• 4/20/10: Pablo Garcia was given the prednisone ordered for Maria Garcia. The medication dose did not result in any change in symptoms for Pablo Garcia.
Medical Error • 4/30/10. Blaine Presuss was given a Demerol Shot for pain that was intended for Joshua Jenquin. Preuss was heavily sedated and minimally responsive for several hours • 5/10/10: Maximum dose of heparin was given 3 times in one day. The order was written to titrate the dose based on patient lab levels. • 5/12/10: Blood was ordered for Alaine Johnson, but administered to Yasmin Johnson.
The Response To The Medical Error To Reduce Liability • HIPAA Breach Notification Rule – Notification to the following within 60 days of breach: • Individuals affected • Media • Department of Health and Human Services • Address the causes of the Breach by conducting an assessment • Determine steps to ensure this type of breach never occurs again
Joint Commission Concerns • National Patient Safety Goals – Set of Standards To Help Prevent Medical Errors • Miscommunication Between Caregivers • Not Using Equipment Properly • Medication Errors
Quality Improvement Strategy To Reduce Medical Error • Medication Errors • Amend Policy’s and Procedures to ensure Double verification of Medication in pharmacy. • Barcode scanning process for medications to ensure the correct patient is receiving the correct dose. • Require provider verification before Medication is disburse from pharmacy. • Pharmacy review for appropriateness of ordered medications.
Quality Improvement Strategy To Reduce Medical Error Cont.
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- Fall '14
- Health Insurance Portability and Accountability Act, medical error, Hospital accreditation, Patient safety, HIPAA Breach Notification