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Author: admin | 16.06.2014 | Category: Ringing Of The Ears Treatment

First, a note on perspective: The solutions implemented to solve the issues illuminated in a Cause Map are different depending on whose perspective the Cause Map is made from. The Medication Error Reporting Project estimates that confusion surrounding drugs with similar names accounts for up to 25% of medication errors. Taking two drugs that result in a side effect, such as increased blood pressure, could result in that side effect being magnified. Taking the wrong amount of medication can be caused by getting the wrong dosage, or the wrong frequency. Patient solutions: Remember that sheet where you had the doctor write down all sorts of information about your prescription? Lots of medications, both prescription and over-the-counter, should not be taken at the same time as alcohol. Patient solutions: Ask your doctor and pharmacist about alcohol interacting with medication.
Yep, it can happen, especially now that more and more insurance plans are requiring generics be used whenever possible. Patient solutions: Read that packet of annoyingly small print information that came with your medicine. According to United States Pharmacopeia, 55% of medication errors involve seniors, and 9.6% of these errors caused harm.
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The first step of the Cause Mapping approach is to define the problem by asking the four questions: What is the problem? We begin the Cause Map by writing down the goals that were affected as defined in the problem outline. The analysis can continue by asking Why questions and moving to the right of the cause-and-effect relationship above. The patient receives either the wrong medication, the wrong dose of medication, or does not receive needed medication. Because we are attempting a proactive root cause analysis, we can look at the Process Map for steps that could go wrong.
The nurse gives the wrong medication to the patient because of an ineffective check of the medication. The nurse may be given the wrong medication because the prescription was filled incorrectly or because the prescription was for the wrong medication. The prescription may be filled incorrectly if the pharmacist grabs the wrong medication (step 10), possibly due to similar looking bottles on the self. Once all these causes have been identified, the next step is to identify solutions to reduce the risk.
Solutions 2, 5, 7 and 10 are all process solutions - that is, they add or change steps in the process. Click here to download the Microsoft Excel workbook showing the outline, Cause Map, and Process Maps discussed above.

Many drugs can cause psychiatric symptoms, but a causal connection is often difficult to establish.
Ivy League students have admitted to using ADHD medication as a way to increase their focus and levels of concentration, according to a new study just out from the American Academy of Pediatrics.  Such an admission has led to questions about how colleges can crack down on students who are misusing stimulants for academic rather than recreational purposes. For medication errors, the patient safety goal is impacted because of the potential for patient death or serious harm. The pharmacist selects the medication, measures the medication and then the medication is delivered to the nurse. Psychiatric symptoms that emerge during drug treatment could also be due to the underlying illness, previously unrecognized psychopathology, or psychosocial factors. The withdrawal of some drugs can cause symptoms such as anxiety, psychosis, delirium, agitation or depression.THE TABLES — The following tables list some drug classes and some specific drugs reported to cause psychiatric symptoms. Alcohol, hallucinogens and other drugs not generally used for medical treatment in the US are not included. Withdrawal reactions in patients dependent on opioids and physiological reactions to drugs such as insulin have also been omitted.
The table is limited to psychiatric symptoms reported with single drugs, but drug interactions can also cause such symptoms (The Medical Letter Adverse Drug Interactions Program).

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