Medication Safety Paper

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In today’s modern society, patient safety in the hospital setting has evolved to a number one priority. Medication errors account for a great deal of incidents in hospitals. Practicing healthcare professionals must be competent when administering medications; therefore, The Joint Commission has implemented National Patient Safety Goals to prevent patients from being administered the wrong medication. Also, the National Patient Safety Goals holds the practicing healthcare professional accountable for the medications that are given to patients. We intend to explore the similarities and differences in how Florida Hospital Zephyrhills and Edward White Hospital accomplishes the National Patient Safety Goal of Medication Safety and Reconciliation.

Medication Safety/Reconciliation
JACHO & National Patient Safety Goals defined
The Joint Commission is an organization that accredits and certifies more than twenty- thousand health care organizations and programs in the United States. Their mission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value .(“ About the Joint Commission,” 2013) The Joint Commission established its National Patient Safety Goals in 2002 and they were first implemented January 1, 2003 (“ Facts about the National patient safety goals,” 2013). National Patient Safety Goals are used as a map for healthcare organizations to hold themselves to a higher standard of care. In fact, National Patient Safety Goal #3 can be divided into three sections: 03.04.01 which states that all medications should be labeled, 03.05.01 which states to take extra care of patients who are on blood thinners, and 03.06.01 which states guidelines for medication reconciliation (National Patient Safety Goals). The standard of care is surveyed by the patients of their particular healthcare organization. The Hospital Consumer Assessment of Healthcare Providers & Systems is a survey that determines the quality of care patients receive in a particular healthcare setting and it helps in determining if organizations are complying with JACHO’s National Patient Safety Goals. Hospitals consider a JACHO accreditation a great achievement. According to a Medicare website, ( that compares hospital care nationally; the state of Florida averages about 63% when it comes to explaining the medications before administering to the patient, Florida Hospital Zephyrhills averages 56%, and Edward White Hospital averages 55%. Florida Hospital Zephyrhills and Edward White Hospital are accredited by JACHO; as a matter of fact, they have the following similarities in their approach of accomplishing medication safety and reconciliation, by implementing: the bar code system, patient education, and twenty-four hour medication reconciliation.

Bar code System
The purpose of the bar code system is to impact patient safety by reducing medication errors that occur at the time of medication administration. The proper name for this system is Bar Coded Medication Administration (BCMA). JACHO set medication management standards and national patient safety goals that pushed the BCMA in effect in the year of 2007 ( Foote &Coleman, 2008). This system was pushed because an estimated 1.5 million Americans were being injured every year from medication errors (Foote &Coleman, 2008). According to section 03.04.01 of the national patient safety goal number three (Medication Safety), all medications must have the proper patient label. The BCMA is an evidenced based system that validates the six patient rights of medication administration (right patient, medication, route, time, dose, and documentation/education). The BCMA application is linked to an electronic power-chart; therefore,...
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