Exercise 12 (At-Home)_ Categorizing Errors
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Apr 3, 2024
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Exercise 12 (At-Home): Categorizing Errors
Aims: Categorize different types of medical errors
Gauge the severity of different medical errors
Overview: Medical errors can take several forms, and so sociologists have developed concrete categories of medical errors. Bosk’s categories, provided below, separate medical errors into groups that define their circumstances and severity. Instructions: Categorize the following examples of medical errors as technical, judgement, normative and quasi-normative. Upload a document (.docx or .pdf) with your response to the instructions above.
1.
An attending chooses to not seek consultation from another medical professional before their surgery, resulting in the death of the patient. The attending had refused offers for help. This would be considered normative; the attendees come into play because they chose not to seek another medical professional. It shows a lapse in their character. 2.
A surgeon accidentally leaves a sponge inside of their patient. This was a judgment medical error; it is clear the surgeon could have been tired from a long surgery and forgot about the sponge (not intentional), did not go back to double check
3.
A nurse fails to post a fall risk sign outside of a patient’s door, and the patient suffers a detrimental fall while being discharged due to lack of precautions. This is a normative medical error, there was a lapse in the nurse’s character resulting in the injury of a patient.
4.
A resident does not inform their attending of a patient’s DNR order due to their personal relations with the patient. This is a quasi-normative, this is due to the fact that they were
aware of the DNR order but deliberately chose not to inform the patient, this is a breach of professional conduct. 5.
A resident follows a procedure that they read about online for handling facial lacerations,
but forgets that their attending requests that Neosporin ointment should always be applied. The resident is reprimanded by the attending for not following their approach. This is judgement, they read about the procedure online and did not have a good perception of the attendings request, resulting in a flawed medical decision. 6.
A patient is not kept in hospital care for long enough after their surgery and dies at home
a week after their release due to complications from the surgery. This is technical, we can see the surgery was successful enough for them to head home, however the medical team misjudged how early they can leave result in death. 7.
A surgeon transfers to a new hospital and uses a Monocryl suture during surgery, not realizing that the new hospital mandates the use of Vicryl sutures. This is quasi-
normative; this surgeon violated the norms of the new hospital. 8.
A new anesthesiologist does not administer enough anesthesia to a patient, resulting in them waking up during the surgery. This is technical, it was well intended but since they were new they most likely did not know the actual amount of anesthesia needed.
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