Adverse And Near Miss Events In Nursing Research
Adverse and near-miss events occur in the real-world of nursing practice. The difference between an adverse event and a near miss is the outcomes of the event. Adverse events cause harm to the patient through medical care and may be through negligence, which can be preventable (Agency for Healthcare Research and Quality, 2016). A near miss is an event that might reach the patient but does not cause harm to the patient. For instance, a near miss error may reach the patient. However, the near miss event, due to chance or detection through interventions does not cause harm to the patient (Agency for Healthcare Research and Quality, 2016; Sheikhtaheri, 2014).
A near miss event occurred two weeks ago in a small rural hospital on a labor and delivery unit. A patient presented to the labor and delivery unit in labor. The patient was a gravida four and para three at 35-weeks gestation with a history of precipitous labors and a previous cesarean section. Upon vaginal examination, the patient was dilated to a six and the physician ordered for the patient to be admitted. The standard protocol of admitting a labor patient, which included lab work, patient history, the signing of consents, and establishing an intravenous (IV) access. During the admission process, the patient’s labor progresses and requests an epidural for labor pain control. The anesthesia physician on call is notified and is on the unit within 15 minutes. Due to the patients advanced dilation and history
Juana Villegas Case Study
327 Words | 2 PagesJuana Villegas v Metropolitan Government County/Nashville-Davison County Sheriff’s Office Juana Villegas, 9 months pregnant with her fourth child, was arrested and detained for pretrial on a minor traffic offence on July 3,2008. After two days in the Davison County detention center, Ms. Villegas’s water broke and she went into labor. She was transported by ambulance to Metro General Hospital, before transport she was handcuffed and shackled, at that time an officer from the detention center noted his concerns. According to the testimony of Dr. Sandra Torrente, the concern was reasonable given the history of Ms. Villegas’s short labors; in fact, once the restraints were removed, she progressed from 3cm.
Nsw Health Case Study
579 Words | 3 PagesIn this situation there are key ethical and legal situations that arise from the treatment and transportation of Craig. As the police are now involved the paramedics have better assistance with the legal side of restraint however the ethical issues remain import and need to be managed correctly. The first issue raised is the physical restraint of the patient, even thought the police are present the paramedics could take a different approach to avoid the use of physical restraint. It could be argued that the physical restrain is necessary in this situation as the patient could be a danger to himself or others.
Case Study: Medical Error Kills Hopkins Cancer Patient
1123 Words | 5 PagesStart by providing a short 4-6-line synopsis of the key elements of the case – and discuss what kind of incident occurred (week 1). In this case, “Medical error kills Hopkins Cancer Patient” by Erika Niedowski, the error was the failure of a planned action to be completed or intended and the use of a wrong plan for instance overdosage of potassium to achieve an aim. These errors were preventable and may not have caused the harm. Preventable adverse drug events and their causes and contributing factors had caused stopped Brianna Cohen's heart.
What Role Does Technology Play In Claudia's Case Summary
253 Words | 2 PagesAlthough as far as human error is concerned, initially the clerk was not at the desk, and then assumed the nurse's name which resulted in delay in attending to Claudia's call and subsequent injury to her body. 2. How might Claudia’s fall have been avoided? • Her fall could have been avoided through several timely responses to her call such as: • Identification of the assigned nurse • Communication of message to the nurse could have avoided Claudia's fall. 3.
Dr Nel Shah Rhetorical Analysis
583 Words | 3 PagesShah addresses the reader with caring motives and understanding of how physically demanding and life-changing pregnancy can be. ‘’I am acutely aware that even women with healthy pregnancies can develop life-threatening hemorrhage, fetal distress, or other unanticipated emergencies during labor.’’ Shah recognizes the risk associated with pregnancy and tells the reader of his concerns. He even recognizes the amount of financial expenses and stress associated with C-sections. ‘’Nearly, half of the of the caesareans we do in the US currently appear to be
Health Disparities In Nursing Research
1461 Words | 6 PagesToday, health disparities among minority populations is a growing phenomenon that can be prevented with extensive research. A health disparity is a disease that differs greatly in occurrence among different populations. The focus in this critique will be on health disparities among minority populations in the United States, since little nursing research has been done in this area. The more research conducted on health disparities among minorities could improve the gap that exists between minority groups and prevalence of certain diseases. The two articles I chose to critique are Gaskin et al.
Nurse Reporting Medication Errors
171 Words | 1 PagesBarriers to the reporting of medication administration errors and near misses: an interview
A Career As An Anesthesiologist Assistant
681 Words | 3 PagesAfter observing these providers, I became increasingly intrigued by the profession. After a lot of research into this profession and shadowing multiple anesthetists, I knew I had found my calling. During my time at the Children’s Hospital, I learned that the Anesthesiologist Assistant is a skilled medical professional who works as part of the anesthesia care team in the operating room and receives direction from an Anesthesiologist. They have an extensive amount of training in the induction and maintenance of different anesthetics and also advanced monitoring techniques that allow them to keep the patient safe throughout the procedure. They are skilled providers who have training in inserting invasive catheters used for monitoring patient’s vitals, trained in advanced airway and life support techniques, and prepare an anesthetic plan with the licensed Anesthesiologist.
A Brief Note On Recognizing And Understanding Medication Safety
1259 Words | 6 PagesMedication errors can be very dangerous for the ones taking the wrong medicines or doses; therefore, safety measures must be in place. Administering them must be done with an understanding and focus. One missed check could have a staff member giving a resident the wrong set of pills. Some interventions to help prevent the medication error from occurring is to first report errors. When errors are reported, the main cause is to try and never let the error occur again.
Essay On Medication Errors In Nursing
1497 Words | 6 PagesMedication Errors in Healthcare The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance.
Root Cause Analysis: The Joint Commission (TJC)
1576 Words | 7 Pages• During conscious sedation policies were not followed properly. It is required to have vital signs, continuous pulse ox. and ECG monitoring. This needs to be done pre and post procedure. • Post sedation procedures were not followed accurately.
Response To Compliance Management Scenario
1265 Words | 6 PagesThese mistakes include the nurse’s public announcement of the issue, Sue’s access of the chart to discover information about the patient’s diagnosis,
Reflective Incident In Nursing Practice
866 Words | 4 PagesOne of us quickly put on the blood pressure cuff, applied the SPO2 probe and connect the ECG lead to check on her vital sign. I also immediately do the physical checking to check for any bruises or cut. Another staff nurse went to inform the doctor in-charge regarding the incident, where I stayed near Madam Y to comfort and reassured her. I was relief knowing that all the vital sign was normal and she didn’t get any post trauma cut.
Critical Incident Analysis In Nursing
891 Words | 4 PagesThe aim of this paper is to analyse a critical incident which occurred at the student health visitor’s area of practice. A critical incident is an event which when it occurs, makes one pause and consider the situation to give an element of understanding whilst dwelling on the negative and positive aspects of the experience in transforming knowledge and behaviour Hannigan (2001), as cited in Elliot (2004). In order for one to analysis an events there is a need for reflection on the process and evaluate its outcome. Critical incident analysis is identified as discussion and reflection on motives and justification of actions used when an incident happens and its effectiveness in enhancing practice in future (Elliot 2004). This process involves
Personal Narrative Essay: Becoming A Father In My Life
709 Words | 3 PagesWe were admitted immediately and brought to her delivery room, the room was very dark and cold, the air conditioning was so high that my wife could almost ignore her pain because it was so cold in the room. Time drug on, the epidural was given so the pain was kept at bay for a short time, and we all were able to get a little
More about Adverse And Near Miss Events In Nursing Research
Juana Villegas Case Study
327 Words | 2 PagesNsw Health Case Study
579 Words | 3 PagesCase Study: Medical Error Kills Hopkins Cancer Patient
1123 Words | 5 PagesWhat Role Does Technology Play In Claudia's Case Summary
253 Words | 2 PagesDr Nel Shah Rhetorical Analysis
583 Words | 3 PagesHealth Disparities In Nursing Research
1461 Words | 6 PagesNurse Reporting Medication Errors
171 Words | 1 PagesA Career As An Anesthesiologist Assistant
681 Words | 3 PagesA Brief Note On Recognizing And Understanding Medication Safety
1259 Words | 6 PagesEssay On Medication Errors In Nursing
1497 Words | 6 PagesRoot Cause Analysis: The Joint Commission (TJC)
1576 Words | 7 PagesResponse To Compliance Management Scenario
1265 Words | 6 PagesReflective Incident In Nursing Practice
866 Words | 4 PagesCritical Incident Analysis In Nursing
891 Words | 4 PagesPersonal Narrative Essay: Becoming A Father In My Life
709 Words | 3 Pages