AACN (American Association of Critical-Care Nurses)’s Post

An emergency nurse educator describes the effects of a pediatric medication error. She had inadvertently weighed the patient in pounds, not kilograms, leading to a weight-based dosing error. The patient was fine, but the event left lasting implications for the educator. Medication errors are one of the most common causes of unintended harm to patients, and one-third of those errors occur during administration. The blog includes the mental impact of the error, the challenges of rural emergency departments and several strategies to mitigate errors.

Read educator's story.

Read educator's story.

aacn.org

Jana O'Hara, MSN, RN

Leader in Clinical Operations, Safety & Quality

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The Institute for Safe Medication Practices (ISMP) recommends locking scales in metric only to help prevent this type of error! Hospitals have to take a systems based approach and adopt metric only so that nurses aren't set up to make errors like this. https://www.ismp.org/sites/default/files/attachments/2020-02/2020-2021%20TMSBP-%20FINAL_1.pdf

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