Assignment1
300745000 Seunghyo Hong
Case1
1. What happened to Claire Lewis?
She had a surgery to remove tumor at Hamilton General Hospital. Then she was transferred to McMaster University Medical Center to recover. However, that time to transfer her between hospital, her medical records did not go with her. MUMC`s staff did not know what drug she had gotten and how much, she was misdiagnosed with diabetes insipidus. As a result, her brain stem was crushed by excessive fluid and she was brain dead.
2. What factors led up to Claire`s death?
When she transfers to MUMC, her records did not go with her and MUMC`s misdiagnosis kill her.
3. What role did poor documentation or poor record-keeping play in Claire`s death?
When a patient
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8. (9Does anything in this story shock or surprise you?
I shock about behavior of MUMC`s staff. If I were the doctor, I would not misdiagnose. And I would call to HGH to get her prescription.
9. (10)What does this case teach us documentation in health care?
In health care, we should make note of patient`s condition on his chart well. Furthermore, we should keep the patient`s documentation with the patient.
Case 2
1. What happened to Juliano Pariselli?
Juliano was given 12miligrams of morphine instead of codeine before undergoing surgery to repair a hernia.
2. What role did documentation errors and omissions play in this case?
There were not any errors and omissions by the doctor, but there were omission and delay recording patient`s state. The nurse had to write baby`s medical chart right away.
3. Were any of these errors preventable? If so, how?
I think that these errors could not be preventable. If nurse give patient wrong drug, the nurse just should do disclose and explain that events.
4. How did the hospital respond to the situation?
At the hospital, an inquest followed and that implemented procedures is for preventing such medication errors again.
5. How did the family respond to the situation?
The family was not satisfied the hospital records and said they could not live without their baby and they will experience
On December 29th Jahi went under surgery and was declared brain dead after she went into cardiac arrest and extensive brain hemorrhaging, 3 doctors that specialized in the neurology field agreed she has no signs of activity in her brain and no blood flow
Due to the recommendations from Sari’s physician, it is very likely that she will be placed on medication either for short term use or
They also did not have any idea about her preventative steps if she had taken any which made the situation even more demanding for the doctors to conduct all possible tests to diagnose her condition as accurately as possible. Let us look at the ideal CDVC in parallel to the care delivery which Mrs. Lushko received at Johnson Medical center.
Medication errors are one of the leading causes within a patient care setting thatcan jeopardize the client’s safety, and can even potentially be fatal. The six patient rights,right dose, time, route, medication, patient and documentation, all help prevent errors andpromote patient safety. The nurse needs to check off each patient right in order tosuccessfully pass medications. One of the leading causes for missing one of these patientrights is interruptions in the process of medication administration prep, or when activelygiving the medication to the patient. This paper will discuss why interruptions duringmedication administration can cause errors, and interventions the nurse can do to avoidputting the patient in
Patient Y stated that prior to her referral to the Accident and Emergency department she had become
was flatining. She was laying in bed near death in New’s Doctors Hospital. From taking pills and
Researchers have identified that hospitalized patients are subject to one medication administration error per day, implying that approximately 1.5 million preventable drug event arise yearly in the United State. Medication errors are among the most common medical error, costing more than 3.5 billion
of the nursing team. Medication errors were not reported back to the nurse manager due to fear
The administration of medication can be associated with a significant risk with it is recognized as a central feature of the nursing role. It should continue in order to avoid a possible medical malpractice continuous care. Nursing staff have a unique role usually given to patients to manage their medication and responsibilities, then they can report these identified medication errors. Some of the most distinguishable events can be related to errors in professional practice, prescribing, dispensing, distribution, and education or monitoring. Since medication errors can arise at any state of the administration process, it is essential for nursing staff to be attentive of the most commonly encountered errors. For the most part, the common of the perceptible aspects related with medication errors are due to minimal awareness about hospital policies, inappropriate implementation or latent conditions (Farinde, n.d).
Nurses are responsible for multiple patients on any given day making medication errors a potential problem in the nursing field. Medication administration not only encompasses passing medication to the patients yet begins with the physician prescribing the medication, pharmacy filling the correct prescription and ending with the nurse administering and monitoring the patient for any adverse effect from the medication. According to the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP), ‘A medication error refers to any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional,
For many patients the scariest part of being in the hospital is having to rely on other people to control your life changing decisions. One large part of this is the medications one is given while in our care. I can only imagine what it must be like for patients to have a stranger to come in and start administering drugs to me. This would be especially scary if I did not know what these medications did, or what negative effects could be caused by taking them. Unfortunately, the fear of medication errors that many patients have are not unfounded. Estimates range from 1.5 to 66 million patients a year have medication errors occur while they are in the care of health care professionals. Considering all of the technology we have at our
As a result medication errors are costly and seem to be relative to the staffing of nurses. Given that nurses make up such a large segment of the staff population, it is important to identify with the factors behind these medication errors.
It is evident that patient safety is one of the most important principal in place as a nurse. To insure this there are many standards that are set in place that as a registered nurse need to be met, some including, professional responsibility and accountability, having knowledge based practice, ethical practice, service to the public and self-regulation (SRNA, 2014). “These standards and foundation competencies serve as the criteria against which all registered nurses, practising in all domains of nursing practice (direct care, education, administration, and research, and the evolving domain of policy) will be measured by clients, employers, colleagues and themselves”(SRNA, 2014). Having these standards allows register nurses and the public to have a clear understanding of what needs to be met in order to insure that there is proper patient safety. However there are still many issues that contribute to unacceptable patient safety, including medication administration errors, post operative care, and patients mental health. However, “medication errors are one of the most common types of medical errors that occur in healthcare institutions” (J.Choo, 2010). A medication error, according to The National Coordinating Council for Medication Error Reporting and Prevention “is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient or
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 to harm to the patient that includes mental harm, physical harm, or loss of function which is as a result of a medication error (practices, 2017). Medication errors occur when a mistake is committed by a person administering medication and in order to avoid these errors safe medication practices need to be adhered to. Some of these