1. CAUSES OF MEDICATION ADMINISTRATION ERRORS AND NURSING ACTION IN REPORTING AND PREVENTING ERRORS Kaire Kirikmäe North Estonia Medical Centre 2010

2. Medication errors result from many different causes  specific of the unit work dynamics, team-work, communication work dynamics, team-work, communication person-centered factors person-centered factors  underlying system factors

3. Classifications of error Psychological: knowledge, rules, performance and memory Psychological: knowledge, rules, performance and memory according to consequences according to consequences period of the way in which errors occurred: prescribing, transcribing, dispensing, administering. period of the way in which errors occurred: prescribing, transcribing, dispensing, administering.

4. The main causes of medication administration errors omitted drug omitted drug wrong drug error wrong drug error wrong timing of drug administration, wrong timing of drug administration, wrong patient error. wrong patient error.

5. Action and managing of nursing practice errors reporting reporting dealing with the error quickly and efficiently dealing with the error quickly and efficiently documentation documentation analysing analysing the counselling and supporting the counselling and supporting

6. Prevention  renovation of organizational model  education and training  researches  technological innovation  “5-rights”  error reporting

7. Thank you!