A year-old man with a long-standing cardiac arrhythmia came to the ambulatory clinic for a routine follow-up visit. After evaluation, he received a handwritten prescription for Rythmol propafenone , mg, which had been his usual antiarrhythmic medication for the past 3 years. The patient delivered the prescription to the clinic pharmacy, and it was filled. Shortly after starting to take the medication, the man began to feel "very, very bad," with nausea, sweating, and an irregular heartbeat. These symptoms persisted for 2 weeks, and the patient called his physician to schedule another appointment. The patient brought the medication to his physician, stating that the Rythmol tablets looked different from their usual appearance.
Over-the-Counter Medications Case Study, Case Study Download Example
It also emphasizes the need for a properly designed process that can eliminate many opportunities for errors. Submitted to: Prof. In general, a hospital is one sophisticated organization, followed by the ambulance service and then the nursing home. A hospital organization should tend to the smallest needs of a patient carefully and even a slight error in medication or monitoring a patient can sometimes prove to be fatal to the health of the organization itself.
Nurse Case Study: Medication Administration Error and Failure to Monitor
Meds still being given to the wrong patients. When you look at wrong-patient medication errors and compare current and past reports, one point is obvious: These events still are occurring, says Rodney W. The Pennsylvania Patient Safety Authority recently released a report saying wrong-patient medication errors were reported between July 1, , and Dec. Many errors were reported in transcribing While the authority acknowledges that many factors contribute to medication errors, the most common factors were two patients being prescribed the same medication, improper verification of patient ID, and similar room numbers.
On Saturday, the 5th of November, , my life fell apart when my only son Tyler left this world. Nursing errors led to his unexpected death. One week before, on the morning of October 28, I received a phone call that no mother ever wants to receive.