Question

In: Nursing

In the video LDI Louise Batz, her daughter mentions 3 reasons preventable medical errors occur and...

In the video LDI Louise Batz, her daughter mentions 3 reasons preventable medical errors occur and her conviction about the importance of patients and families being an integral part of the healthcare team.

  1. As mentioned in the LDI Louise Batz video, how does lack of teamwork, lack of knowledge and lack of technology impact the occurrence of preventable medical errors?
  2. How do Human Factors influence healthcare errors? Describe what you have seen in either your professional or personal life.
  3. How can patients and their families be included in the healthcare team and how would this impact healthcare?

Solutions

Expert Solution

Medical errors are a serious public health problem and a leading cause of death in the United States. It is a difficult problem as it is challenging to uncover a consistent cause of errors and, even if found, to provide a consistent viable solution that minimizes the chances of a recurrent event. By recognizing untoward events occur, learning from them, and working toward preventing them, patient safety can be improved.

  • poor teamwork—such as incomplete communication and failing to use available expertise—increases the risk of medical error and decreases quality of care
  • During the years there has been considerable concern about the insufficient drug dose calculation skills among nursing students and registered nurses
  • Medication errors are the most common types of medical errors in hospitals and leading cause of morbidity and mortality among patients.
  • Medication errors due to illegible handwritten prescriptions, overlooked allergies and drug interactions, and incorrect dosages often result in ADEs. Consequently, technology-based interventions have been recommended as a key mechanism for reducing the likelihood of medication errors and ADEs.
  • Take, for example, the allergy detection process used in our hospital several years ago, which was similar to that used in most hospitals at the time. Physicians, medical students, and nurses all asked patients what their allergies were. This information was recorded at several sites in the medical record, though there was no one central location. The information was also required to be written at the top of every order sheet, although in practice this was rarely done. The pharmacy recorded the information in its computerised database, but it found out about allergies only if the information was entered into the orders, and often it was not. Checking by physicians and pharmacy and nursing staff was all manual. This information was not retained between the inpatient and outpatient settings, or from admission to admission. Not surprisingly, about one in three orders for drugs to which a patient had a known allergy slipped through.

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