Medication error rates, in a hospital, can be as high as 1.9 per patient per day. There are many causes and sources of errors which include "illegibly written orders, dispensing errors, calculation and monitoring errors and administration errors" (Mayo & Duncan, 2004, para. 3). Administration errors can be medications given to the wrong patient (Mayo & Duncan, 2004). Other error prone areas are patient with drug allergies, the charting in medication administration record, and high-risk medication or high alert medications (HAMs).
Need to give answers were associated crosswise collections of hospitals, resolute created on their part of duals, to evaluate difference impressions of the HRRS. But she also mentioned the strong points for my proposal, through this readmission reduction program, now patient will not get nervous or scare for readmission and it will be good for rules to decrease hospital readmissions necessity stability the want to confirm sustained admission to excellence maintenance for helpless peoples. This is a good reimbursement of a program to decrease readmissions accumulate to together the recipient and the Medicare program and patient get better care in the hospital, extra support transitioning from the hospice to other settings, improved organization amongst the patient’s providers external the hospital, and evading an pointless hospital
Readmissions are not only costly but they jeopardize the health of the elderly who are at risk for loss of function, hospital-acquired infections, and other poor outcomes when hospitalized. While some hospital readmissions cannot be avoided, frequent readmissions of chronic disease can be prevented through proper
3.3 CHARACTERISTICS OF HANDOVER Laxmisan et al (2007) conducted an ethnographic study involving analysis of emergency department handover in a US hospital. The study found that interruptions within the emergency department were prevalent and diverse in nature and that there were gaps in information flow due to multi-tasking and shift changes. The communication process is complex and cognitively taxing during and after team handover, that can compromise patient safety. The study also discusses the need to tailor generic electronic tools to support adaptive processes like multi-tasking and handoffs in time constrained environments. Arora et al (2005) conducted interviews using the critical incident technique to handover failures between inpatient physicians in a US hospital.
This exemplified the need for patient’s autonomy, beneficence versus non-maleficence and truth telling. The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and
Medication error (ME) is defined as “improper dosage, delivery of an incorrect medication administration to wrong patient, and inappropriate medication therapy” (XU et al., 2014, p. 286). ME is a long threat standing threat and is common errors in health care setting. It outcome can lead to physically harmful, fatal and prolong hospitalization, and enormously costly. In the mental health setting, some of causes of ME are, similarities of generic and brand names of drug, similarities of container labels and packages, and illegible of handwriting prescription. In this paper, the issue of medication administration error related to sound-alike and look-alike medications will be examines and implement a policy and procedure to prevent this error
Alarm fatigue is “a sensory overload when clinicians are exposed to an excessive number of alarms, which can result in desensitization to alarms and missed alarms.” (Sendelbach & Funk, 2013). Alarm fatigue can interfere with the ability of nurses to perform critical care tasks, and it may cause risk of an error or even cross-contamination. Having a false-alarm in a number of cases can be
Patient Abuse One of the most sensitive issues in health care is patient mishandling or abuse. Mishandling is the maltreatment and negligence of a person under medical organizations or at home. Some of the many types of ill-treatment include but not limited to physical, mental, curative and monetary abuse. According to the USA Today review, more than 5000 assisted living facilities were hazards for the elderly while they should be safe places for them. The report conducted between 2000 and 2002 found that there were significant medication errors as well as poor staffing (training).
FACILITATED SENSEMAKING When a loved one is admitted to an ICU especially in critical health status, patient family members usually experienced anxiety, fear, depression, uncertainty and nervousness, traumatic experiences (post-traumatic stress). This needed support among the healthcare members especially nurses who assume the role of patient advocate. Family need to have a better understanding of the situation and what they should do to promote the feeling of comfort, security, serenity and to adapt to their new role as caregiver, thus preventing adverse psychological outcomes. Most ICU patients cannot make a decision for their own medical treatment, in such way family may be required to make a difficult decision on behalf of the patient,
With the speech therapist there is usually a discussion of cognition, attention, and focus issues to make sure that the patient does not become out of touch due to a prolonged stay in the hospital. This condition, known as Hospital Induced Delirium, can have detrimental effects on the health and wellbeing of patients. I was surprised to find out that this often results in an increase in long term care admissions. The speech therapist and the occupational therapist collaborate to make sure that the patient has activities that are challenging both physically and mentally in order to ward off this condition. Hospital induced delirium can increase morbidity and even mortality over time.