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The Nurse's Role in Medication Safety, Second Edition

A collection of research and advice on nursing and medication administration

January 2012. 165 pages.

Product Description

Product Description

Edited by Laura Cima, R.N., M.B.A., N.E.A.-B.C., F.A.C.H.E. and Sean Clarke, R.N. Ph.D., F.A.A.N. 
Written especially for nurses in all disciplines and health care settings, this second edition of The Nurse's Role in Medication Safety focuses on the hands-on role nurses play in the delivery of care and their unique opportunity and responsibility to identify potential medication safety issues. 
Several dozen nurses and nurse researchers who provided multiple evidence-based practices on a number of topics related to medication management processes and procedures, all aimed at helping nurses to improve systems in the organizations in which they practice to create safer medication administration environments. 
This second edition of The Nurse’s Role in Medication Safety updates and expands on the concepts of the first edition and provides an international perspective on medication safety practices as well. In this edition, readers can consider anew the ever-growing availability of technology and its implications for the nurse’s role in medication safety. They can get fresh insight into risk management concerns with medication administration and subsequent errors. 
Key Topics:
  • The causes of medical errors
  • Reporting of medication errors in a safe and just culture
  • Human factors solutions for medication management issues and the implementation of programs to reduce medication errors
  • Technology (such as smart pumps and computerized provider order entry) to improve medication safety
  • Special issues of medication safety in disciplines such as obstetrics, pediatrics, geriatrics, and oncology 
  • The lessons learned from medication reconciliation processes and tips to improve the processes 
Key Features:
  • Expert advice
  • Suggested medication reconciliation processes 
  • Best practices and error-avoidance strategies in medication management
  • “Focus” features that highlights a medication safety issue in one or more non-hospital settings as it relates to high-alert medications, technology, transitions in care, or patient and staff education
Standards: Medication Management (MM), Nursing (NR)
Settings: Hospitals, nursing care centers, home care, ambulatory and office-based surgery, behavioral health care, and critical access hospitals
Key Audience: Nurses in all disciplines
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Table of Contents

Table of Contents


Laura E. Cima, R.N., M.B.A., N.E.A.-B.C., F.A.C.H.E., Vice President, Clinical Operations, Hackensack University Medical Center, Hackensack, New Jersey
Sean P. Clarke, R.N., Ph.D., F.A.A.N., R.B.C., Chair in Cardiovascular Nursing Research, University of Toronto and University Health Network, Toronto, Canada


Chapter 1. Medication Safety: Reducing Error Through Improvement Programs
Suzanne Graham, R.N., Ph.D., Regional Executive Director of Patient Safety, Kaiser Permanente Northern California, and member of The Joint Commission Patient Safety Advisory Group; Molly Clopp, R.N., M.S., M.B.A.T.M., Regional Strategic Leader, Patient Safety, Kaiser Permanente Northern California; Barbara Crawford, M.S., R.N., N.E.A.-B.C., Regional Vice President, Quality and Regulatory Services, Kaiser Permanente Northern California; Doug Bonacum, M.B.A., C.S.P., Program Office Vice President, Safety Management, Kaiser Permanente Northern California; Becky Richards, R.N., M.A., D.Mc., Adult Clinical Service Director, Modesto Medical Center; Celia Ryan, M.S.H.A., R.N., C.P.H.Q., Area Quality Leader, Fresno Medical Center; Nicholas Kostek, R.Ph., M.S., Regional Pharmacy Quality/Patient Safety Coordinator; and Rebecca Lalonde, R.N., M.B.A., Area Quality Leader, Santa Rosa Medical Center
FOCUS: High-Alert Medications: Opioids in Home Care, Hospice, and Behavioral Health Care Settings
Chapter 2. Medication Safety: Using Technology
Anne D. Bane, R.N., M.S.N., Director, Clinical Systems Innovations, Center for Nursing Excellence, Brigham and Women’s Hospital, Boston; Carol J. Luppi, R.N., B.S.N., A.L.M., Nurse Educator for Technology, Center for Nursing Excellence, Brigham and Women’s Hospital, Boston; Laura Mylott, Ph.D., R.N., Director of Nursing Education, Innovation, and Evidence-Based Practice, Center for Nursing Excellence, Brigham and Women’s Hospital, Boston; Patrice K. Nicholas, D.N.Sc., M.P.H., R.N., A.P.R.N., B.C., F.A.A.N., Director of Global Health and Academic Partnerships, Center for Nursing Excellence, and Professor, MGH Institute of Health Professions Graduate Program in Nursing
FOCUS: Technology: Benefits of Telemonitoring in Home Care
Chapter 3. Medication Reconciliation: Lessons Learned 59
Caryl Ann Mannino, R.N., B.S.N., O.C.N.R, N.E.-B.C.; Anita Markovich, R.N., B.S.N., M.S.N., M.P.H., C.P.H.Q.; and Deborah Mican, R.N., B.S.N., M.H.A., C.N.O.R., Our Lady of Lourdes Memorial Hospital in Binghamton, New York
FOCUS: Transitions in Care: Communication of Medication Information Between Health Care Settings
FOCUS: Patient Education: Addressing Low Health Literacy Among Home Care Aides
Chapter 4. Medication Errors: Risk Management
Grena Porto, R.N., M.S., A.R.M., C.P.H.R.M., Principal, QRS Healthcare Consulting, LLC, Hockessin, Delaware, and member of The Joint Commission Patient Safety Advisory Group
FOCUS: Technology: Using Telepharmacy and PIS to Reduce Risks for Medication Error in Critical Access Hospitals and Rural Hospitals
Chapter 5. Medication Safety: Considerations for Pediatrics
Ronda G. Hughes, Ph.D., M.H.S., R.N., F.A.A.N., Associate Professor, Marquette University, Milwaukee
FOCUS: Patient Education: Educating Parents About Their Children’s Medications in Ambulatory Care
Chapter 6. Medication Safety: Considerations for Geriatrics
Trish O’Keefe, R.N., M.S.N., Morristown Memorial Hospital, Morristown, New Jersey
FOCUS: Staff Education: Medication Technicians in Long Term Care
FOCUS: High-Alert Medications: Antipsychotic Medications in Long Term Care
Chapter 7. Medication Safety: Considerations for Obstetrics
Mary C. Brucker, C.N.M., Ph.D., F.A.C.N.M., Louise Herrington School of Nursing, Dallas; and Tekoa L. King, C.N.M., M.P.H., F.A.C.N.M., University of California, San Francisco, and Deputy Editor, Journal of Midwifery and Women’s Health
FOCUS: Patient Education: Educating Parents About Infant Formula Preparation
Chapter 8. Medication Safety: Considerations for Oncology
Kristen Maloney, M.S.N., R.N., A.O.C.N.S., Hospital of the University of Pennsylvania, Philadelphia
FOCUS: High-Alert Medications: Oral Chemotherapy Outside the
Hospital Setting