Page Section: Left Content Column
Page Section: Centre Content Column
Medication errors; communication with the family of a rest home resident (08HDC20820)
Download Medication errors; communication with the family of a rest home resident (08HDC20820) (PDF 129Kb)
(08HDC20820, 1 December
Rest home ~ Nurse manager ~ Medication errors ~ Falls ~
Dementia ~ Communication ~ No breach
The family of an elderly woman complained about the care
provided to her while she was living in a rest home. She was a
resident for nearly three years and, during this time, three
medication errors occurred, two of which involved mistaken
identity. The third involved the woman's medications being found
loose in her room.
The woman had dementia and was known to wander. She was found
outside the rest home complex on a number of occasions. She also
had a number of falls.
It was held that the medication errors were caused by individual
error. The rest home had appropriate policies, procedures and
training to prevent such errors, and the care provided to the woman
generally was of an appropriate standard.
Although there was no breach of the
Code of Health and Disability Services Consumers' Rights, this case
is a reminder of the importance of personal relationships. There
was room for improvement in the communication between the nurse
manager and the family in relation to both the second medication
error and concerns about whether the rest home continued to be a
safe and appropriate home for their mother.
Page Section: Right Content Column
Top of Page