Charles Riffe Essay Example For Students

Charles Riffe Essay Cronan CaseemailprotectedFacts:Paul Cronan was employed by New England Telephone Company (NET) in1973 as a file clerk and promoted to service technician in 1983. In 1985,for a period of six month, Cronan began sporadically missing work due toAcquired Immune Deficiency Syndrome (AIDS) related symptoms. Cronans supervisor requested explanation of the absences and assuredCronan that this would be kept confidential. Cronan explained his AIDSstatus, was excused for the day, and subsequently ordered to see thecompany doctor. Two days later Cronan was informed by a co-worker that shehad heard he had AIDS and that other co-workers were threatening Cronanwith bodily harm should he return. Fearing for his safety and healthCronan requested he be placed on medical leave, this was granted withbenefits. In late August 1985 Cronan felt well enough to return to work. Heobtained the required medical fitness certification but was hesitant toreturn to the South Boston office he had worked in. Informed thatdisparaging graffiti had been left on the bathroom stalls he used, and thatmanagers within the company had promised to have his work areasdisinfected, Cronan was fearful for his safety and requested a transfer. Aresponse to his request was not forthcoming. Cronan fell ill again inearly September and received a letter offering his original position withno mention of the transfer request. In December of 1985 Cronan, assisted by the Civil Liberties Union ofMassachusetts, filed a $1.45 million civil lawsuit in state court againstNET charging violations of state privacy law for disclosure of Cronansillness. The suite also alleged discrimination, claiming that AIDS was ahandicap and thus was covered by statutes prohibiting discrimination. Cronan was hospitalized several more times but by the spring of 1986had improved. In June, he was notified that his illness benefits hadelapsed and was being placed on long-term disability, which meant he was nolonger a NET employee. In October of 1986, Cronan and NET reached an agreement allowingCronan to return to work the following week. After his return Cronan faced a hostile environment which includedwritten threats to gays and lesbians, union grievances filed stating Cronanwas a violation of the health and safety agreement, and workers refusal toenter the same building with Cronan. The union alleged NET was not providing sufficient education toemployees concerning the risks associated with AIDS. NET maintained it hadundertaken a good faith effort to educate employees concerning AIDS andthe myths associated with AIDS. Legal AnalysisIssues:Cronan was terminated when he received notice his benefits hadlapsed. Was this a legal termination under relevant employment law?Were privacy or employment rights violated when Cronans conditionwas made known to the workforce at large?In light of Cronans illness, where violations committed under theAmericans with Disabilities Act?Cronans illness could be perceived as sexual in nature. Was Cronansubjected to sexual harassment under the meaning of the applicable statues?Application:Cronans long history with illness and the related attendance recordset into motion the process leading to his termination. The companyfollowed established procedures when notifying Cronan of his eventualtermination and placement in long-term disability status. The Civil Rights Act (CRA) of 1964 applies to this case because NETemploys more than fifteen employees. The act protects workers andprospective workers from discrimination in hiring, terminating,compensating or setting the terms and conditions of employment based onsex, color, religion, race or national origin. Cronan was not an obvious member of a protected class. However, theactions of management and the nature of his illness created a situation inwhich Cronan was subject to harassment of a sexual nature, which is coveredby the Act. Your Son EssayConversely, NETS release of Cronans medical information to thegeneral employees would yield a single answer using either utilitycriteria. If utility is defined as happiness and harmony, then NET could havepreserved the maximum utility by keeping Cronans situation confidentialand continuing to employ Cronan when he was physically able to work. Thisagain correlates to increased production and would yield the same result ifutility were defined using productivity as a standard. One of the major criticisms of Utility theory is that it fails whenit is applied to situations involving social justice. In order to arriveat a different answer under Utilitarian thought, utility would need to bedefined using all persons possibly affected by discriminatory behavior likethat perpetrated by NET. In Kantian theory, an action is morally right for a person in acertain situation if, and only if, the persons reason for carrying out theactions is a reason that he or she would be willing to have every personact on, in a similar way. Simplified, due unto to others, as you wouldhave them do unto you. Examining the privacy issue one could assume that any member of NETsmanagement would not want his or her personal information released to thegeneral employee population. Kantian philosophy would indicate that it istherefore unethical for management to release private information. What if management felt the information concerned the health of otheremployee?It could still be maintained that management placed in Cronanssituation would not wish private information divulged. When Kantian theory is applied to NETs subsequent actions andbehavior the answers derived are not as clear. NETs inactions to provide reasonable considerations for Cronansillness would seem unethical because if placed in a similar situation, areasonable person would wish to be similarly accommodated. However, thisdoes not take into consideration the safety of fellow workers. Little was known about AIDS and how it was spread during the Cronancase. Medical experts were not able to say with certainty that HIV couldnot spread through some forms of casual contact. This being the case, itis reasonable to assume many individuals would feel it was correct toisolate infected individuals even if they themselves were to become theinfected party. This leads to a criticism of Kantian theory. The lack of clearresolution when the rights of differing parties clash. The theory does notprovide clear guidance as to the ranking of rights. Does ones right tofreedom and dignity outweigh anothers rights to live free from fear ofdisease and death?Under strict Kantian interpretation, if the perpetrators of an actwould wish it to be universalized, then the act is ethical. Under thisguideline, an acts ethical status depends solely upon the actor and notthe action.

The Woman Speaks to the Man Who Has Employed Her Son. free essay sample

The Woman Speaks to the Man who has employed Her Son This poem is relatively easy to understand. Here is a synopsis of the poem The Woman Speaks to the Man who has employed Her Son by Loran Goodish In this poem, a mother expresses her deep affection for her son. She reflects on the unfortunate circumstances of her life as a single parent. She is now concerned about the welfare of her son. This woman is seen as one, whose deep devotion and dedication to her son make her transcend her difficulties.Her responsibility to her son takes priority. But what shatters her now, is the fact that her son is employed by money who appears to be engaged in shady activities. To her, the gun he carries is a symbol of destructiveness and criminal activities. The conversational style of the poem makes the reader empathic with the thoughts and feelings of the mother. We will write a custom essay sample on The Woman Speaks to the Man Who Has Employed Her Son. or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The reader discerns in the mother, fortitude, resilience and spiritual strength which inform her actions.Did you identify the themes and literary devices in this poem? What are they? Answer these Questions 1 . What is the theme of the poem? 2. The mood of the poem is one of (a) disgust and anger (b) optimism and hope (c) sadness and despair 3. Which of these words describe the tone of the poem? Formal, conversational, angry, serious? 4. What do the lines a metallic tide, rising in her mouth each morning suggest about the mother?

Introduction to Programming in C++ Essays - Free Essays, Term Papers

Introduction to Programming in C++ Essays - Free Essays, Term Papers Introduction to Programming in C++ A program is a sequence of instructions for a computer to execute. Every program is written in some programming language. The C++ (pronounced see-plus-plus) language is one of the newest and most powerful programming languages available. It allows the programmer to write efficient, structured, object-oriented programs. This chapter introduces some of the basic features of C++. You should compile and run each example in this chapter. 1.1 SIMPLE PROGRAMS Our first example illustrates the main parts of a C++ program. EXAMPLE 1.1 The Hello World Program #include iostream.h> // This program prints "Hello, World." main0 1 tout CC "Hello, World.n"; return 0; The #include directive on the first line is necessary for the program to have output. It refers to an external file named i o s t ream. h where information about the cou t object is provided. Note that the angle brackets and > are not part of the file name; they are used to indicate that this is a Standard C++ Library file. The second line is a comment, identified by the double slashes / /. Comments are included in programs to provide explanations for human readers. They are ignored by the compiler. The third line contains the function header main ( ) . This is required for every C++ program. It tells the compiler where the program begins. The parentheses ( > following main are also required. The fourth and seventh lines contain only the braces { and }. These enclose the body of the main ( > function and are also required for every C++ program. The fifth line contains the statement tout "Hello, World.n"; This tells the system to send the message II He1 lo, War Id. n " to the tout (see-out) object. That object is the standard output stream which usually represents the computer display screen. The name cou t stands for console output. The output should look like this: 1 2 INTRODUCTION TO PROGRAMMING IN C++ [CHAP. 1 The n symbol is the newline symbol. Note that this single symbol is formed from the two characters and n'. Putting this symbol at the end of the quoted string tells the system to begin a new line after printing the preceding characters, thus ending the current line. The sixth line contains the statement return 0. That terminates the execution of the program and returns control to the computers operating system. The number 0 is used to signal that the program has ended successfully. The output statement on the fifth line includes several common C++ symbols. The symbol C is called the output operator or the insertion operator. It inserts the message into the output stream. The symbol n included at the end of the message stands for the newline character. Whenever it appears in an output message, it causes the current line of output to be terminated, thereby starting a new line. Note that both of these symbols ( and n) require two characters, side-by-side, with no space between them. Note the semicolon ; at the ends of the fifth and sixth lines. C++ requires every statement to end with a semicolon. It need not be at the end of a line. We may put several statements on the same line, and we may have one statement extend over several lines. But no matter how it is positioned on one or more lines, every statement must end with a semicolon. We can imagine the relationship of the tout obiect to the program and the displav screen like this: Hello, World. I#include iostream.h> main0 .{ tout "Hello, World.n"; > The output stream cou t acts as a conduit, piping the output from the program to the display screen (or printer or other output device), byte by byte. The program in Example 1.1 is not minimal. Only some of its parts are required for every program. In fact, a C++ program need not have any statements. Of course, such an empty program will not do anything. The next example shows the shortest possible C++ program. EXAMPLE 1.2 The Shortest C++ Program main0 0 This empty program does nothing. It simply reveals the required skeleton for every C++ program. The return 0; statement is not required by most compilers. Some compilers will issue a warning if it is omitted. We include it in each example in this first chapter. It is also recommended that you include at the beginning of every program a brief comment that describes what the program does. CHAP. l] INTRODUCTION TO PROGRAMMING IN C++ 1.2 THE OUTPUT OPERATOR The symbol C is

Quotes From Hemingways The Sun Also Rises

Quotes From Hemingways The Sun Also Rises The Sun Also Rises brought Ernest Hemingway fame and fortune. The novel became one of the most well-known books of the lost generation. The story was largely based on the lives of Hemingway and his friends in Paris following World War I. Here are a few quotes from this famous book by Ernest Hemingway. Quotes From the Epigraph Through Chapter Five of The Sun Also Rises You are all a lost generation. I rather liked him and evidently she led him quite a life. Nobody ever lives their life all the way up except bull-fighters. Listen, Robert, going to another country doesnt make any difference. Ive tried all that. You cant get away from yourself by moving from one place to another. Theres nothing to that. This was Brett that I had felt like crying about. Then I thought of her walking up the street and stepping into the car, as I had last seen her, and of course in a little while I felt like hell again. It is awfully easy to be hard-boiled about everything in the daytime, but at night is another thing. Quotes From Chapter Six Through Chapter Ten of The Sun Also Rises Youre not a moron. Youre only a case of arrested development. Dont have scenes with your young ladies. Try not to. Because you cant have scenes without crying, and then you pity yourself so much you cant remember what the other persons said. We all ought to make sacrifices for literature. Look at me. Im going to England without a protest. All for literature. [S]he took great pride in telling me which of my guests were well brought up, which were of good family, who were sportsmen, a French word pronounced with the accent on the men. The only trouble was that people who did not fall into any of those three categories were very liable to be told there was no one home, chez Barnes. This wine is too good for toast-drinking, my dear. You dont want to mix emotions up with a wine like that. You lose the taste. I was a little ashamed, and regretted that I was such a rotten Catholic, but realized there was nothing I could do about it, at least for a while, and maybe never, but that anyway it was a grand religion, and I only wished I felt religious and maybe I would the next time. I have never seen a man in civil life as nervous as Robert Cohnnor as eager. I was enjoying it. It was lousy to enjoy it, but I felt lousy. Cohn had a wonderful quality of bringing out the worst in anybody. I was blind, unforgivingly jealous of what had happened to him. The fact that I took it as a matter of course did not alter that any. I certainly did hate him. Quotes From Chapter Eleven Through Chapter Nineteen of The Sun Also Rises Youre an expatriate. Youve lost touch with the soil. You get precious. Fake European standards have ruined you. You drink yourself to death. You become obsessed by sex. You spend all your time talking, not working. You are an expatriate, see. You hang around cafà ©s. For one who had aficion he could forgive anything. At once he forgave me all my friends. Without his ever saying anything they were simply a little something shameful between us, like the spilling open of the horses in bull-fighting. It was like certain dinners I remember from the war. There was much wine, an ignored tension, and a feeling of things coming that you could not prevent happening. Under the wine I lost the disgusted feeling and was happy. It seemed they were all such nice people. I thought I had paid for everything. Not like the woman pays and pays and pays. No idea of retribution or punishment. Just exchange of values. You gave something up and got something else. Or you worked for something. You paid some way for everything that was any good. Enjoying living was learning to get your moneys worth and knowing when you had it. That was morality; things that made you disgusted afterward. No, that must be immorality. The things that happened could only have happened during a fiesta. Everything became quite unreal finally and it seemed as though nothing could have any consequences. It seemed out of place to think of consequences during the fiesta. I hate his damned suffering. Oh, darling, please stay by me. Please stay by me and see me through this. In  bull-fighting  they speak of the terrain of the bull and the terrain of the bull-fighter. As long as a bull-fighter stays in his own terrain he is comparatively safe. Each time he enters into the terrain of the bull he is in great danger. Belmonte, in his best days, worked always in the terrain of the bull. This way he gave the sensation of coming tragedy. Because he did not look up to ask if it pleased he did it all for himself inside, and it strengthened him, and yet he did it for her, too. But he did not do it for her at any loss to himself. That seemed to handle it. That was it. Send a girl off with one man. Introduce her to another to go off with him. Now go and bring her back. And sign the wire with love. That was it all right. [T]he  end  of the line. All trains finish there. They dont go on anywhere. You know it makes one feel rather good deciding not to be a bitch. Isnt it pretty to think so?

Case Study Essay Example | Topics and Well Written Essays - 250 words - 8

Case Study - Essay Example about Vioxx’s lack of significant side effects. FDA is also legally liable for not requesting and analysing Vioxx’s safety from Merck’s clinical trials. Merck is ethically and moral responsible for ensuring that health care practitioners are aware of Vioxx’s use. According to Lawrence, Weber and Post (263), Merck’s failure to divulge the drug’s potential to increase blood pressure was motivated by the need to gain a competitive advantage over the manufacturers of VIGOR. This was due to fact that VIGOR had less potential for aggravating high blood pressure in its users. Lawrence, Weber and Post (162) cite the need for FDA to appear as a functional agency despite the United States’ increasingly lacklustre performance in producing noticeable and economically drugs over the last decade in pharmacology. This makes the FDA a significant stakeholder in Merck’s success with Vioxx, which made it susceptible to errors of omission and collusion. FDA’s mandate to authorize and approve new drugs into the US market makes it a legally responsible for any damages that might have been caused by Vioxx. Merck is also legally liable as the originator and supplier of drug with questionable side effects. Not only does Merck and FDA took part in actions that serve to break the set out laws in the constitution, but they also go against societal morals and ethics. The fact that Vioxx’s sale and distribution was halted only in the US, and continued in other countries is ethically

Week 5 discussion questions and participation Essay

Week 5 discussion questions and participation - Essay Example The direct method ignores any other service departments when allocating service cost to production departments. The step down method is different because it recognizes that in some service departments support the activities in other service departments as well as the producing department. The direct method is simpler for accountants to calculate the costs since there are less variables involved. The step down method uses a sequence of service department allocation to arrive at the different costs. In the business world accountants prepare information differently depending on the purpose. Managerial accounting focuses on providing information for internal purposes. Financial accounting on the other hand focuses in making reports for external users of information. Variable costing system monitors changes in costs that occurred on a daily basis. This helps managers in their day to day decision making process. Data and information that is presented to outside users must summarize the results of a period of time. External users are not concerned about the day to day operations of the enterprise. Cost distortions are a potential problem that can lead to many obstacles for a manager. If the costing system is not accurate the managers will make erroneous assumptions that can lead to business errors. For example imagine if a company had a costing system that stated that each unit cost $2.00 to produce. The costing system was distorted and the real cost of the product is $3.05. The made a decision to sell the product at $3.00 which a price that is 50% above cost based on the inaccurate costing system. The manager would lose $0.05 on every sale instead of making a $1.00 profit. If the company is able to develop a costing system that provides a lot of detail the decision seems like a good idea. The manager of that company has to determine if the benefits of maintaining the system outweigh the costs of

Healthcare Policy And Quality Essay Example for Free

Healthcare Policy And Quality Essay The essay will examine the management of medicines policy on standards in medication errors by nurses in the hospital environment, the guidelines that nurses must follow when giving medication in order to avoid medication errors. A definition for medication error will be given. Further issues to be discussed include; why medication error happens, approaches aimed at minimising medication error and the importance of teamwork , a brief reflection and a conclusion based on the findings will be given. The use of medication process involves different health care professionals as a result , medication error can take place relating to a series of steps in the drug delivery process, and includes the process of prescribing, dispensing, transcribing and administration (Chua et al. , 2009 ; Zhan et al., 2006), thereby making room for error to take place. Subsequent to prescribing errors, the administration of medication errors is the most frequent type as they are more likely to reach the patients and the greater chance of causing patient harm (Chua et al.,2009). The legislation of medicines applies to prescribing, supply, storage and administration and it is important to have knowledge of and adhere to this legislation (Nursing Midwifery Council (NMC), 2008; Royal Pharmaceutical Society of Great Britain (RPSGB) (2009). The medicine management policy on standards in reporting medication errors, near misses and adverse drug reactions was located on the Local Trusts website and was easy to access. The Local trust is an acute, non-profit, health service. From the policy all staff involved in the prescribing , administration, dispensing and checking of medicine has the responsibility to ensure the policy is implemented and adhered to. In the local trust policy it states any member of staff can report a medication safety incident, near miss or adverse outcome. The local Trust Policy was reviewed in January 2012. The trust will also monitor all medication related incidents and an annual audit will be carried out to assess the effectiveness of the policy. The audit will be undertaken on a random selection of 30 cases of reported incidents. This Local Trust implemented the guidelines for the administration of medicines by the Nursing and Midwifery Council (NMC), 2008 which gives the information a prescription  chart must contain for safe and correct drug administration and gives clear principles for prescribing medicines. If the prescription is clear and accurate, errors are less likely to occur. The guidelines also states: In exercising your professional accountability in the best interests of your patients; as a registrant, you must know the therapeutic use of the medicine to be administered, its normal dosage,side effects, precautions and contraindications,be certain of the identity of the patient to whom the medicine is to be administered , be aware of the patients plan of care To appreciate medication mistakes and discuss policies for reducing and reporting medication errors, it is useful to understand the term ‘medication error’. The National Coordinating Council for Medication Error Reporting and Prevention states: a medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of health professional, patient or consumer (cited in Chua et al., 2009 p. 215). Different standards and policies are formed for varied circumstances and situations as well as routine moments (Unver, 2012). One such standard is the Standard for Medicine Management which replaces the Guidelines for the Administration of Medicines 2004, even though many of its principles remain relevant today (Nursing and Midwifery Council (NMC), 2008. This standard points out the various ways of managing medicine for nurses as they are required to take responsibility for their actions and omissions for any errors they make when giving any medicine (Copping, 2005). Usually, medical mistakes do not harm patients (Department of Health (DoH) (2004). Although, the National Patient Safety Agency (NPSA) (2009) gave a written account that in England, less than 1% of the key instance of harm or death in the National Health Institute (NHS) were directly linked to medication error; 155 medical instances gave rise to severe harm and 42 deaths. Standards in the NHS are used to make sure proces ses and procedures are carried out in a uniform and consistent manner to help professionals and patients ( Tzeng et al., 2013). Also , the same process should be carried out in the same way  wherever the site or location and under the same circumstance. This uniformity removes errors from personal judgement and panic decisions during situations which could ultimately lead to the death of people under various circumstances ( Fore et al., 2012). The administration of medication is likely to be based on errors in nursing as under normal circumstances, nurses are involved in the administration process and they spend 40% of their time giving it (Wright, 2013; Unver et al., 2012). Hence some studies have reported high error rates, indicating that nurses are putting patients in danger, when such errors would cause a low or minor risk to the patient (Wright, 2013). It is of great value to establish the cause of errors so that solutions can be put in place to reduce medication error rates. Although there are medication policies, adherence to these policies are low (Kim and Bates, 2012). Prior to medication administration, the following checks should be done : ‘right medication, in the right dose, to the right person, by the right route, at the right time’ (Kim and Bates, 2012) . Despite the guideline established in the administration of medicines using the ‘five rights’, nurses may conduct in a way and give inaccurate assurance that the practice is safe ( Unver et al., 2012). Non-adherence to the five rights of medicine administration were observed by Kim and Bates (2012), the observations show that for : wrong dose (1.8%), wrong medicine (13%), wrong time (7.1%), wrong person (5.2%) and wrong route (1.8%). An observation of potential error in the administration of medicine was made during a recent clinical placement in an elderly ward of a local trust. The ward has 30 beds and medicines were supplied in bulk to the ward, though more specific medicines were provided as single items on receiving a prescription by the pharmacy department. In addition, medication orders were written by doctors directly onto the patients medication chart without transcribing.The medication was given by nurses by referring to the medication chart. In view of human error, it was noted that the registered nurses on duty worked over 12 hours a day and Tzeng et al., (2013) noted that taking everything into account nurses function is significantly greater when working a regular 8hour shift compared to over 12hours shift. Further circumstances that contributed to medical errors by nurses include;  tiredness which can affect concentration (Copping , 2005), being distracted or interrupted (Wright,2013; Fore 2013), loss of concentration and a belief about limited drug calculation and numeracy skills among nurses ( Ramjan 2011). In addition, Leape et al., (1995) reported other types of medication errors: short of knowledge of the drug, information about the patient, in breach of the rule, slip and memory lapses, transcription errors, faulty drug identity checking, not interacting with other services, not checking the dose, insufficient monitoring , drug stocking and delivery problems Unver et al., (2012) also noted that medication error can also be as a result of systematic factors like heavy workload ; for example, a study carried out by Karadeniz and Cakmakci , (2002) in Turkey reported nurses fatigue was the primary cause of medication errors. Another factor is insufficient training . It has been wel l-known that newly qualified nurses lack of skills in clinical settings affects the occurrence of medication errors. A patients circumstance, that is complex health conditions), doctor issue (multiple orders, illegible handwriting) and nurse aspect (personal neglect, newly qualified staff, not familiar with medication and patient) . The avoidance of medication errors is extremely imperative for patient safety (Unver, et al., 2012). In the early 2000s Pape et al., (2005) was the first to initiate the use of aviations sterile cockpit code which has gained awareness in the health care to cut down on distraction during clinical tasks. The process included the use of vests and signs. The words Do Not Disturb positioned in the medication vicinity were used as prompts to reduce distraction. Members of staff were also asked not to disrupt or distract the nurse doing the medication round of the ward. As a result , Papes (2003) study found 63% fewer distraction when using a firm checklist set of rules. Similarly, a study by Federwisch (2008) reported a 50% decrease in the number of staff interruptions, an increase of 50% in the standardisation of medication administration, 15% progress in the time vital to administer medications and 18% increase in on-time medication delivery when nurses wore yellow sashes during medicat ion administration. On the whole, to lessen medication errors, the collaboration among doctors,  pharmacists and nurses is necessary ( DoH, 2004). Doctors must know their shortcoming and recognize their interconnection with other health care professionals (Pedersen et al., 2007), in particular nurse prescribers who help to ease the work of junior doctors. Verification by another nurse is essential as double checking by other nurses in adherence to the ‘five rights’ of medicine administration can help reduce an error (DoH, 2004). Subsequently, pharmacists can lessen the chance of errors by being in attendance on the ward drug rounds and chipping in their drug knowledge (DoH, 2004). Moreover, everyone in the health care team can help reduce medical errors by keeping a reflective journal (Tzeng et al., 2013 ) as a practical self-help tool, though there is a not enough of empirical study to support its valuable effects (Fore, 2013). According to Fore (2013), health professionals can reflect by one or more of the subsequent methods: welcoming feedback from colleagues about strengths and weaknesses; checks on critical incidents to find out what went wrong , why it went wrong and how to avoid a recurrence of an error; use of a diary for self evaluation and recognize knowledge gaps. It is generally accepted that system factors presents itself with medication errors in health care, nurses are the health professionals that frequently encounter and report medications error ( Roughead and Semple 2008). On the contrary, a study by Unver et al ,(2012) points out, more than half of nurses do not give an account of some medication errors as they are frightened of their colleagues reactions. As a result , it is important to foster a culture that is less fixed on laying guilt to promote communication and error reporting. The need to reduce medication error is a continuing process of quality improvement (Unver et al.,2012). Ac cording to Sanders (2005) , to establish risk is the first act to undertake, as any other strategy to reduce risk may be inappropriate. This can be made by means of using tools such as audit ( Montesi and Lechi, 2009). The World Health Organisations (WHO) (2009) framework for the classification of problem, process and outcomes of patient safety events is a practical base for a framework to learn the circumstances surrounding medication error. In spite of information of under-reporting of medication errors, especially by physicians, (Franklin et al., 2007) incident reporting can produce an awareness into the errors that happen and make easy identification of contributing factors (Malpass et al., 1999a). Moreover, a  UK Government white paper, put forward standardisation of audit as part of professional health care (Montesi and Lechi, 2009). The National Institute for Heatlh and Clinical Excellence(NICE) (2002), defined clinical audit as : a quality improvement process that seeks to improve patient care through systematic review of care against explicit criteria and the implementation of change ( cited in Montesi and Lechi, 2009, p. 3). Clinical audit is a learning tool , which encourages high- quality care and should be implemented regularly and it offers an organised framework for inspecting and judging the work of health care professionals ( Montesi and Lechi, 2009; NICE, 2002). Audit is also a way of measuring and monitoring practice across a well- set of agreed standards and finding mismatches in the written word and actual practice. Similarly, detecting medication errors can also be through a chart review, reporting of incident, monitoring of patients, direct observation and computer monitoring (Montesi and Lechi, 2009). The only technique used for identifying errors of administration of medications is by direct observation ( Montesi and Lechi, 2009). This is done under the observation of a trained nurse by noting the similarity or dissimilarity between what is done in the administration and the original physician orders. In addition to direct observation, reporting systems is another process obtained from pro cedures in high-reliability organisation. On the other hand, reports given to legal services can cause confusion and bring about a connotation of blame (( Montesi and Lechi, 2009). Incident of reporting was first used in the UK by the Royal College of Anaesthetists. According to Montesi and Lechi ( 2009), there are two safety-oriented levels of reports. First, incident reporting where it is required that a the details recorded are concise, legible and a true version of events are recorded and sent to the central organisation , which supplies regular statistical reports and raising concerns about quality improvement. Secondly, voluntary reporting . This process is anonymous, confidential and blame- free.The benefits of voluntary reporting include; the detection of active and hidden system failures, evidence of significant processes and the distribution of a culture of safety ( Stump, 2000). Other methods include; patient monitoring, by interviewing, satisfaction surveys and focus groups. Through this, patients can learn about medication errors. With reference the Local Trust Policy, patients now receive an individualised medicine patient  information leaflet (PIL) detailing their in-patient and discharge medicine by advising them about any possible side effects and dosage information, contact details should more information be required. During placement, it was essential that the five rights is followed during a medication round with the nurses. It became fully aware that the five Rs is the most thorough way to prevent medication error arising. This policy has helped me establish how and why using the correct procedure helps to minimise administration errors from happening. Not all but most of the nurses at the placement adhered to the guidelines that the policy set out. In conclusion, the essay demonstrated that medication administration errors are still a continual problem that is related to practice in nursing . Nurses are mainly involved in medication administration. They also have an exceptional role of identifying and stopping errors that occur in the various stages. Encouraging patient safety should have a number of approaches that involve more than direct care nursing staff. Another basic cause, is human- factor, therefore a professional education with individuals and system focuses on patient safety matter is essential. Lastly, health professionals accountable for the prescribing, dispensing and administration of medicines must work collectively as team members in the ward environment . The essay also demonstrated how the problem of medication administration error can be dealt with by the National Health Service.