Memories of a medical error

A study published within the journal “Looks at medication errors from nurses’ perspective.” Researchers sought details about error reporting, the importance of technology in reducing errors, and current medication administration procedures, but additionally they asked open-ended questions that allowed nurses to share their very own experiences with medication errors.

When I used to be a senior nursing student, I neglected to envision a patient’s pulse before giving him a dose of digoxin. I used to be devastated. As soon as I saw him swallow the pill, it struck me that I hadn’t taken his pulse. I panicked and grabbed his wrist. His pulse was 62; above “Keep your heart rate below 60,” but not by much. I didn’t take into consideration this incident for a very long time, but now that I feel back, I do not forget that clinical day very vividly. My first concern was, in fact, the patient’s well-being, and fortunately his vital signs remained stable. However, my feelings of self-doubt and failure haunted me for a very long time. How could I forget something so necessary and yet so easy?

Reference: Â
Jones, J. H., and Treiber, L. (2010). When the 5 laws don’t work properly: treatment errors from a nurse’s perspective Journal of quality nursing care,AND 25(3), 240–247. https://doi.org/10.1097/NCQ.0b013e3181d5b948