Tag Archives: errors

PHARMACY SAFETY AND SERVICE

Most of us visit our pharmacies on a regular basis – if you don’t, you are very healthy,  and lucky!  We depend on our pharmacist to ensure that the medications we take are safe.  First, how on earth they are able to read the doctor’s prescription is amazing!  (I used to wonder if they taught doctors how to write in some unintelligible script while they were in medical school).   Pharmacists and their technicians must understand the doctor’s order, enter it accurately into the computer record, identify potential problems with the prescription that the physician may have missed, pick the correct drug and strength from their supply, and place the drug in a container that has been correctly labeled for the drug.  Most pharmacies use a system of checks and double checks designed to help optimize the safety of patients.  It is also the responsibility of the patient to double check that you are taking the right dose of the right drug at the right time, in the correct way.  It is your duty to read the instructions that your pharmacist gives you, along with your prescription.  Here are some other tips about medications and your safety: 

  • Make sure that your doctor has provided enough refills until your next visit.  Prescriptions and refills are valid for one year.
  • Call ahead for refills.  It should be ready within 24 hours or less.
  • Be sure your pharmacist knows all the other medications and over-the-counter drugs you take.  He /she can identify potential drug interactions.
  • Check your medications to be sure they are imprinted with some identifying marks.
  • If you take certain drugs over a long period of time, know what each one looks like.
  • Some generic pills are all white and look alike, so be sure you look closely to ensure you aren’t taking two of the same pill.
  • Confirm your child’s medication dose with your child’s doctor and/or pharmacist.  Most drugs’ dosages are based on weight and pediatric medications are at high risk for dosage errors.
  • Be sure you understand why your physician prescribed every medication you take.
  • Know the brand name (the name given to a medication by the manufacturer), and the generic name (the chemical name of the medication.)
  • Many times your pharmacist can confirm any side effects you may experience.  (This is usually on the printout he gives you, but call him/her to be on the safe side.)

 Be especially careful when dispensing medicine to small children.  Pay attention to any recalls of pediatric medications, as it does happen.  Keep medicines out of the reach of children, and pets.  A curious kitty or pup can get into things that can be harmful to them.  Our grandpug, Truman, knocked over a bottle of dog pills one time, and all five dogs had to be taken to the vet; three had to have their stomachs pumped!  Truman isn’t too trustworthy, he’s sweet, but he gets into things that are not his business. 

Keep a list of your medications and the times of day you take each medication.  This drug list and schedule for doses is critical in keeping your medications organized.  The use of a pill holder really helps for a daily schedule.  

Lastly, every place of business should have first aid kits available, and over-the-counter medicines stocked for headaches, and other minor aches and pains, as well as bandages, etc.  Texas America Safety Company (www.tasco-safety.com) has the very supplies that can complete your first aid needs for your employees.  Mention you read this blog article, and receive 5% off your purchase! 

Source: (NPSF) The National Patient Safety Foundation has been pursuing one mission since its founding in 1997 – to improve the safety of care provided to patients and is a central voice for safety.

HOW TO MAKE OUR HEALTHCARE SAFER

We are midway through National Patient Safety Awareness Week, an important observance to remind us all that we, as patients, must do what we can to stay safe when we are in a healthcare setting, such as a hospital.  Mistakes do happen, and may seem small, but it all adds up to the saying, “the worst place to be if you are sick – a hospital”.  We know that many lives are saved by treatment and surgeries that were unimaginable years ago; however, there have been patients who have been harmed by medical errors.  If this happens, it is often a result of a series of small failures that are individually not big enough to cause an accident, but combined can result in an error.  Patients must become involved and informed about their treatment.  Everyone has a role in patient safety, and all will benefit from its successes when patients and caregivers communicate more effectively.

Here are some suggestions from the National Patient Safety Foundation:

  • Keep track of your history: Include medical conditions you have, allergies, hospitalizations, etc.
  • Have the names of your pharmacy, doctors, and clinics ready for quick references.
  • Become a more informed health care consumer: seek information about illnesses or conditions that affect you.  Don’t hesitate to ask questions of your doctor, nurse, pharmacist, or insurance coordinator.
  • Work with your doctor and other health care professionals as a team: give up to date information to everyone who is treating you.  Be sure you understand the care and treatment you will be receiving.
  • Pay attention.  If something doesn’t seem right, call it to the attention of your doctor or health care professional.
  • Involve a family member or friend in your care.  If you are not able to observe or participate fully in your care, ask a family member or friend to help you.  Everyone should have an advocate – a friend or family member, especially for check-in and discharge or doctor’s visits.
  • If you have to be in the hospital, bring a notebook with a list of your medications.  If questions arise, write them down.  Take a big bottle of hand sanitizer, and place it by your bed to remind you and the staff to keep hands clean.
  • Follow the treatment plan agreed upon by you and your doctor.  Ask questions about any instructions that are confusing or unclear.  Take medications exactly as prescribed.  Report anything unusual to your doctor.

Infections can occur after many types of medical procedures.  This is particularly true if you have surgery.  My husband contracted a Strep B infection after hip surgery, which required six weeks of home health care.  Staph infections are very serious and difficult to get over, so both the patient and staff must take all precautions to not allow an infection.

Remember, you are your best advocate when it comes to your health.  Don’t be afraid to ask questions if you didn’t understand the first time.  Especially when in the hospital, and you have waited for the doctor to make rounds, have your questions ready so you won’t forget important things to ask.  Our hospitals are there to help restore us to good health.  They are making strides to correct errors that have been made in the past.  Many times our lives may be in the hands of nurses and physicians.  It is only right to hope for the best care possible.

DOES YOUR COMPANY HAVE A LACK OF COMMUNICATION?

Not long ago, we talked about mistakes – how we handle our own, and those of our coworkers.  One of the main causes of errors, incidents and injuries at the workplace may be a lack of communication.  Have you ever felt that you worked in a “top secret organization”, where only the chosen few knew anything about what was going on?  If you often hear, “I didn’t know,” as an excuse, chances are that person probably didn’t know.  Many times, a boss or supervisor will tell their assistant, but it never trickles down to the people who need to know what’s going on.

In the military, communication is of the utmost importance.  Even then, there may have been errors made that proved costly.  Whatever field you choose to work in, it is important that you do your part by paying attention.  Have you ever noticed when you tell someone something,  by the time it has circled the group of friends or coworkers, it’s not even close to the point you were trying to make?  You can tell ten different persons the same thing and they all may walk away with a different point of view.

When your company has an effective communication strategy, the whole team excels.  Employees will come closer to working together with the same goal in mind when they are fully informed on what is expected to happen and how it will be achieved by teamwork, and sharing of information.  Most times, it isn’t necessary to speak eloquently, just put it in pure layman’s terms.  Don’t be afraid to hurt someone’s feelings.  You’d rather do that, than have someone injured because they didn’t get the message.  Employee performance will be enhanced if they are given instructions that produce the correct results.

Another way to improve communication is to ask for others’ opinions.  After all, the workers are the ones that see mistakes and know how to improve productivity.  Many times, they won’t say anything because they are afraid they will upset their supervisor.  So ask for their input, and take heed.  Teamwork is the key to success in any business.  Lack of communication can lead to mistakes, confusion, anger, misunderstandings, and anger or resentment.  There’s no room for any of that in business.  As this motivational safety poster says:

moving gears_ip

There are many consequences of poor communication, such as:

  • Fear.  If workers are afraid there are going to be lay-offs, rumors may start circulating, without communication from the authorities to put their fears at rest.
  • Stress.  If there is tension in the workplace, problems grow.  Persons who are stressed tend to make mistakes.
  • Gossip.  Rumors spread, which can lead to false information.
  • Mistakes. Misunderstanding and confusion can lead to costly errors.
  • Less Productivity.  Taking unnecessary steps because of lack of communication, or often redoing their own work or someone else’s.
  • Lack of Confidence.  Employees misinterpret information, and may begin to feel unappreciated if the information wasn’t fully given to them.  Everyone likes to feel appreciated.
  • Low Morale.  Employees either carry on, giving only the minimum expected of them, or they quit.

No doubt we have all dealt with establishments that have poor communication.  It leads to customer dissatisfaction , resulting in loss of customers.  It may not be the fault of the employees who work there, but a serious lack of clear communication and contact between the leadership and employees.   More often we are seeing that employees are there for one thing, and that is to get the paycheck.  Effective communication increases morale among workers, letting them know that they are important to the company.  Things need to change back to when keeping the customer satisfied was the #1 priority.  When customers are pleased, it is a reflection of happy workers.

WHAT DO MISTAKES TEACH US?

It’s a very natural thing to make mistakes as we go through life.  We may choose the wrong friends, mates, places to live, or even the wrong job.  Many mistakes can be fixed.  But at work, some errors are not “fixable.”  How many of us haven’t had a few “close calls” in life?  Drifting off into another lane, because our mind wasn’t on the road, catching a dish towel on fire on the stove, (which can be pretty frightening if you don’t get it under control!), or on the job – taking a risk that results in an event that could have been very harmful.  If we aren’t on our toes, things happen so quickly that they are not “close calls,” but deadly ones.  

It is necessary for us to make a mental assessment of how we focus on performing the tasks we are required to do.  Sure, some jobs are more difficult than others – say, working on scaffolding is quite a bit harder than sitting at a desk!  So, we need to analyze how many times we have taken a risk while doing our job, trying to take short cuts, or save time, that could have resulted in disaster.  A “close call” may actually be a blessing in disguise – if we learn from it. 

No one intentionally makes mistakes at work.  One of the main causes of errors is not paying attention.  Maybe you are thinking about a ballgame you watched the night before, or going to a concert soon, rather than focusing on your job.  What if that daydreaming causes you to forget about your risky behavior, which may get someone else hurt?  Staying out of the way of others is a good way to keep them safe – maybe they are carrying a heavy load, and you step right out in front of them, causing them to slip and fall.  Everyone should work safely and use the right equipment and personal protective equipment that is suitable for the particular job.  There are all types of gloves, glasses, goggles, protective clothing, boots, and hardhats that keep you safe from whatever  risks your job involves.  

Have you ever watched someone get so frustrated trying to do a particular job, that their temper gets the best of them, and they want to toss whatever tool they are using?  (This happens quite frequently on the golf course, I’m told!)  If you or one of your coworkers are guilty of this, back off and take a break.  Chances are, you’ll feel much better if you take a short break, plus, you might figure out an easier way to do the task at hand. 

When you make an error at work, do you:

  • Hope no one saw it.
  • Blame someone else.
  • Try not to do it again.
  • Learn from it. 

When you see someone else make a mistake at work, do you:

  • Go tell your supervisor.
  • Stay away from them.
  • Help them before they get hurt.
  • Learn from their mistake, and ensure that they learn, as well. 

There are many things that cause mistakes, such as frustration, fatigue, and pressure.  The main thing we must all recognize is that we must not lose self-control.  We must guard against making errors that can lead to injury.  We are being paid to do a job, to the best of our abilities.  Work and drive safely, and remember that one unguarded moment could lead to injury or worse.

FIXING WORKPLACE MISTAKES

There’s nothing worse than making a mistake at work, and having someone announce it to the whole world (at least, that’s the way I have been made to feel before).  When you are new at a job, it’s better if your supervisor comes to you in private and explains the error in a way that you understand and won’t repeat.  We are all human, and mistakes, errors, failures, and deficiencies are all realities and “facts of life”.   I have been fortunate enough in my many years of work to have had some excellent and very patient mentors. 

Fixing and preventing mistakes on the job is everybody’s business.  Teamwork is a way to combat mistakes.  Be honest with your co-workers and ask for their advice and feedback.  How do you treat others when they make a mistake?  Is it the way you want to be treated when you make yours?  Many successful persons have made mistakes and know that others will, too.  

Don’t blame others when you are wrong.  Take a step back when you mess up, and regroup.  Learn from this, and carry on.  After all, we are all human.  Don’t criticize others or constantly blame someone else.  Think about how you are going to take corrective action by: first, fixing it; second, keeping it from happening again, and third, sharing what was learned from the experience with others in your workplace. 

You hear all the time about foods, medicines, vehicles, and other items being recalled.  Someone, somewhere, made a mistake.  Thankfully, it can be fixed if we pay attention to those recalls.  Regardless of the reason, a product was not doing the task for which it was intended or designed, and continued use may risk life, quality of life, or property.   Oversight, even with computerization, can still occur.   Some occupational safety errors can be serious and may not be fixable.  We must all be vigilant about this type of mistake.

One of the reasons we falter is by taking on a workload that is too heavy to be accomplished successfully.  Don’t feel that you are a bad employee.  Ask your supervisor for advice as to how you can remedy work overload.  The tasks may be divided up with others, or done during different times – many times a new set of eyes will see things completely different than you do.  If you ask for help,  your boss will see that you are trying very hard to complete those duties.  Remember, when you make mistakes, you are doing something.  You will gain from them by not repeating them, and will try harder.  

In an excerpt from “CEO Material: How To Be A Leader in Any Organization,” by noted author and executive coach, D.A. Benton, this excellent approach to being a good leader is explained: 

  • I don’t care if people make mistakes.  I only care about what they learned.  Everybody, every day, makes mistakes or at least is imperfect.  If they avoid them, no one learns anything, and it causes everybody to be afraid to admit what they did.
  • I forgive them immediately and remind them of four or five things they did well.  My mentor taught me to reinforce the positive and de-emphasize the negative.
  • Employees who mess up are ultimately better employees because they had a second chance…like getting a dog from the pound.
  • Early on in your career, mistakes feel like a big deal.  They are seldom a big deal.  The quarterback doesn’t sit on the bench after a bad throw, does he?  No, he gets out and runs another pass.  Instead of thinking you need a machine to kick your own butt, go throw a touchdown!
  • Almost all mistakes are forgivable. 

I have certainly made my share of mistakes, and still do.  But I also have learned that most of them are “fixable” and I plan to keep on trying!  I hope you will, too.