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1 Creating a Medication Administration Flowsheet Krystal Shook Walden University NURS-6051N-56 Transforming Nursing and Healthcare through Technology
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2 Creating a Flowsheet Workflow analysis is essential for patient safety and is backed by technology. According to McGonigal and Mastrian (2017), workflow describes the action or execution of a series of tasks in a prescribed sequence. There are a variety of tools that can analyze workflow, flowcharts are one of those tools. Flowcharts can be used to show the flow of people, services or information, and they also convey a message that everybody should work towards a common goal (American Society for Quality , 2018). For this paper, I will explain the process of medication administration at my facility, describe how the process is measured, identify areas for improvement, provide a proposal for change, and include a workflow chart. Defining the Workflow Activities Nurses that work in direct care settings are responsible for preparing medications and administering them to patients daily. Unfortunately, medications errors can occur anytime in this process. Medication errors are one of the most common mistakes nurses make. Medication errors are a serious problem in the United States, they cause approximately 7,000 deaths, harm to approximately 1.5 million people, and cost billions of dollars in hospital treatment annually (Huyng et al., 2016). The procedural medication administration process is; (1) Nurse assess patient to obtain data, (2) check the orders (4) gathering medications, (5) confirming the six rights (right dose, patient, route, medication, time, and documentation), (6) administer medications, (6) document administration, and (7) observing for therapeutic effects or adverse reactions. However, many events can disrupt this sequence, such as; understaffing, nurse fatigue, disruptions when checking
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3 or gathering medications, a break in the six rights, technology downtime or failure, even to documenting an incorrect weight. Many different intravenous medications are dosed by weight, incorrect weight can lead to a patient receiving too much of a medication. Prevention is key to anything harmful. Some of the following intervention can help with the prevention of medication administration errors. According to the Agency for Healthcare Research and Quality (2019), the use of technology such as barcoding for medications and patients, smart infusion pumps for intravenous administration, and single-use medication packages, can be beneficial in prevention. Perhaps the biggest prevention of all is minimizing
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  • Fall '17
  • Karen Robson
  • Health care provider, Electronic health record, Patient safety, Patient Safety and Quality Improvement Act

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