Healthcare Quality Management
complete test with 100% guaranteed
A+
Case Study
Mike is a nurse working in the newborn intensive care unit (NICU) in a large tertiary care medical
center. He has gone to the medication room to pick up a medication ordered for one of his
newborn patients. While in the medication room, he scans the bar code on the medication to
ensure this is the correct drug for his patient and also confirms that this medication matches the
ordered drug. He returns to the NICU and scans the bar code on the medication again, as well as
the bar code on the patient's identification band, confirming a match. The drug Mike needs to
administer to this patient is considered a high-risk medication. Per hospital policy, Mike must
have another nurse confirm the medication before administering it to his patient. As Mike is
preparing to ask another nurse to confirm this high-risk medication, the respiratory therapist
stops Mike to ask him a question about his patient. During this conversation, a code blue alert is
called; Mike and the respiratory therapist complete their conversation and Mike administers the
medication to his newborn patient.
What step in the medication administration process was missed?
Mike did not follow hospital policy, he did not get another nurse to confirm the medication
before he administered it to the patient.
Case Study
Mike is a nurse working in the newborn intensive care unit (NICU) in a large tertiary care medical
center. He has gone to the medication room to pick up a medication ordered for one of his
newborn patients. While in the medication room, he scans the bar code on the medication to
ensure this is the correct drug for his patient and also confirms that this medication matches the
ordered drug. He returns to the NICU and scans the bar code on the medication again, as well as
the bar code on the patient's identification band, confirming a match. The drug Mike needs to
administer to this patient is considered a high-risk medication. Per hospital policy, Mike must
have another nurse confirm the medication before administering it to his patient. As Mike is
,preparing to ask another nurse to confirm this high-risk medication, the respiratory therapist
stops Mike to ask him a question about his patient. During this conversation, a code blue alert is
called; Mike and the respiratory therapist complete their conversation and Mike administers the
medication to his newborn patient.
How could Mike have used the skill of mindfulness to increase his awareness of distraction?
The mindfulness skill would have helped Mike take moment by moment and be aware of what
he was doing, without acting during distraction.
Case Study
Mike is a nurse working in the newborn intensive care unit (NICU) in a large tertiary care medical
center. He has gone to the medication room to pick up a medication ordered for one of his
newborn patients. While in the medication room, he scans the bar code on the medication to
ensure this is the correct drug for his patient and also confirms that this medication matches the
ordered drug. He returns to the NICU and scans the bar code on the medication again, as well as
the bar code on the patient's identification band, confirming a match. The drug Mike needs to
administer to this patient is considered a high-risk medication. Per hospital policy, Mike must
have another nurse confirm the medication before administering it to his patient. As Mike is
preparing to ask another nurse to confirm this high-risk medication, the respiratory therapist
stops Mike to ask him a question about his patient. During this conversation, a code blue alert is
called; Mike and the respiratory therapist complete their conversation and Mike administers the
medication to his newborn patient.
How could a distraction-free zone policy and subsequent culture altered the circumstances
presented in the case?
If Mike was not distracted by the respiratory therapist he would have been able to continue is
task of finding another nurse to confirm the medication administration.
This section of a cause and effect diagram examines influences of the products, supplies, or
substances used in the patient care event:
Material
,In risk management terminology, an exposure to the chance of injury or financial loss and their
associated liability is __________.
Risk
True or false?
Occurrence reports are generally open to view by the plaintiff's attorney in a malpractice suit.
False
George was walking into the hospital on his way to visit his wife who had just delivered their first
child. His arms were loaded with flowers, balloons, and teddy bears for the baby. As George was
crossing the lobby, he slipped, dropped all of his items, and cried out in pain. Prior to George
entering the hospital, housekeeping had just mopped the lobby floor and failed to put out a "wet
floor" sign. George ended up in the emergency department with a fractured wrist. What is the
role of the risk manager in this scenario, and how should he or she respond?
The role of the Risk Manager is to act as the patient advocate for George. The patient advocate
remains neutral and helps solve the issue between the patient and organization. Solving the
issue right away prevents any legal issues later for the organization. The Risk Manager must also
report the incident to the legal department
A person who represents the rights and interests of another individual as though they were the
person's own is referred to as a patient __________.
Advocate
Explain how risk managers use their skills in patient advocacy to lessen the impact that
potentially compensable events can have on healthcare organizations.
The Risk Manager goes over the facts of the incident with the patient, then investigates how and
why the incident occurred. In this case, since housekeeping forgot to place a "wet floor" warning
sign, the risk manager has to accept the responsibility and offer an apology and might need to
negotiate composition to the patient.
A patient was taken into surgery at a local hospital for treatment of colon cancer. A large section
of the colon was removed during surgery, and the patient was taken to the medical floor after
, surgery. Within the first 24 hours post-op, the patient developed fever, chills, and abdominal
pain. An abdominal CT scan revealed the presence of a foreign body. This situation describes a
__________.
Sentinel event
Discuss the importance of patients' rights as they receive services at a healthcare facility. The
rights of patients are important, not only to maintain a trustworthy relationship between the
patient and the organization, but also because it is a federal mandate to treat patients ethically
and fairly.
Provide two examples of possible patient safety issues related to medication errors and adverse
drug events, and demonstrate how a healthcare organization could avoid these safety issues
with effective policies and procedures.
Patient safety issues related to medication error can be wrong patient, wrong administration
time, or wrong medication. And patient safety issues related to adverse drug events can be when
the patient has an unintended reaction to the medication.
To avoid medication error the "five rights" should be practiced at all times. The five rights are
right patient, right drug, right dose, right route, and right time.
To avoid the adverse effect patient issue the patient must be monitored after drug
administration.
A physician provided an order for a patient to receive Tylenol if his or her temperature was
">99.5 degrees F." Is this an acceptable medication order? Why or why not?
This is not an acceptable medication order because the use of the symbol ">" is on the official Do
Not Use list and can be misinterpreted as a "7" or can be confused with the less than sign. The
physician should write out "greater than" for the medication order to be appropriate.
A patent for a new drug gives its manufacturer an exclusive right to market the drug for a specific
period of time under what type of name?
Brand
complete test with 100% guaranteed
A+
Case Study
Mike is a nurse working in the newborn intensive care unit (NICU) in a large tertiary care medical
center. He has gone to the medication room to pick up a medication ordered for one of his
newborn patients. While in the medication room, he scans the bar code on the medication to
ensure this is the correct drug for his patient and also confirms that this medication matches the
ordered drug. He returns to the NICU and scans the bar code on the medication again, as well as
the bar code on the patient's identification band, confirming a match. The drug Mike needs to
administer to this patient is considered a high-risk medication. Per hospital policy, Mike must
have another nurse confirm the medication before administering it to his patient. As Mike is
preparing to ask another nurse to confirm this high-risk medication, the respiratory therapist
stops Mike to ask him a question about his patient. During this conversation, a code blue alert is
called; Mike and the respiratory therapist complete their conversation and Mike administers the
medication to his newborn patient.
What step in the medication administration process was missed?
Mike did not follow hospital policy, he did not get another nurse to confirm the medication
before he administered it to the patient.
Case Study
Mike is a nurse working in the newborn intensive care unit (NICU) in a large tertiary care medical
center. He has gone to the medication room to pick up a medication ordered for one of his
newborn patients. While in the medication room, he scans the bar code on the medication to
ensure this is the correct drug for his patient and also confirms that this medication matches the
ordered drug. He returns to the NICU and scans the bar code on the medication again, as well as
the bar code on the patient's identification band, confirming a match. The drug Mike needs to
administer to this patient is considered a high-risk medication. Per hospital policy, Mike must
have another nurse confirm the medication before administering it to his patient. As Mike is
,preparing to ask another nurse to confirm this high-risk medication, the respiratory therapist
stops Mike to ask him a question about his patient. During this conversation, a code blue alert is
called; Mike and the respiratory therapist complete their conversation and Mike administers the
medication to his newborn patient.
How could Mike have used the skill of mindfulness to increase his awareness of distraction?
The mindfulness skill would have helped Mike take moment by moment and be aware of what
he was doing, without acting during distraction.
Case Study
Mike is a nurse working in the newborn intensive care unit (NICU) in a large tertiary care medical
center. He has gone to the medication room to pick up a medication ordered for one of his
newborn patients. While in the medication room, he scans the bar code on the medication to
ensure this is the correct drug for his patient and also confirms that this medication matches the
ordered drug. He returns to the NICU and scans the bar code on the medication again, as well as
the bar code on the patient's identification band, confirming a match. The drug Mike needs to
administer to this patient is considered a high-risk medication. Per hospital policy, Mike must
have another nurse confirm the medication before administering it to his patient. As Mike is
preparing to ask another nurse to confirm this high-risk medication, the respiratory therapist
stops Mike to ask him a question about his patient. During this conversation, a code blue alert is
called; Mike and the respiratory therapist complete their conversation and Mike administers the
medication to his newborn patient.
How could a distraction-free zone policy and subsequent culture altered the circumstances
presented in the case?
If Mike was not distracted by the respiratory therapist he would have been able to continue is
task of finding another nurse to confirm the medication administration.
This section of a cause and effect diagram examines influences of the products, supplies, or
substances used in the patient care event:
Material
,In risk management terminology, an exposure to the chance of injury or financial loss and their
associated liability is __________.
Risk
True or false?
Occurrence reports are generally open to view by the plaintiff's attorney in a malpractice suit.
False
George was walking into the hospital on his way to visit his wife who had just delivered their first
child. His arms were loaded with flowers, balloons, and teddy bears for the baby. As George was
crossing the lobby, he slipped, dropped all of his items, and cried out in pain. Prior to George
entering the hospital, housekeeping had just mopped the lobby floor and failed to put out a "wet
floor" sign. George ended up in the emergency department with a fractured wrist. What is the
role of the risk manager in this scenario, and how should he or she respond?
The role of the Risk Manager is to act as the patient advocate for George. The patient advocate
remains neutral and helps solve the issue between the patient and organization. Solving the
issue right away prevents any legal issues later for the organization. The Risk Manager must also
report the incident to the legal department
A person who represents the rights and interests of another individual as though they were the
person's own is referred to as a patient __________.
Advocate
Explain how risk managers use their skills in patient advocacy to lessen the impact that
potentially compensable events can have on healthcare organizations.
The Risk Manager goes over the facts of the incident with the patient, then investigates how and
why the incident occurred. In this case, since housekeeping forgot to place a "wet floor" warning
sign, the risk manager has to accept the responsibility and offer an apology and might need to
negotiate composition to the patient.
A patient was taken into surgery at a local hospital for treatment of colon cancer. A large section
of the colon was removed during surgery, and the patient was taken to the medical floor after
, surgery. Within the first 24 hours post-op, the patient developed fever, chills, and abdominal
pain. An abdominal CT scan revealed the presence of a foreign body. This situation describes a
__________.
Sentinel event
Discuss the importance of patients' rights as they receive services at a healthcare facility. The
rights of patients are important, not only to maintain a trustworthy relationship between the
patient and the organization, but also because it is a federal mandate to treat patients ethically
and fairly.
Provide two examples of possible patient safety issues related to medication errors and adverse
drug events, and demonstrate how a healthcare organization could avoid these safety issues
with effective policies and procedures.
Patient safety issues related to medication error can be wrong patient, wrong administration
time, or wrong medication. And patient safety issues related to adverse drug events can be when
the patient has an unintended reaction to the medication.
To avoid medication error the "five rights" should be practiced at all times. The five rights are
right patient, right drug, right dose, right route, and right time.
To avoid the adverse effect patient issue the patient must be monitored after drug
administration.
A physician provided an order for a patient to receive Tylenol if his or her temperature was
">99.5 degrees F." Is this an acceptable medication order? Why or why not?
This is not an acceptable medication order because the use of the symbol ">" is on the official Do
Not Use list and can be misinterpreted as a "7" or can be confused with the less than sign. The
physician should write out "greater than" for the medication order to be appropriate.
A patent for a new drug gives its manufacturer an exclusive right to market the drug for a specific
period of time under what type of name?
Brand
