Independence Medical Center Is a Rural Referral Hospital Essay Solution

Independence Medical Center Is a Rural Referral Hospital Essay

Table of Contents

Order ID	53563633773
Type	Essay
Writer Level	Masters
Style	APA
Sources/References	4
Perfect Number of Pages to Order	5-10 Pages

Description/Paper Instructions

Independence Medical Center Is a Rural Referral Hospital Essay

Introduction

Independence Medical Center is a rural referral hospital with 115 beds in Independence, Iowa. Like all hospitals, administrators and providers try to avoid errors, and it’s the patient safety officer’s role to monitor the hospital’s

safety posture and recommend better practices. But what happens when a mistake leads to a medication error?Patient Identification

At Independence Medical Center, the patient safety officer conducts daily safety rounds. Today, she’s rounding at the pediatric unit on the eighth floor.Kyra Dilley and Virginia Anderson

Kyra Dilley: Hi, where’s the charge nurse?Virginia Anderson: That’s me. What’s up?Kyra Dilley: Well, I’m doing my safety rounds and I noticed that there are two patients on this floor in rooms directly across from each other: B.

Moore and B.R. Moore.Virginia Anderson: That’s not all — they have really similar birthdates! B. Moore was born on 8/11/05 and B. R. on 11/8/05.Kyra Dilley: Okay, that’s even more concerning. How are you making sure not to

confuse those patients?Virginia Anderson: It’s not a problem. We’re making sure that the two patients always have different nurses.Kyra Dilley: Well, that’s good, but I have to warn you that this is a troubling situation. Are all shifts

aware of the need to schedule nurses around this?Virginia Anderson: There are notes in both charts. We had to do that; we’ve been short staffed this week and there’s been a lot of shifting around.Now that you’ve spoken with

some clinical stakeholders, answer the following questions: Independence Medical Center Is a Rural Referral Hospital Essay

Question 1: If the PSO determines this is a trending issue on this unit, which step should she include in the corrective action?Your response:Incorrect.

Correct Answer: In-service education for the entire unit on which the errors continue to trend.Education for the entire facility is not warranted at this time, given that the error is trending only on one specific unit.Incorrect.

Correct Answer: In-service education for the entire unit on which the errors continue to trend.Using only one identifier does not meet regulatory standards.Correct Answer: In-service education for the entire unit on which the

errors continue to trend.Given that the errors are trending on the unit, all staff on the unit should attend in-service education on this issue.Correct!

Providing in-service education to the entire staff on the unit on which the error is trending is important. While only two nurses were involved in this error, the next error could occur with different staff. In addition, re-educating the

entire unit is beneficial, as fellow staff members often catch errors that others do not see.Question 2: Which operational consideration is NOT a priority in terms of reducing patient identification errors?Your response:Incorrect.

Correct Answer: Reason for admission to the unit.The room assignment process is an important item to consider, as no process may be in place to strategically put patients on the unit when an error may occur due to

identification or other similar factor. The PSO may want to revise the current process or create one if one doesn’t exist. This is a potential re-education topic if a room assignment process does exist but staff members do not

adhere to it, or if the process is revised and staff members require education about the revised process.Incorrect.

Correct Answer: Reason for admission to the unit.Reviewing the process for alerting staff members of potential safety errors due to patient identification is important to consider. The patient safety officer may want to revise the

current process or create one if one doesn’t exist. This is a potential re-education topic within the organization if a process for alerting staff members of potential safety errors due to patient identification exists but staff

members do not adhere to it, or if the process is revised and staff members require education about it.Incorrect. Independence Medical Center Is a Rural Referral Hospital Essay 

Correct Answer: Reason for admission to the unit.Reviewing the floor census is an important consideration in this case. The patient safety officer will want to determine working conditions at the time the error occurred. For

example, was the unit short-staffed at the time of the error? Was there an emergency in the unit at the time the error occurred, distracting staff members?Correct!

At this time, knowing the reason for admission to the unit is not a priority, because the issue involves patient identification. Diagnosis is not an element used in patient identification.Question 3: What potential next steps might a

patient safety officer take?Your response:Expert Response: Health care experts in patient safety and quality improvement identified the following as important next steps when a patient identification issue arises:

Review any existing room assignment policies and procedures. Independence Medical Center Is a Rural Referral Hospital Essay

Interview staff members assigned to each patient to determine their process for proper patient identification to ensure mix-ups are avoided.

Notify the risk manager of the potential patient safety error. Independence Medical Center Is a Rural Referral Hospital Essay

Educate the family about the importance of active involvement in their child’s care and about the organization’s patient identification process.

Question 4:

True or false: Regulatory agencies require the use of three patient identifiers (such as name, DOB, or address) to identify patients.Your response:Incorrect.

Correct Answer: False.The Joint Commission requires health care organizations to use two patient identifiers.Correct!

The Joint Commission requires health care organizations to use two patient identifiers, not three.Question 5: What are the potential implications for a health care organization if a mistake or an adverse event occurs as the result

of a patient identification error?Your response:Expert Response: Health care experts in patient safety and quality improvement cited the following as potential implications for the organization if a mistake or adverse event occurs

as the result of a patient identification error: Independence Medical Center Is a Rural Referral Hospital Essay

Continued medication, blood transfusion, and procedural errors.

Increased costs to the organization.

Adverse effects on patient health.

Increased regulatory oversight, which could lead to fines, penalties, or loss of accreditation.

Question 6: What are the potential implications for the patient if a mistake or an adverse event occurs as the result of a patient identification error?Your response:Expert Response: Health care experts in patient safety and quality

improvement cited the following as potential implications for the patient if a mistake or an adverse event occurs as the result of a patient identification error: Independence Medical Center Is a Rural Referral Hospital Essay

Prolonged admission, resulting in increased costs and diminished patient satisfaction.

Disability or death.

Independence Medical Center Is a Rural Referral Hospital Essay

RUBRIC QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points:  Student failed to submit the final paper. 20 points out of 50:  The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50:  The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately.  Elements of the required response may also be lacking. 40 points out of 50:  The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples.  The answer is complete. 50 points:  The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples.  No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points:  Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points:  Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points:  References to scholarly sources are occasionally given; many statements seem unsubstantiated.  Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points:  Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented.  APA 6th Edition is used with only a few minor errors.  There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points:  Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented.  APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points:  Student failed to submit the final paper. 5 points out of 20:  The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors  10 points out 20:  The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20:  The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points:  The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points:  Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements.  The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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