Loss Of Trust in The Health Care Organization Essay Paper

Loss Of Trust in The Health Care Organization Essay Paper

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Loss Of Trust in The Health Care Organization Essay Paper

Medication Error

Later that week, the PSO gets a call from the hospital’s risk manager.Kyra Dilley and Arthur Chester

Kyra Dilley: This is Kyra Dilley.Arthur Chester: Hi, Kyra, this is Arthur Chester. I’m calling to let you know about a medication error on the eighth floor.Kyra Dilley: Oh, no. Was it B. Moore or B.R. Moore?Arthur Chester: How did you

know? It was B. Moore, birthdate 8/11/05. My investigation isn’t complete but there were two patients with similar names and birthdates in rooms in close proximity.Kyra Dilley: Okay. Have you interviewed the nurses involved yet?

There should have been different nurses for each patient.Now that you’ve spoken with some non-clinical stakeholders, answer the following questions: Loss Of Trust in The Health Care Organization Essay Paper

Question 1: Given the information about the medication error, which is the most appropriate first step for the patient safety officer to take?Your response:Incorrect.

Correct Answer: Check on the patient’s clinical status.Determining whether the medication error is an isolated event or a trending issue is an important step, but it can be performed later — during the investigation.Incorrect.

Correct Answer: Check on the patient’s clinical status.Notifying the risk manager is an important step, but it is not the first step.Correct!

Patient safety always comes first. It is the patient safety officer’s first responsibility to check on and document the patient’s clinical status.Incorrect.

Correct Answer: Check on the patient’s clinical status.Health care organizations are not required to report all errors to the regulatory agency. Additional fact finding and possibly a complete investigation need to be performed

before notifying the regulatory agency. Question 2: Which of the following has the least impact on the medication error?Your response:Incorrect.

Correct Answer: Scheduling of the unit secretary.The original medication order is important to consider when investigating the error. The original order may have been transcribed incorrectly, or it may contain important

information related to why the error may have occurred. For example, the original order may have been illegible, it may have requested an incorrect dose, or it may contain a look-alike or sound-alike medication.Incorrect.

Correct Answer: Scheduling of the unit secretary.Knowing which medication was administered is important to consider, because this may have a significant impact on the patient’s prognosis.Incorrect.

Correct Answer: Scheduling of the unit secretary.Staff workload and working conditions at the time of the error are important considerations in this situation. The staff may have been overwhelmed, distracted, or focused on other

items, resulting in a lack of focus on this particular patient.Correct!

Whether this unit had a secretary scheduled to work at the time of the error is unlikely to have had an impact on the medication error.Question 3: The Joint Commission states all of the following about medication errors or

issues EXCEPT:Your response:Correct!

The Joint Commission states that medication errors often result in adverse events.Incorrect.

Correct Answer: Although common, medication errors do not often result in adverse events.The Joint Commission requires health care organizations to conduct a root cause analysis to determine the cause of the medication

error.Incorrect.

Correct Answer: Although common, medication errors do not often result in adverse events.The Joint Commission requires health care organizations to develop a corrective action plan and monitor it closely to ensure its

effectiveness.Incorrect.

Correct Answer: Although common, medication errors do not often result in adverse events.The Joint Commission encourages patients and caregivers to actively participate in their health care.Question 4: From a regulatory

perspective, the best resource to consult on medication errors is:Your response:Incorrect. Loss Of Trust in The Health Care Organization Essay Paper 

Correct Answer: The appropriate regulatory agency’s accreditation manual.The previous patient safety officer is not the best choice, as this individual may no longer be with the organization. Likewise, regulatory agency standards

change frequently, and the previous patient safety officer’s knowledge of regulatory agency standards may be outdated.Incorrect.

Correct Answer: The appropriate regulatory agency’s accreditation manual.Previous actions the organization took in similar cases is not the best resource to consult in the case of medication errors. Each case needs to be

considered as a separate event, for the conditions and specifics of each event differ, and previous actions may not apply. In addition, the organization may not have taken the best or most appropriate action on previous similar

cases.Incorrect.

Correct Answer: The appropriate regulatory agency’s accreditation manual.The health care organization’s legal team is not the best resource to consult in the event of a medication error. The health care organization’s legal team

represents the health care organization, not the regulatory agency.Correct!

From a regulatory perspective, the appropriate agency’s accreditation manual is the best resource to consult in the event of medication errors. This manual will provide the most current, applicable, and accurate

information.Question 5: What is a medication error called when it is corrected before it occurs?Your response:Correct Response: These are called near misses.Question 6: What is a medication error called when it is corrected

before it occurs but could have resulted in a patient’s death?Your response:Correct Response: These are called adverse events.Question 7: What is a medication error called when it results in the patient’s death?Your

response:Correct Response: These are called never or sentinelevents.Question 8: Which of the following would be a potential consequence for the health care organization if a medication error resulted in the patient having a

prolonged hospital stay?Your response:Incorrect.

Correct Answer: Increased cost to the health care organization.Patient disability would be a consequence for the patient rather than for the health care organization. However, a patient disability could be a consequence for the

organization if the patient chose to pursue legal action against the organization.Correct!

An increased length of stay will result in increased costs to the organization, because it will have to care for the patient for a longer period of time than would have been necessary absent the medication error.Incorrect. Loss Of

Trust in The Health Care Organization Essay Paper 

Correct Answer: Increased cost to the health care organization.An increased length of stay does not necessarily mean that a sentinel or adverse event will occur.Incorrect.

Correct Answer: Increased cost to the health care organization.An increased length of stay for a patient due to a medication error would not necessarily result in a loss of accreditation.Question 9: The two most common

methods health care organizations use to encourage event reporting include: ___________ and ____________.Your response:Correct Responses: 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:

Loss Of Trust in The Health Care Organization Essay Paper

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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