Medical Error Form
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DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Browse Titles Limits Advanced Help NCBI Bookshelf. A service of the medication error reporting procedure National Library of Medicine, National Institutes of Health.Hughes RG, editor. reporting medication errors in nursing Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research disclosure of medical errors to patients and Quality (US); 2008 Apr. Patient Safety and Quality: An Evidence-Based Handbook for Nurses.Show detailsHughes RG, editor.Rockville (MD): Agency for Healthcare Research and Quality (US); medical error reporting system 2008 Apr.ContentsSearch term < PrevNext > Chapter 35Error Reporting and DisclosureZane Robinson Wolf; Ronda G. Hughes.Author InformationZane Robinson Wolf;1 Ronda G. Hughes.21 Zane Robinson Wolf, Ph.D., R.N., F.A.A.N., dean and professor, La Salle University School of Nursing and Health Sciences. E-mail: ude.ellasal@flow2 Ronda G. Hughes, Ph.D., M.H.S., R.N., senior health scientist
Medication Error Reporting Form
administrator, Agency for Healthcare Research and Quality. E-mail: vog.shh.qrha@sehguH.adnoRBackgroundThis chapter examines reporting of health care errors (e.g., verbal, written, or other form of communication and/or recording of near miss and patient safety events that generally involves some form of reporting system) and these events’ disclosure (e.g., communication of errors to patients and their families), including the ethical aspects of error-reporting mechanisms. The potential benefits of intrainstitutional and Web-based databases might assist nurses and other providers to prevent similar hazards and improve patient safety. Clinicians’ fears of lawsuits and their self-perceptions of incompetence could be dispelled by organizational cultures emphasizing safety rather than blame. This chapter focuses on the assertion that reporting errors that result in patient harm as well as seemingly trivial errors and near misses has the potential to strengthen processes of care and improve the quality of care afforded patients.Reporting ErrorsReporting errors is fundamental to error preven
FindingTeachable Moments • Preview of Toolbox Features Yet to Come Core Teaching Skills • Overview of Skill-Based Teaching • Goal Setting • Giving Feedback • Using the Group
Actions To Take In The Event Of A Medication Error
• Addressing Emotion • Common Teaching Challenges(& Tips for Recovering from Them) medication error what to do after Unique Teaching Issues with Special Topics • DNR Orders Medical Errors Resources for Teaching • Annotated Bibliography • near miss error Domains for Small Group Teaching RATIONALE: Since the 1999 Institute of Medicine report "To Err is Human," a resurgence of interest has occurred in reducing medical errors and improving https://www.ncbi.nlm.nih.gov/books/NBK2652/ the quality of healthcare. Yet despite our best efforts, harmful medical errors will continue to occur. The issue of whether and how to disclose harmful medical errors to patients requires that physicians integrate their understanding of bioethics, doctor-patient communication, quality of care, and team-based care delivery. Despite a long-standing general consensus among ethicists that harmful errors should be disclosed to patients, https://depts.washington.edu/toolbox/errors.html evidence exists that at present such disclosure is uncommon. The issue of whether and how to disclose medical errors represents an ideal opportunity for educators to explore the interface between ethics and communication with their learners. PITFALLS: Many physicians worry that disclosing errors to patients will precipitate lawsuits. Despite strong evidence that patients are more likely to sue physicians when communication breaks down, fear of malpractice suits will be a significant barrier for open discussion about errors with patients. Physicians can get mixed messages from risk managers and hospital administrators who explicitly say physicians should not apologize to patients as an apology is an admission of fault. How to handle apologies effectively is a key issue for error disclosure. SUGGESTED PROCEDURE: Patient Safety Basics. The emerging patient safety movement provides an important backdrop for discussions regarding error disclosure. Previously, it was assumed that most medical errors were due to providers who were either incompetent or lazy. Using this "bad apple" framework, one would improve the quality of healthcare by seeking out the bad apples and removing them from the barrel,
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