The IOM report raised many issues and concerns about medication errors reporting systems and in some facilities, there was no way of tracking errors categorized as near misses, missed, or actual harm. Who Will Be Affected by This Policy This policy will affect health care providers and other stakeholders prescribing, dispensing, administering and receiving medication within various health institutions in the United States. These providers include physicians, pharmacists, nurses, licensed practical nurses and the patients and families. The Responsibilities of the Organization's Leadership The role of the leaders in health care institutions is to create a safer environment for patients and staff. This must involve systems that create better reporting of medication errors at the institutional level, as well as state and federal level. Leadership must improve medication errors documentation by managing the staff and empowering employees to improve patients' outcome. "Effective personnel management can improve staff and unit morale, increase patient safety, empower staff, and improve patients’ outcomes" (Radovich, Palaganas, Kiemeney, Strother, Bruneau & Hamilton, 2011). Positive results will only be possible when the leadership team and the staff work to decrease medication errors by implementing reporting systems that track medication errors so that leadership can indeed see increasing or decreasing trends in medication errors. The Policy Impact on Resources and Licensing Board Requirements
HEALTH POLICY LETTER 6 Financial resources will have to be allocated for this policy because it may require a compliance officer for monitoring staff reports and tracking actual or potential medication errors impact on the patients. Departments will need a way for documenting medication errors and must have a resource person that can provide answers when question arise. Health care providers such as nurses, licensed practical nurses, pharmacists, and physicians must meet each discipline licensing board requirements for medication administration. The Impact of Ethical Standards Ethics is critical to medication error reporting. According to Hughes & Robinson (2008), "fidelity, beneficence, and nonmaleficence are all principles that orient reporting and disclosure policies" (p. 2-335). When providers practice within ethical frameworks of reporting medication errors, patients and families will develop trust within the system. Providers have moral and legal responsibilities to protect patients by reporting risks, benefits, as well as alternatives associated with a treatment plan. Errors must be recorded to create systems and plan to prevent reoccurrences of those errors. When providers failed to report errors or cover up their mistakes, patients and families suffer devastating consequences. "When an adverse event causes serious harm or even death, there is an ethical and moral obligation to disclose information" (Hughes & Robinson, 2008, p. 2-335).
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- Fall '14
- Health care provider, IOM