Maintain a culture of rigorous commitment to principles of safety in medication administration (for instance, the five rights of medication safety and cross-checks with colleagues, where appropriate).
Establish safe work environments for medication preparation, administration, and documentation for instance, reduce distractions and provide appropriate lighting. Improving Medication Safety: Actions for Nurses The Preventing Medication Errors report included specific actions for nurses to improve medication safety. The report also emphasized actions that patients can take to prevent medication errors, such as maintaining active medication lists and bringing their medications to appointments for review. prescriptions written and dispensed electronically, promoting widespread use of medication reconciliation, and performing additional research on drug errors and their prevention. These recommendations included actions such as having all U.S. This report emphasized actions that health care systems, providers, funders, and regulators could take to improve medication safety. In 2007, the IOM published a followup report titled Preventing Medication Errors, reporting that more than 1.5 million Americans are injured every year in American hospitals, and the average hospitalized patient experiences at least one medication error each day. IOM: Preventing Medication Errorsĭespite the progress made in patient safety since the To Err is Human report, medication errors remain extremely common, and the national health care system continues to implement initiatives to prevent error. The IOM 1999 report changed the nature of the patient safety conversation from focusing on dispensing blame to improving systems. Its goal was to break the cycle of inaction regarding medical errors by advocating a comprehensive approach to improving patient safety. The IOM report called for a 50% reduction in medical errors over five years. Health care appeared to be far behind other high-risk industries in ensuring basic safety. The report stated that at that time, errors caused between 44,000 and 98,000 deaths every year in American hospitals and over one million injuries. The Institute of Medicine (IOM) released an initial report in 1999 titled To Err is Human: Building a Safer Health System. The national focus on reducing medical errors has been in place for almost two decades. Institute of Medication (IOM) IOM Report: To Err is Human This section will discuss initiatives established by the Institute of Medicine (IOM), the World Health Organization (WHO), the Institute for Safe Medication Practices (ISMP), and Quality and Safe Education for Nurses (QSEN). 
However, medical errors and adverse effects of medication therapy continue to be a significant problem in the United States. When a nurse administers medication, the ultimate goal is to provide patient safety and to prevent harm from medications.
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