Nhs FPX 4000 Assessment 2
[Student Name]
Capella University
[Prof. Name]
August 2025
NHS FPX 4000 Assessment 2: Medication Errors
Health care companies are confronted with numerous concerns once the role of the nursing staff in treating patients is altered. Surveys on patient satisfaction and presence of adequate documentation are the key areas that characterize the patient treatment in the unfortunate case that he happens to face court. In case nurses spend excessive time at the computer rather than at the bedside of a patient, it can lead to a drop in patient safety. It is in NHS FPX 4000 assessment 2.
I have seen patients make medication errors in my experience as a nurse. I have seen doctors provide medications to people who are allergic to them. It is followed by the nurse and the pharmacist locating the mistake and getting in touch with the provider. Nevertheless, this interaction does not work out in every case. I have seen nurses use the phone to call the provider in order to rectify the wrong drug calculations. Despite the possible drawbacks, I have firsthand knowledge of medication errors, which has stoked my enthusiasm for the importance of pharmaceutical safety, which will be covered in NHS FPX 4000 assessment 2. This also pertains to the ideas discussed in the section on using applying research skills in healthcare. I went to the emergency room because I was having terrible stomach pains. In my electronic medical record, morphine was added to my list of allergies when it was revealed during a previous surgery that it caused me to entirely stop breathing.
To fetch me some painkillers, the nurse went to the doctor. The nurse just informed me that she was giving me a pain reliever while she prepared the morphine after the doctor entered my room and wrote a prescription for it. Being a registered nursing assistant with experience on how this emergency room works, I trusted this nurse and I did not doubt the quality of care that he was administering. Next moment I had eight doctors and nurses around me. This event later
related to the concepts I had studied about applying research skills in healthcare.
To counteract the morphine, Narcan was given to me. The doctor wouldn’t have prescribed morphine if he had looked over my list of allergies. Furthermore, if the nurse had scanned my armband, asked if I had a morphine allergy, and confirmed my allergies, the computer system would have alerted her to refuse the medication. The significance of pharmaceutical safety, which will be covered in more detail in NHS FPX 4000 assessment 2, is highlighted by this incident.
Academic Peer-Reviewed Journal Articles
I looked through the ProQuest database for peer-reviewed articles using the journal search feature of the Capella University Library. I mentioned issues of medicine administration, patient safety and pharmaceutical mistakes. I performed an advanced search to restrict the publications to the ones published in the past five years. This approach reflects Capella University applying research skills PDF methodologies.
Credibility of Journal Articles
To add credibility, I only included peer-reviewed papers that were released in the previous five years. I verified that the articles included information on pharmaceutical safety, patient safety, and solutions. In accordance with the principles of applying research skills in healthcare, additionally, I verified the authors’ qualifications for the journal papers.
Annotated Bibliography
Geneva: World Health Organization. (2016). Medication errors: Technical series on safer primary care. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/252274/9789241511643-eng.pdf.
In this article, the World Health Organization (WHO) asserts that it is difficult to
calculate pharmaceutical error data since various people have varied definitions of what a drug error is. Medication errors include ineffectiveness, patient noncompliance, adverse drug responses, and drug-drug interactions. The WHO states that there are many different reasons why pharmaceutical errors occur, a subject that is frequently covered in the Capella University nursing program.
The WHO lists several issues that affect healthcare staff, including inadequate knowledge about patients, medications, or risk perception; overworked or weary healthcare workers; poor communication between patients and providers; distractions; and a lack of resources. The second NHS FPX 4000 assessment 2 will look more closely at these underlying elements.
Prescription errors may also result in repetitive systems and similar drug names. Because of the repeated systems, medical professionals go through the motions, which eventually leads to medication errors. According to research skills in nursing education, medication review and reconciliation is the main approach that has been taken into consideration.
The patient and the pharmacist or nurse now review the list of medications. They remove any duplicate prescriptions and check for drug allergies. This lowers the chance of future hospital stays and prescription errors by keeping their drug list current.
Nanji, K. C., Patel, A., Shaikh, S., Seger, D. L., & Bates, D. W. (2016). Evaluation of perioperative medication errors and adverse drug events. Anesthesiology,124(1), 25- 34.doi:10.1097/aln.0000000000000904
According to the writers of this journal, medication errors are a frequent occurrence in perioperative medicine. This is since most safety inspections are omitted. Authorizing prescription orders from providers, verifying the patient’s correct dosage per kilogram, and looking for allergies and contraindications are all examples of safety checks performed by the
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victim of such a needle shield, and it provokes serious issues about the NHS FPX 4000 evaluation 1 maintaining the ethical standard of caring about the patient. Even though he is not cognizant of that, he believes that it will be awkward. Straight, a clinical services director never disclosed his search of a solution to anyone. He is presented with a hard decision to make and since Dr. Cuthrite is a strong man, he is not sure whether to put him before him. Moreover, he cannot inform the patient Mrs. Jameson.
The Ethical Decision-Making Model as the Analysis Tool in the Case Study
Straight is showing an insufficiency of application of ethical principles in nursing because he is not applying the ethical judgment, moral awareness, and moral behavior with the patient, which are constituents of the model of ethical decision-making. Straight does not represent that one does not do something morally, reveals the truth to the patient, or does not report the mistake; however, he or she is morally aware and conscious of having an ethical dilemma. A moral awareness is portrayed by the operating room supervisor when she concedes that leaving a needle protector in a wound of a patient is a moral act. Moral judgment is also displayed by presenting the error publicly which is the right habit to follow. Without noticing the mistake when counting, Straight, Dr. Cutrite, and Mrs. Jameson would not have noticed it, had the supervisor not. Straight and Dr. Cutrite were not addressing the moral dilemma in an appropriate way. Straight is very jittery about confeassing the error due to the effect of Dr. Cutrite. He seemed to have a fear of breaking his orders because doing so will put his job in jeopardy. Leaving a needle cap in a patient is wrong, even though Straight is aware of it, what he does is not appropriable. As this case of the NHS FPX
4000 assessment 1 shows, the moral consequences of prioritizing fear of authority or professional relations over patient safety can be very serious.
The Influence of Communication Approaches in the Case Study
The approaches to communication that were used in this paper were not that successful. Straight utilized lots of non-working methods of communication. He used the Chief of Surgery to keep him informed and did not do the same by informing him the truth. He wanted to find answers to a question like: what would have happened to a patient who was exposed to the posting of a retained surgical item with an intension of determining whether the patient would be uncomfortable. I suppose the Chief of Surgery was supposed to look into this. I believe that the chief of surgery would be conscious that anything had occurred in case they have been contacted randomly and asked what if questions. The given breakdown becomes stressful on the importance of communicating clearly and honestly as well as how applying ethical principles in nursing is supposed to be a mere professional contact. When there is something left behind in the body of a patient it is a huge deal. He would have been able to ask more questions and listen to all the members of the surgery team. Had he contacted the supervisor of the surgery center, she would probably have informed him regarding the surgical outcome of Mrs. Jameson. The surgeon in-charge can then discuss with Dr. Cutrite and solve the problem. In addition, Straight could be at fault over his deception. The situation in the NHS FPX 4000 assessment 1 makes it clear the importance of the ethical decision-making, accountability, and communication in the practice of surgery.
The prospects of straight and Dr. Cutrite are that they will lose their jobs in case this gets discovered. This will also damage their reputations and also lose their
pharmacist. NHS FPX 4000 assessment 2 will go into additional detail about the importance of these safety procedures and the repercussions of disregarding them.
High levels of stress and the hurried pace to get the patient into the operating room may lead to more drug errors. The authors state that the most reported critical events in anesthesia are medication distribution errors. Medication barcodes and patient arm bands can be scanned to avoid these errors, as was covered in the section on applying research skills in healthcare. Most preoperative and operating room departments are unable to scan barcodes because of the busy nursing environment. I saw firsthand how easy it is to make a medication error when working as a registered nurse in periop. Most medications are recorded into the patient’s records after the patient has left the nurse’s care and entered the operating room.
Rash-Foanio, C., Galanter, W., Bryson, M., Falck, S., Liu, K. L., Schiff, G. D., Vaida, A., & Lambert, B. L. (2017). Automated detection of look- alike/sound-alike medication errors. American journal of health-system pharmacy: AJHP: Official journal of the American Society of Health-System Pharmacists, 74(7), 521–527. https://doi.org/10.2146/ajhp150690
The likelihood of prescription errors caused by similar-sounding or similar-looking medications is discussed in this journal article. For example, ordering cycloserine when the intended order was cyclosporine. A solution is offered: integrating an automated system into the electronic medical record program to identify any mistakes, backed by an accurate diagnosis from the patient’s report. This preventative strategy is in line focused on NHS FPX 4000 assessment 2.
Tariq, R. A., Vashisht, R., & Scherbak, Y. (2020). Medication errors. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK519065/.
Since there are many different types of medications, such as prescription pills, vitamins, lotions, essential oils, herbs, and supplements, this article outlines how a medication error could happen. Furthermore, the likelihood of some of these medications interacting with other medications is high. Drug errors are thought to be the cause of between 7,000 and 9,000 fatalities annually, underscoring the need of research skills in nursing education for enhancing medication safety procedures. This does not include everyone who has a medication-related issue or a poor drug reaction. Nearly half of medication errors are caused by ordering errors, a crucial topic that will be further examined in the NHS FPX 4000 assessment 2. Only 30 to 70 percent of ordering issues are identified. These errors are typically made by the clinician by writing the wrong medication, dose, frequency, or route. Most pharmacological errors might have been prevented. Approximately 75% of drug-related accidents are caused by distractions. In the past, one of the main reasons for pharmaceutical errors was illegible writing. Thankfully, most prescription drugs are filled online. As mentioned in the section on applying research skills in healthcare, unclear dose instructions might lead to adverse drug reactions. The patient may make a mistake at home if they were unsure on how frequently to take the medication. Using unapproved acronyms in the instructions can also lead to an error.
By following drug administration rights, which are a standard that is stressed in the Capella University nursing program, the healthcare team can avoid pharmaceutical blunders. These rights encompass the following: the appropriate medication, the appropriate patient, the appropriate dosage, the appropriate route, the appropriate time and frequency, the appropriate documentation, the appropriate assessment, the right to decline, the appropriate medication interaction and assessment, and, finally, the appropriate information and instruction.
Learnings from the Research
