![]() He then entered the patient’s name, Franklin Hope, and a profile appeared on the screen. However, the number was poorly visible on the order form imprint, and the profile could not be located. To enter an order for a patient named Franklin Hope, a pharmacist tried to access the profile using the patient’s identification number. The error was captured before reaching the wrong patient.ĭata entry errors. The incorrect label was affixed to the order form. ![]() The unit secretary located labels for the correct patient but accidentally removed a label from another patient’s supplies that were right behind the correct labels. The labels for all active patients were kept together in a single file folder. The physician wrote several orders on a blank order form and asked the unit secretary to add a patient label. When a consulting physician arrived on a unit to follow up with a known patient, he learned that the patient and chart were both in radiology. A rapid response team was called and naloxone was administered. The wrong patient, who was already receiving fentanyl, was given the morphine, which caused significant respiratory depression. The order was faxed to the pharmacy and entered as an active order on the wrong patient’s electronic medication administration record (eMAR). A nurse accepted a telephone order for morphine 2 mg IV but transcribed the order onto the wrong patient’s record. Fictitious names are provided when necessary to convey the basis of the error. Examples of hazards, near misses, and actual “wrong patient” errors follow. However, “wrong patient” medication errors can occur for a variety of reasons at any point in the patient encounter or during any phase of the medication-use process. In any case, one fundamental cause of these errors is a flawed or absent patient identification process. 1 Or the process of verifying the patient’s identity was interrupted by a visitor asking a question, and the nurse simply forgot to complete the verification process. Maybe the nurse had verified the patient’s identity during initial drug administration but failed to check it again during subsequent administrations that day. Perhaps the patient had switched hospital beds with his roommate to be closer to the window, or he was sitting on the edge of his roommate’s empty bed. P roblem: When you think of “wrong patient” medication errors in inpatient settings, the most common scenario that comes to mind is a nurse walking into a patient’s room and administering medications intended for one patient to another patient-often a roommate. All-Star, to fans Actor Calhoun Actress Polo Airer of 'The Bachelor' and 'The Catch' Bags for guys Baseball's Musial Bedazzled Beginning, datewise Big rift Big source of omega-3 fatty acids Bongos, e.g Commercial success? Dakota tribe that attacked 'The Revenant' trappers Does some post-shooting film work Elvis's middle name Enthusiastic Excites Famed 'fiddler' Fashion's Klein Father of Phobos Fiver Flow out Get fouled up, idiomatically Greek peak, briefly Has the stage Heading on a poster with a picture of a dog Home of King Minos Hubbubs Intrinsically Investments with fixed rates, for short Irks Item under a blouse Keep going in Yahtzee Knocks Lab medium Like skim milk Lived like a single guy Locale of both the 20 Olympics Looks to be Manual reader North Africa's _ Mountains Old school On the down-low One of 22 for U2 One-named singer with the 2016 #1 hit 'Cheap Thrills' PC start-overs Philosopher Fromm Physics Nobelist Bohr Pilot Poker advice for Sajak? Reason for a school closing Regarding Schedule at the Met See 41-Across Series of courses? Shipments to smelteries Snicker sound Some hard drinks Sprouted Stonehenge priest Sushi fish Takes to the station house The 'E' of Q.E.D The 'her' in the lyric 'I met her in a club down in old Soho' The 'O' of NATO: Abbr The Eternal City Tiki bar drink Top Trappist, maybe Try some Valentine's Day candy, sneakily? Try some Valentine's Day candy? Unwanted email When to expect someone, for short With 44-Across, Valentine's Day gift. ![]() ' 'Oops, sorry!' 'Yes, that's my opinion' 100 centavos 14-time M.L.B. More answers for Febru'Buenos días!' 'Encore!' 'Hmm.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |