which occurred at Nightingale Community Hospital and analyze all aspects of the event. This analysis includes a review of the personnel present‚ barriers to the personnel being able to adequately complete their job‚ and how future staff interactions may be improved. In addition‚ the analysis will review the selected quality improvement approach to be used during the completion of a root cause analysis of the event and what can be done by Nightingale Community Hospital to ensure the sentinel event
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Root Cause Analysis 1 Root Cause Analysis • Root Cause Analysis is a method that is used to address a problem or non-conformance‚ in order to get to the “root cause” of the problem. It is used so we can correct or eliminate the cause‚ and prevent the problem from recurring. • Traditional applications of Root Cause Analysis – Resolution of customer complaints and returns. – Disposition of non-conforming material (Scrap and Repair) via the Material Review process. – Corrective action plans
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in the United States from medication errors. It is the fourth leading cause of death in the United States. According to the National Counsel for medication error Reporting and prevention defines medication error as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medications in the control of the health professional‚ patient or consumers. Medication errors are surprising common and costly in all nation. Medications administration is a complex
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CIN: Computers‚ Informatics‚ Nursing & Vol. 32‚ No. 12‚ 589–595 & Copyright B 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins F E A T U R E A R T I C L E Impact of an Electronic Medication Administration Record on Medication Administration Efficiency and Errors JEFFERY MCCOMAS‚ MSN‚ RN‚ CNS MICHELLE RIINGEN‚ DNP‚ RN‚ CNS-BC SON CHAE KIM‚ PhD‚ RN Congress authorized an initiative in 2004 to create a national health information technology infrastructure to improve patient outcomes through
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an interesting study to read and examine. Medication errors are a significant problem‚ but not a problem that cannot be solved. There are precautions that can be taken to minimize the errors. The three specific areas the study focused on were prescription‚ transcription‚ and administration phase. Many errors occurred during all three phases‚ however‚ not all of the errors made it to the patients. Most of the errors that reached patients did not cause harm. Ethical considerations were used during
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Program Proposal: A seminar and workshop entitled “The danger of Medication error due to understaffed nurses.” BACKGROUND OF THE PROBLEM The nursing profession has traditionally accepted responsibility to assure that safe and accessible health care is available to the public at all times‚ including times when nurses are in short supply. The profession continues to accept such responsibility and also recognizes the need to identify strategies to promote the availability
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Medication administration errors‚ though preventable‚ are a common problem. “One-third of all medication errors that cause harm to patients arise during medication administration (Bates et al.‚ 1995). Many nurses identify interruptions as a key factor contributing medication administration errors (Tang‚ Sheu‚ Yu‚ Wei‚ and Chen‚ 2007; Fry & Dacey‚ 2007). To enhance patient safety‚ effects of interruptions during medication administration must be evaluated. The purpose of this study is to evaluate
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head: Preventing Medication Errors Preventing Medication Errors: Safe Medication Use is Achievable and Affordable Chareese W. Brown DePaul University HTHC 523-201: Winter 2012 January 17‚ 2012 Almost everyone will take prescription and non-prescription medication. It is estimated that 82% of United States (U.S.) adults will use prescription medicines‚ over-the-counter remedies‚ and/or dietary/herbal supplements. Nearly one-third will use five or more different medications (citation). Most
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Root Cause Analysis: A Framework for Tool Selection A. MARK DOGGETT‚ HUMBOLDT STATE UNIVERSITY © 2005‚ ASQ This article provides a framework for analyzing the performance of three popular root cause analysis tools: the cause-and-effect diagram‚ the interrelationship diagram‚ and the current reality tree. The literature confirmed that these tools have the capacity to find root causes with varying degrees of accuracy and quality. The literature‚ however‚ lacks a means for selecting the appropriate
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Medication errors According to The National Coordinating Council for Medication Error Reporting and Prevention (2015)‚ medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional‚ patient‚ or consumer. Medication can be harmless but with mistakes in prescribing‚ dispensing and administering medications‚ it can cause injury to all population groups while impacting our public
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