According to Joint Commission, the AHRQ (Agency for Healthcare Research and Quality ), the INI:The Five Rights of Medication Administration
(Institute for healthcare Improvement)and ISMP:Institute For Safe Medication Practices
(Institute for Safe Medication Practices) there are "% rights" that are accepted as the standard of care and the bare minimum. However a school/facility wish to expand on that theory/concept is their "right". I get frustrated
with instructors/schools/facilities putting their own spin on these quality measures trying to "make it their own" because it defeated the purpose of having one page for every one to refer to.....therefore minimizing errors.
The "Official" 5 rights........
AHRQ Patient Safety Network
Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio
The Five Rights:
The "Five Rights"—administering the Right Medication, in the Right Dose, at the Right Time, by the Right Route, to the Right Patient—are the cornerstone of traditional nursing teaching about safe medication practice.
While the Five Rights represent goals of safe medication administration, they contain no procedural detail, and thus may inadvertently perpetuate the traditional focus on individual performance rather than system improvement. Procedures for ensuring each of the Five Rights must take into account human factor and systems design issues (such as workload, ambient distractions, poor lighting, problems with wristbands, ineffective double check protocols, etc.) that can threaten or undermine even the most conscientious efforts to comply with the Five Rights. In the end, the Five Rights remain an important goal for safe medication practice, but one that may give the illusion of safety if not supported by strong policies and procedures, a system organized around modern principles of patient safety, and a robust safety culture.
While the 5 rights is the industries standard it does not prevent med errors but adding more rights isn't effective either.
It’s been 8 years since we've written about the shortcomings of relying on the five rights of medication use in this newsletter (The “five rights,” April 7, 1999). When we first brought our views to readers, we stressed that the five rights are not the “be all that ends all” in medication safety. They are merely broadly stated goals or desired outcomes of safe medication practices that offer no procedural guidance on how to achieve these goals. Thus, simply holding healthcare practitioners accountable for giving the right drug to the right patient in the right dose by the right route at the right time fails miserably to ensure medication safety. Adding a sixth, seventh, or eighth right (e.g., right reason, right drug formulation, right line attachment) is not the answer, either.
For the basic beginning of safety..... the right drug to the right patient i
n the right dose b
y the right route
at the right time.