MEDICATION ADMINISTRATION ERROR Essay Example | Topics and Well Written Essays - 4000 words

MEDICATION ADMINISTRATION ERROR - Essay Example Active errors assume different forms including lapses; this involves failures in memory that prevents the planned actions from being implemented. Slips; this involves performing a familiar action in a wrong away. Mistakes; are refereed to as a trend of reasoning leading to wrong outcome of choices. Latent conditions refer to systemic properties that result to errors. They may include system interfaces and management practices. It is summarized by the descriptions of Don Berwick that â€Å"every system is perfectly designed to achieve exactly the results it gets.† The nature of today’s primary care and frenetic pace of management in care within medical practices have made the probabilities of errors to become great. The Robert Graham Policy Centre has come up with a patient safety model called â€Å"toxic cascades.† It describes how small unnoticed errors can add up to become torrents. Research studies on office-based errors in primary care have been found to be of different categories. It shows that communication problems results into 24% of the errors, 20% are caused by discontinuity of care, 13% are as a result of missing charts, 19% from lab results, 8% are caused by clinical mistake, 8% resulted from prescribing errors, and the other 8% by other errors. The study revealed that medical errors are by and large a result of latent conditions and not active failure as had been believed. The medical infrastructure has become fragile and the risk adverse outcomes has gone low, despite the fact that delayed care, patient dissatisfaction, and worsening illness are still very common concerns in medical practices. Studies on error in health care by the National Patient Safety Foundation (NPSF’s) have led to the conclusion that â€Å"the ambulatory inpatient dichotomy is a false one. We have to think about populations and their continuum of care.† (Brennan, 2000). Turnbull the executive director of NPSF’s has put

What are the pros and cons to bilateral versus multilateral aid Essay

What are the pros and cons to bilateral versus multilateral aid - Essay Example Finally, research reports reveal that the top ranking agencies in best practice are multilateral donors with World Bank’s International Development Bank (IDA) leading. The article ranks agencies according to their effectiveness in transparency. The World Bank group is ranks in the â€Å"good and â€Å"fair† category while bilateral agencies rank in the â€Å"poor† category with exception of UK’s DFID which ranks as good. This is important to the research in supporting the effectiveness of multilateral aid. The article discusses â€Å"best practices† in the way official aid is given and how an ideal agency behaves. It looks at issues such as transparency, specialization, selectivity, ineffective aid channels like tied aid and overhead costs. These agencies are classified into bilateral and multilateral agencies and multilateral agencies were found to rank high while UN agencies were ranked the worst. The article is important in helping to understand the aid agencies and their role in international development. The article discusses the influence of the U.S or donors on multilateral institutions such as the World Bank thus hindering their achievement of millennium development goals and development effectiveness. It is helpful in understanding the workings of Bretton Wood institutions and the disadvantages they have due to donor influence. The book contains articles by leading scholars and practitioners and has chapters dedicated to actors and aid agencies hence it is important in understanding bilateral and multilateral aid and importance to development. The book gives an account of difficulties faced by countries due to bilateral aid from many sources and neglect of some countries. It is important for the research in assessing the disadvantages and advantages of bilateral