1. Describe your level of awareness of the prevalence of medical errors before this course and reading part 1
Before reading part 1, I was in the delusion that medical mistakes occurs and are extremely rare. After reading the part 1, I realized that medical mistakes are not as rare as I thought it was. According to Institute of Medicine report (IOM) report, nearly 98,000 thousand people die each year from preventable medical error (Gibson, & Singh, 2003).
2. Part 1 of Gibson and Singh details 10 patient-family accounts and their experience with medical error. Select one of the cases and discuss the following areas:
a. Provide an overview of the case.
Shattering losses, a case of a three-year-old boy called Michael, who used to suffer chronic …show more content…
What type of error occurred in the case?
Communication and collaboration error occurred in Michael’s case. The warning signs were never communicated to the surgeon. Michael’s care was uncoordinated.
d. Compare at quality and safety initiatives that now exist that could have prevented the error? (Cite the source where you found the initiative, guideline or protocol).
Crew resource management is a safety system, which initially employed by Aviation industry and then adopted by the healthcare industry. Healthcare CRM training was encouraged in the United States by the 1999 Institute of Medicine (IOM) report To Err Is Human. CRM training is based on the theory that teamwork can create a safer environment and, to manage risk it is necessary to both minimize errors and enhance human performance (Clay-Williams, Greenfield, Stone, & Braithwaite, 2014). If this was implemented in medical practice at the time of Michael’s case, the error could have been prevented.
e. Why was this case so compelling to you?
This case was very compelling to me because the way case was presented and focused on the fairly preventable medical mistake. A medical mistake, which took the life of a three-year-old boy and left his parents with …show more content…
Discuss our role as nurses in developing a culture of safety interdependent upon a professional code of ethics.
a. Why is it that nurses fail to report errors and what are the consequences to the nurse, patient, facility, and system?
The nurses hesitate to report errors due to fear of a negative response by the hospital administration. The consequences of not reporting error lead to negative patient outcomes and also put the facility at risk for malpractice suits.
b. How does the nursing shortage affect safety and the potential for errors in the health care system?
When nurses are short staffed and there is a high nurse to patient ratio, nurses experience higher workload. The heavy workload of the hospital put the nurses at risk for making errors and compromise patient safety.
c. How frequent and how significant are medication errors in your experience?
In my experience, the occurrence of medication errors are very common in hospital settings and nursing homes. I believe medication errors are clinically significant because it can endanger patient safety.
d. Describe in detail your experiences in managing, correcting, and documenting medication errors and explain how they affect your
Before reading part 1, I was in the delusion that medical mistakes occurs and are extremely rare. After reading the part 1, I realized that medical mistakes are not as rare as I thought it was. According to Institute of Medicine report (IOM) report, nearly 98,000 thousand people die each year from preventable medical error (Gibson, & Singh, 2003).
2. Part 1 of Gibson and Singh details 10 patient-family accounts and their experience with medical error. Select one of the cases and discuss the following areas:
a. Provide an overview of the case.
Shattering losses, a case of a three-year-old boy called Michael, who used to suffer chronic …show more content…
What type of error occurred in the case?
Communication and collaboration error occurred in Michael’s case. The warning signs were never communicated to the surgeon. Michael’s care was uncoordinated.
d. Compare at quality and safety initiatives that now exist that could have prevented the error? (Cite the source where you found the initiative, guideline or protocol).
Crew resource management is a safety system, which initially employed by Aviation industry and then adopted by the healthcare industry. Healthcare CRM training was encouraged in the United States by the 1999 Institute of Medicine (IOM) report To Err Is Human. CRM training is based on the theory that teamwork can create a safer environment and, to manage risk it is necessary to both minimize errors and enhance human performance (Clay-Williams, Greenfield, Stone, & Braithwaite, 2014). If this was implemented in medical practice at the time of Michael’s case, the error could have been prevented.
e. Why was this case so compelling to you?
This case was very compelling to me because the way case was presented and focused on the fairly preventable medical mistake. A medical mistake, which took the life of a three-year-old boy and left his parents with …show more content…
Discuss our role as nurses in developing a culture of safety interdependent upon a professional code of ethics.
a. Why is it that nurses fail to report errors and what are the consequences to the nurse, patient, facility, and system?
The nurses hesitate to report errors due to fear of a negative response by the hospital administration. The consequences of not reporting error lead to negative patient outcomes and also put the facility at risk for malpractice suits.
b. How does the nursing shortage affect safety and the potential for errors in the health care system?
When nurses are short staffed and there is a high nurse to patient ratio, nurses experience higher workload. The heavy workload of the hospital put the nurses at risk for making errors and compromise patient safety.
c. How frequent and how significant are medication errors in your experience?
In my experience, the occurrence of medication errors are very common in hospital settings and nursing homes. I believe medication errors are clinically significant because it can endanger patient safety.
d. Describe in detail your experiences in managing, correcting, and documenting medication errors and explain how they affect your