Related Experiment Video
Updated: May 16, 2026
08:32
Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Medication administration in patients with dysphagia
David John Wright1, Jennifer Kelly
1School of Pharmacy, University of East Anglia, Norwich. d.j.wright@uea.ac.uk
Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|December 19, 2012
Summary
Patients with dysphagia face a threefold higher risk of medication administration errors, increasing their risk of harm. Regular nurse observation can help identify and address factors contributing to these errors, improving patient care quality.
Area of Science:
- Clinical Pharmacy
- Patient Safety
- Nursing Practice
Background:
- Medication administration errors pose a significant risk to patient safety.
- Patients with dysphagia present unique challenges in medication administration.
- Existing literature lacks detailed analysis of medication errors in dysphagia patients.
Purpose of the Study:
- To identify and describe medication administration error types in patients with dysphagia.
- To determine the frequency and risk associated with these errors.
- To propose potential solutions and interventions to mitigate these risks.
Main Methods:
- A small-scale observational study was conducted.
- Root cause analysis was employed to investigate errors.
- Data were collected from four United Kingdom hospitals.
Main Results:
- Patients with dysphagia were three times more likely to experience medication administration errors.
- These errors placed patients at an increased risk of harm.
- Identified errors stemmed from system, practitioner, and patient-related factors.
Conclusions:
- Regular observation of medication administration for dysphagia patients is a crucial intervention.
- This practice allows for review of individual nursing practice and system-level improvements.
- Addressing underlying factors in 'near misses' enhances the quality and safety of patient care.
Related Concept Videos
01:26Peptic Ulcer Disease IV: Management
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
01:26Esophageal Strictures-II: Clinical Features and Management
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...