Medication Administration Safety - Patient Safety and Quality. The research review targeted studies involving medication administration by nurses. This excluded several studies that assessed medication administration errors without differentiating whether the errors were associated with physicians, assistants, or nurses. None of these studies included interventions. Rates and Types of Medication Administration Errors. Thirteen studies explicitly reported types of MAEs associated with nurses. Diabetes Protocol Download Free Treatment Diabetes & Alternative Diabetes TreatmentThe incidence of MAEs was detected either formally through incident reports, chart reviews, or direct observation, or informally through anonymous surveys. Two studies conducted retrospective assessments, one using medical records. Seven studies assessed self- reported MAEs from a nationally representative database. None of these self- reported MAEs were verified. Eight studies assessed MAEs using direct observation of the medication administration process. The incidence of MAEs varied widely with the different research designs and samples. Using chart reviews, Grasso and colleagues. Direct observation studies placed the estimate of total incorrect doses between 1. The majority of types of MAEs reported were wrong dose, wrong rate, wrong time, and omission. All of the studies reviewed here reported wrong drug and dose, but varied across the other types of MAE categories (see Evidence Table 1); this was dependent upon the study methodology. Types of Reported and Observed Medication Administration Errors (MAEs) Five studies evaluated self- reported MAEs, involving incident reports and informal reports. The most common types of reported errors were wrong dose, omission, and wrong time. Four of these studies. MAEs reported to the MEDMARX database over five years. MAEs were associated with omission, wrong dose, wrong time, and extra dose. Of the reported contributing factors, 7. The Beyea and Hicks. The other study reviewed 8. It found that the majority of MAEs were associated with errors involving interpreting or updating the medication administration record, delayed dose, wrong dose, or wrong drug. A separate component of this study surveyed administrative and clinical nurses and found that they believed the majority of medication errors occurred at either the administration or dispensing stage. Two other studies assessed the type of MAEs reported by nurses in nationwide surveys. While the majority (5. MAEs, an additional 2. Medication administration errors involving wrong time, omission, and wrong dose accounted for 7. The most frequent types of medication errors were wrong time (3. Many of the reported MAEs in ICUs involved intravenous medications and fluids. In these surveys, the nurses who reported making errors described between two and five errors during a 1.
At the more advanced stage of incident reports, one study reviewed 6. MAEs in Sweden. 8. Among the cases reviewed, the majority of MAEs made by nurses involved wrong dose. When the nurses delegated the drug administration to subordinate staff, the majority of MAEs involved wrong drug or wrong concentration of a drug. Errors, which were reported to the immediate supervisor, were also reported to the physician in 6. The reported causes of MAEs were lack of administration protocols, failure to check orders, ineffective nurse supervision when delegating administration, and inadequate documentation. Welcome to Ajijic & Lake Chapala Mexico. AccessLakeChapala.com is an interactive real estate portal and informational guide created by lakeside residents who know and. One study assessed medication errors using 3. Of these, 9. 97 were classified as MAEs (4. Of these, 6. 1. 9 percent were due to scheduled doses not documented as administered, 2. Comparison of the Incidence of Medication Administration Errors by Type Categories The number of studies using direct observation of medication administration is increasing in response to the concern about the accuracy of other sources of data. Ten studies were found, only three of which were done in the United States. While we attempt to summarize across these studies, it is difficult to determine consistency across studies as each focused on different sets of errors (some only intravenous errors, some included gastrointestinal tube technique) and were conducted in different settings. In many of the non- U. S. Those 1. 5 were nearly evenly divided among wrong dose, wrong time, wrong technique, and extra dose categories. Prot. 78 reported nearly 5. MAEs. Of the 1,7. The categories with the most MAEs in Prot’s study were wrong time, wrong route (GI tube versus oral), wrong dose, unordered drug, wrong form, and omissions. Schneider and colleagues. AAPS Open provides a global forum for the rapid and barrier- free publication of reports of original research and other significant scientific work across the breadth of pharmaceutical sciences. The journal will be freely available to anyone with Web access and will be funded by author publication charges on manuscripts accepted for publication. AAPS Open articles are freely available to the public.? Three AAPS journal editors- in- chief shared their perspectives at the 2. AAPS Annual Meeting and Exposition in a session sponsored by the AAPS SPOD committee. See each of the presentations below. Looking for past meeting eposters? Learn more about eposters here. Have questions about accessing past meeting abstracts? Contact Teresa Homrich, AAPS abstract manager, at Homrich. Live in Lake Chapala Mexico, Ajijic Real Estate, Rentals and Homes. Access. Lake. Chapala. ALC is an online boutique offering a total interactive experience with each article you read and home you view through cutting edge Internet technology. We provide endless details for all of our content and listings through You. Tube videos, Google maps and slideshows. Through ALC, you will be able to explore our outstanding selection of detailed listings, check out the ultra crisp videos and share them with your friends through our social media plugins! What Does Ajijic Mexico have to offer? The Lakeside area is a unique experience. While the expat community in some Mexican locales keeps to themselves, at Lakeside, the community is cohesive and friendly. Founded in 1. 95. LCS eases the transition to living in Mexico with information on a wealth of topics. In addition, it is the focus for activities of all kinds. Its extensive lending library in English includes Talking Books and movies on DVD. And its community outreach program, including English, computer and art classes for local children, encourages newcomers to get involved. Two American Legion Posts, the Lakeside Little Theater, choral groups and churches with services in English make for a richly satisfying lifestyle even if you don't speak Spanish. In addition, three English language newspapers and magazines are published locally. For those who take time to learn Spanish, life can be even more enriching. Golf, tennis, horseback riding, shopping, exploring and volunteering. Day trips to ancient pyramids, alpine villages, artisan towns and colonial cities. World class hospitals with state of the art equipment just an hour away, along with modern malls, grand cuisine dining, Sam's Club, Costco, Office Max and Home Depot? Only you can answer that question. But thousands of Baby Boomers are discovering that, through Mexico retirement, their dollar buys more. In a setting of eternal spring, amid a culture that values the accumulated wisdom of each passing year, life can be good indeed. Read more.. Rentals are ready for guests to set up housekeeping for a month or a season. There are short term and long term properties available, from cozy studio apartments to gracious estates. Many homes are unfurnished, while others ready for you to move in. Furnished ones are often equipped with high speed internet connections, cable TV, microwave and washer- dryer for a comfortable prolonged stay. Some even provide fully equipped kitchens, linens, a gardener and maid. Explore all youroptions online, no matter where you are. Read more.. Hotels are perfect for a stay of several weeks. From full service hotels, cozy bed & breakfast inns to boutique hotels, you'll find something for every budget. Some accommodations offer housekeeping units by the week or month. Friendly innkeepers are happy to help you learn about the Chapala Ajijic area, its services and amenities. And exceptional dining experiences await visitors and residents. Whether you spend the winter months in the Mexican sunshine or enjoy beautiful weather all year long, you'll find a vast variety of options. Ajijic is a former fishing village, is home to many writers and artists and offers a vibrant social life 1. Situated an hour from Mexico's second largest city, the area is a haven for retirees with activities galore in English, excellent health care, and all the comforts of home. With an average year- round temperature of 6. F (2. 0 degrees C), life here is geared toward the outdoors, with central patios, mountainside terraces and gracious gardens. Chapala real estate reflects a variety of architectural styles, from cozy colonials to ultramodern designs inspired by famed architect Luis Barragan, who built masterpieces in the area. In the same way, Ajijic runs the gamut from studio apartments to luxury estate living with full time staff to look after your every need. Rentals include racquet club homes and golf course houses that encourage an active lifestyle.
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