solution then they should stop the solution immediately, since any medication errors even
if it is minor or small it will lead to a serious health condition like medication resistance. And
then it's up to the physician or the person who in charge to notify the patient's family or not.
(Velo & Minuz,2009)
Reference
Velo, G. P., & Minuz, P. (2009). Medication errors: Prescribing faults and prescription
errors
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