Medication Errors Essay Example | Topics and Well Written Essays - 1250 words

Medication Errors - Essay Example Since in the healthcare setting, especially in the hospital in-patient environment, the nurse remains in contact with the patient for the better half of the time, the nurses are the executors of care, and they are the final common pathways of transmission of the care processes. As a result, any error made in any step of the care being undetected will appear as a deficit in standards of practice on the part of the nurses. It is not true that nurses do not make any errors, but despite being very careful, there are many other factors that may be found involved in such a medication error incident. Despite not being directly committed by the nurse if an adverse event from drug happens due to error, the nurse is often implicated in such a situation. Present scenario of healthcare demands that every professional should exercise their knowledge and expertise in every step of administered healthcare to prevent such errors. Unfortunately, the blame often falls on the nurse, but it is imperativ e to find out the preventative solutions to this problem rather than finding the scapegoat (Strand, J.N., Ferner, R. E., Anthony, C., Teichman, P., and Bates, D.W., 2001). The First Article: Published on June 15, 2006, in The Times and written by Lisa Greene, this article carried the headline, Nurse Error Spotlight Drug's Danger: A pregnant woman died of a magnesium sulfate overdose at South Florida Baptist, despite the drug's well-known hazards. The byline adds comments that an 18-year-old patient was given magnesium sulfate to slow down premature contractions of the uterus; although, the baby son survived, the lady expired, and the hospital issued a statement that error killed the woman. The drug magnesium sulfate is useful in certain situations despite it being a known hazard in the sense that it is reported to cause fatal clinical events. In this care, reportedly, the nurse made an error in calculating the dose. This is apparent from a quotation of a scientific journal article that reports incidences of 52 adverse overdose incidents that included 7 cases of persistent vegetative state or death. In case of this specific patient, the patient attende d the hospital with pre-term labor, and the nurse gave her magnesium sulfate which was administered in a larger-than necessary dose. The baby survived, but the mother expired out of respiratory failure despite attempts to revive. The hospital spokes person directly termed this situation as a single incidence of error by an expert professional, and it was accepted to be a calculation of the dose error by the nurses. Naturally, since the authority is concerned about a lawsuit, none other than this is available to analyze the information, but this overlooks another important aspect of the problem. It is well known that even the most experienced nurse may end up in a "single tragic mistake", but it is the responsibility of the hospital authority of health system to have a safety or governance system in place that would make multiple checks before the error happens, especially when the error may be fatal in nature. This throws spotlights to a system's deficiency in designing a process th at can identify a person's math error before even the error can reach the patient. This was a terrible and isolated incident, but this calls for well-lubricated and functional safety systems at all levels including prescription, pharmacy, and nursing. Computerized and automated systems even

Virtual autopsy Research Paper Example | Topics and Well Written Essays - 1750 words

Virtual autopsy - Research Paper Example Full body radiography also helps in identification of human remains when conventional methods such as fingerprinting or DNA analysis cannot be used, or are not available. Thesis Statement: The purpose of this paper is to investigate the new development of virtual autopsy in forensic science, and identify its advantages and disadvantages over conventional autopsy procedures that have been employed until recently. Virtual Autopsy with the Help of Multidetector Computed Tomography The application of imaging methods for non-invasive documentation and analysis of relevant forensic findings in living and dead persons has not kept abreast of enormous technical development of imaging methods. Forensic radiology is now a rapidly growing interdisciplinary subspeciality of both forensic medicine and radiology. The new modalities that are now increasingly being promoted for use in forensic investigations include Computer Tomography (CT) including spiral multislice, and Magnetic Reso-nance Imagin g or MRI (Thali et al, 2007). The VIRTOPSY project aims to utilize radiological scanning to upgrade low-tech documentation and autopsy procedures in the contemporary high-tech field of medicine. The purpose of this is to improve scientific value, and to increase significance and quality in the forensic field. The term VIRTOPSY is the combination of the terms virtual and autopsy. The term means to see with one’s own eyes (virtus: useful, efficient and good; autos: self; and opsomei: I will see), as translated from Latin. Thus autopsy means to see with one’s own eyes. Thali et al (2007) aimed to eliminate the subjectivity of â€Å"autos†, hence they combined the two terms virtual an autopsy, deleting â€Å"autos†, and creating VIRTOPSY. Today the project VIRTOPSY groups the research topics under one scientific category, is characterized by a trans-disciplinary research approach that integrates â€Å"Forensic Medicine, Pathology, Radiology, Image-Processing , Physics, and Biomechanics† (Thali et al, 2007, p.100), to an international scientific network. Levy et al (2006) conducted a study to retrospectively assess virtual autopsy performed with multidetector computed tomography (CT) for the forensic evaluation of gunshot wound victims. They found that multidetector CT can aid the prediction of lethal wounds and the location of metallic fragments. Similarly, Ljung, Winskog, Persson et al (2006) devised a procedure for virtual autopsies based on interactive 3D visualizations of large scale, high resolution data from CT-scans of human cadavers. Using examples from forensic medicine, the researchers stated that â€Å"based on the technical demands of the procedure, state-of-the-art volume rendering techniques are applied and refined to enable real-time, full body virtual autopsies involving gigabyte sized data on standard graphics processing units (GPUs)† (Ljung et al, 2006, p.1). The techniques applied include transfer functio n based data reduction using level of detail selection and multiresolution selection techniques. The paper also describes a data management component for large, out-of-core data sets and an extension of the GPU-based raycaster for efficient dual text field (TF) rendering. The authors demonstrated the added value and future potential of virtual autopsies in the medical and forensic fields. Data sets from forensic cases provide detailed benchmarks of the pipeline (Ljung et al, 2006). The Use of Magnetic