In healthcare systems, there is a concept of fair and just culture. That concept is important to manage the risk. In any organization, errors can happen. But, the best first tool to understand the error is to report it when it happens. Reporting error in healthcare contributes to minimize the risk of recurring.
This documentary video is very informative and very useful as eye-opener to all that works in the healthcare industry. John Hopkins patient safety expert have calculated that more than 250,000 deaths per year are due to medical error in the U.S. This large number, victims of medical error, leads to a stigma that people became questioning and doubting the capabilities of healthcare providers resulting on losing trust. This video “Chasing Zero” is a reminder that all nurses, doctors and all the people that works in healthcare industries should be very cautious on the care they provide to patients. A single error can hurt and worst, it can kill someone. This video made me realize as a nurse, that anyone can make a big mistake regardless of years
SMART Goal Evidence & Review Interdepartmental communication and medical errors have both been proven as causes of harm to patients in health care settings. When there are gaps in communications between nurses changing shifts or patient transitions from one department to another, medical errors can occur and cause harm to patients. Even though there has been improvement in recognition of these problems and actions taken to reduce communication gaps and medical errors, there still needs to be more work, especially in individual facilities.
Nurses are responsible for recognizing and reporting errors and error-prone systems, and openly discussing them with managers and nurse leaders. Leaders are responsible creating an environment where staffs are comfortable disclosing actual and potential errors. Leaders should promote organizational learning from these events and take action to ensure that nurses practice in a safe environment. To encourage upward reporting of
Healthcare workers are not the only ones fearful of exposing medical errors. The medical institutes themselves operate behind a wall of silence. The IOM first recommended a national medical error reporting system in 1999 and despite attempts by then President Clinton, the American Medical Association and the American Hospital Association successfully lobbied against it (Dyess, 2009). As of 2009, only 20 states have a mandatory medical error reporting system and only a fraction of estimated
Background It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).
One of the recommendations for healthcare organizations to employ in an effort to reduce the number of errors is to advocate for voluntary error reporting nationally while conducting research and developing tools for patient safety. This way, information about errors can be gathered and prevented from reoccurring at health care sites and by health care providers. Voluntary error reporting will act as a warning of potential or actual errors and suggest ways to avoid them in the future.
II. Background Each year medical errors cause more than 400,000 American deaths and at least 10-20 times that number experience serious harm. Researchers say that is equivalent to “three 747 airplanes crashing each day.” Medical errors rank as the third-leading cause of death in America. Therefore, patient safety is a national concern.
It is the goal of all healthcare providers and organizations to provide quality care to all patients without error. The truth is, even healthcare providers make some mistakes. The question is, when an error occurs who is to be held responsible? Is it, the nurse who administered the wrong medication,
Best Practices to adopt whenever administering medication Andrew Pfaff Nightingale College of Nursing Pharmacology 210 Mr. H 11/24/2017 Best practices to adopt whenever administering medication. Introduction Safe medication practices are key to every nurse since it results to safe medication administration. When medication is not administered correctly it results to adverse drug event which refers
II. Medical Errors: Non-Disclosure and Disclosure Disclosing medical errors is considered necessary by patients and practitioners. They are advised to disclose in the form of an apology when necessary and appropriate. When a medical error causes damage to the patient, it seen as not acceptable because a patient goes for treatment in order to get better not to get worse therefore it calls for the situation to be addressed. When a medical error is not disclosed, the fellow peers who have witnessed the error must decide whether they should remain silent and keep the error to themselves or reveal the error to the higher up, although it would be in good faith to report the medical error to a higher up, unless it has caused harm or long-term damage to the patient. (Youngson. p. 69) There are many hospitals that the practitioners keep the errors made to themselves and do not disclose the medical errors to the families of patients or the patients themselves. Medical errors become a topic of conversation if the family of a patient or the patient themselves become aware about the error. Medical errors are something that should be disclosed in a good faith manner
Section 2 of this report, Errors in Health Care: A Leading Cause of Death and Injury, surveys the writing on mistakes to evaluate current comprehension of the greatness of the issue and distinguishes various issues that hinder consideration regarding persistent security. A general absence of data on and attention to mistakes in human services by buyers and shoppers makes it unthinkable for them to request better care. The way of life of pharmaceutical make a desire of flawlessness and ascribes mistakes to lack of regard or inadequacy. Obligation concerns demoralize the surfacing of mistakes and correspondence about how to amend them. The absence of unequivocal and reliable models for understanding wellbeing makes holes in authorizing and accreditation
Reporting errors can strengthen the processes of care and also enhance the quality of care. To effectively avoid further errors that can cause harm to patients, improvements must be made on the incidents or events reported in reporting system. Reporting errors can help the organizations better understand what happened, identify the factors that cause the occurrence of errors or incidents, determine its frequency and predict whether it could happen again and find an intervention to prevent or to
Legal Case Study Following the review of a medical error about a 62-year-old woman with skin cancer who experienced wrong-site surgery I will summarize the legal and liability aspects of this case, as well as explore the legal and ethical implications of disclosing errors. In addition, I will discuss the pros and cons of having the provider disclose and empathize for the error to the patient. Finally, I will identify ways the nurse leaders can learn from this situation, help prevent similar kinds of medical errors from happening, and assist the providers and organization to effectively disclose information to patients after such an error occurs.
Organizational Responsibility & Current Health Care Issues HCS - 545 11/19/2012 Organizational Responsibility & Current Health Care Issues In today's modern world with plenty of technology, it is hard to believe that we cannot figure out how to reduce Medical errors. The issue of medical error is not new in health care organizations. It has been in spot light since 1990's, when government did research on sudden increase in number of death in the hospitals. According to Lester, H., & Tritter, J. (2001), "Medical error is an actual or potential serious lapse in the standard of care provided to a patient, or harm caused to a patient through the performance of a health service or health care professional." Medical errors