discussion response 2 Medical error
discussion response 2 Medical error
. Medical error is a preventable adverse effect of medical care, whether there is harm to patient or not. For example, adverse drug event, over or under treatment of patient, wrong site surgery, suicide, restraint related injury or death, fall, burn, pressure injury. A medical error is often associated with extremes of age, severity of medical condition being treated. It is important for the entire healthcare team to work with goal of lowering medical errors, including pharmacist, nurse, physician (Carver et al., 2022). Medical errors not only effect the patient but also lead to medical malpractice litigation. Awareness of every member of the healthcare team is the only way to reduce medical errors.
Good catch is defined as an event that might have caused harm but was prevented from reaching the patient due to active effort of caregiver or by chance. A good catch is estimated to occur up to 100 times more frequently than serious events but are often under reported (Wallace et al., 2017). Reporting good catches can improve patient safety by allowing the healthcare department to analyze gaps and proactively make changes to patient care process to improve patient safety.
Example of medical error:
It was a busy evening in the emergency department. The physician was going room to room performing assessments, placing orders, reviewing patient’s labs and imaging reports, getting updates from nurses and trying to manage their documentation and discharge patients as able to. A patient was in with chief complaint of dental pain and physician talked to patient regarding a dental block to provide temporary relief of pain. The physician left room, obtained supplies needed and administered dental block. Sounds reasonable…. right…the provider entered the wrong room and administered the dental block to the wrong patient. This raises many questions especially why the wrong patient would open their mouth for a dental block and not question what was happening as they were not there for dental pain. This prompted a review of which patients receive time out process.
Using a time out is an evidence-based practice to reduce wrong site and wrong patient procedure or surgery from occurring. A time out requires confirmation of correct patient, correct side and site, agreement of procedure to be performed and availability of needed equipment and supplies. Time out must be performed with patient and nurse after consent is reviewed by provider and signed by patient, and prior to beginning of the procedure (Feldman, 2008).
Carver, N., Gupta, V., & Hipskind, J. E. (2022). Medical error. In Stat Pearls. Stat Pearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430763/
Feldman, D. L. (2008). The inside of a time out. Patient Safety Network. https://psnet.ahrq.gov/web-mm/inside-time-out
Wallace, S. C., Mamrol, C., Finley, E., & Wallace, S. C. (2017). Promote a culture of safety with good catch reports. Patient Safety Authority, 14(3). http://patientsafety.pa.gov/ADVISORIES/Pages/201709_goodcatch.aspx
- Participation: RN-to-BSNIn discussions, you, as a student, will interact with your instructor and classmates to explore topics related to the content of this course. You will be graded for the following.
Discussions (graded): Discussions are a critical learning experience in the online classroom. Participation in all discussions is required.
- Guidelines and Rubric for Discussions
PURPOSE: Threaded discussions are designed to promote dialogue between faculty and students, and students and their peers. In the discussions students:
- Demonstrate understanding of concepts for the week
- Integrate scholarly resources
- Engage in meaningful dialogue with classmates
- Express opinions clearly and logically, in a professional manner
Participation Requirement: You are required to post a minimum of three (3) times in each graded discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. MT on Wednesday.
Participation points: It is expected that you will meet the minimum participation requirement described above. If not:
- You will receive a 10% point deduction in a thread if your response to the initial question is not posted by 11:59 p.m. MT on Wednesday
- You will also receive a 10% point deduction in a thread if you do not post at least three (3) times in each thread on at least two (2) separate days.
- Threaded Discussion Guiding Principles
The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.
- Participation Guidelines
You are required to post a minimum of three (3) times in each graded discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. MT on Wednesday. Discussions for each week close on Sunday at 11:59 p.m. Mountain Time (MT). To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. For courses with Week 8 graded discussions, the threads will close on Wednesday at 11:59 p.m. MT. All discussion requirements must be met by that deadline
- Grading Rubric