Study: Registered nurses more equipped to catch medication mistakes

1 year 3 months 2 weeks ago Thursday, November 02 2017 Nov 2, 2017 Thursday, November 02, 2017 3:39:00 PM CDT November 02, 2017 in News
By: Maia McDonald, KOMU 8 News
loading

COLUMBIA - Experts at the University of Missouri have found that registered nurses are better equipped than licensed practical nurses to identify discrepancies in medication that could cause harm to patients.

Researchers did a study in 12 Missouri nursing homes by interviewing registered nurses and licensed practical nurses about a safety practice designed to identify medication order discrepancies when patients transition from hospitals to nursing homes.

Amy Vogelsmeier, who led the study, said it was about looking for mistakes or errors and how nurses communicate with doctors.

She said, even though registered nurses and licensed practical nurses can perform essentially the same job within nursing homes, RNs more often than not perform the better job. 

"Registered nurses were really more focused on the accuracy of the medication order list," Vogelsmeier said. "They had questions about whether these medications were appropriate for this person at this point in time. They raised more questions and thought more about the residents' clinical history and their background and why they're in the hospital."

Vogelsmeier said most of the RNs interviewed took any discrepancies they found to physicians in order to clarify the medication order. The study found that LPNs were less likely to do this.

"They were more just about assumed that the medication orders were accurate in these scenarios, that they were written was the way they were intended to be," Vogelsmeier said. 

She said the assumptions LPNS were more likely to make could introduce possible risks to patients in Missouri because medication order discrepancies do occur. She said there may be a key reason for the findings.

"Registered nurses have more education so they go to school longer," Vogelsmeier said. "They have more exposure through their school. They have more exposure to courses that would potentially prepare them for this kind of work."

LPNs usually only go to school for about a year and are much more focused on technical skills, which Vogelsmeier says is less helpful for clinical decision-making.

She said there are a number of reasons why having good clinical decision-making skills is important.

"There can be mistakes," Vogelsmeier said. "There are times where medications are ordered to be continued in the nursing home when they weren't initially intended to be. There are times where home medications where they are on prior to hospitalization are omitted by accident."

Vogelsmeier said the research will be important for Mid-Missouri nursing homes in the future. 

"We're thinking about next steps in studies and really looking at how do we work with nursing homes in future research and dissemination to help, not only nursing home nurses to understand where they may best be suited for the work that they're doing, but also nursing home leaders.

More News

Grid
List
COLUMBIA - Even though people are dying from fentanyl overdoses in Missouri, there is no law that prosecutes someone who... More >>
1 day ago Wednesday, February 20 2019 Feb 20, 2019 Wednesday, February 20, 2019 4:06:00 PM CST February 20, 2019 in News
ST. LOUIS (AP) — Missouri Attorney General Eric Schmitt is launching his own investigation of a St. Louis day care... More >>
1 day ago Wednesday, February 20 2019 Feb 20, 2019 Wednesday, February 20, 2019 2:38:00 PM CST February 20, 2019 in News
ST.LOUIS - Men transform into kings and represent their university and ancestors in an annual competition. Harris Stowe State... More >>
1 day ago Wednesday, February 20 2019 Feb 20, 2019 Wednesday, February 20, 2019 2:35:00 PM CST February 20, 2019 in News
HARRISBURG - An energy company is hoping to bring a wind farm to Boone County and wants to get to... More >>
1 day ago Wednesday, February 20 2019 Feb 20, 2019 Wednesday, February 20, 2019 2:33:00 PM CST February 20, 2019 in News
STURGEON –The city of Sturgeon put its police chief on unpaid administrative leave Tuesday, after firing and reinstating him. The... More >>
1 day ago Wednesday, February 20 2019 Feb 20, 2019 Wednesday, February 20, 2019 2:12:00 PM CST February 20, 2019 in News
CAMDEN COUNTY - The state fire marshal is investigating multiple potential cases of arson after officials found bales of hay... More >>
1 day ago Wednesday, February 20 2019 Feb 20, 2019 Wednesday, February 20, 2019 11:40:00 AM CST February 20, 2019 in News
JEFFERSON CITY - Mothers advocating for gun control rallied at the state Capitol Tuesday. The Missouri Chapter of Moms... More >>
1 day ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 11:04:00 PM CST February 19, 2019 in News
JEFFERSON CITY - A Missouri legislative committee is looking into a calculation error that could impact some people's taxes and... More >>
1 day ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 11:00:00 PM CST February 19, 2019 in News
COLUMBIA - The Columbia Police Department confirmed a death investigation near the 2500 block at Quail Drive. Sgt. Harlan... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 10:11:00 PM CST February 19, 2019 in News
COLUMBIA - This season's winter weather has caused cancellations, potential revenue loss and headaches for high school athletic departments. ... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 6:55:00 PM CST February 19, 2019 in News
COLUMBIA – Dayan Reynolds said he didn’t know his dad had a mission to convince people they aren't gay, until... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 6:26:00 PM CST February 19, 2019 in News
COLUMBIA - An official with Boone County Public Health and Human Services said it is still early in the investigation... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 5:16:00 PM CST February 19, 2019 in News
FINAL UPDATE: Snow, sleet, freezing rain will continue overnight and exit between 6-9am on Wednesday morning. Freezing drizzle is also... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 4:30:00 PM CST February 19, 2019 in Weather
COLUMBIA - Rep. Vicky Hartzler, R-Missouri, visited Boone Hospital Center on Tuesday to learn about its initiatives in fighting the... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 4:27:00 PM CST February 19, 2019 in News
COLUMBIA - Investigators are again asking for the public's help finding a man charged in a January murder. 60-year-old... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 3:33:00 PM CST February 19, 2019 in News
COLUMBIA - Job Point will receive a $1.1 million grant to assist with its YouthBuild Program. The money will... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 2:42:00 PM CST February 19, 2019 in News
COLUMBIA - A former Columbia business owner who served in World War II celebrated his 100th birthday on Tuesday, surprised... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 1:20:00 PM CST February 19, 2019 in News
COLUMBIA - Some school districts across mid-Missouri have already started adjusting their school year calendar because of the severe winter.... More >>
2 days ago Tuesday, February 19 2019 Feb 19, 2019 Tuesday, February 19, 2019 11:02:00 AM CST February 19, 2019 in News
Columbia, MO
Broken Clouds 33°
11pm 33°
12am 32°
1am 32°
2am 31°