BRIEF HISTORY: This 40-year-old Latin female was admitted for low back and right lower extremity symptoms. She had been suffering from intermittent low back pain dating back to an MVA several years ago. In December of last year she started a job where she was doing a lot of heavy lifting. Shortly after that she began experiencing pain in her back and right leg. CT scan was done that showed questionable disk bulging. This was followed by a myelogram that showed no definite defect. However, repeat CT showed marked compression at the L4-5 level. Some ligamentum flavum prominence and low-grade disk bulging. On May 27, the patient underwent a lumbar diskectomy at L5-S1 on the right side and a disk herniation was identified at the time of surgery. Postoperatively the patient had resolution of her low back pain and right leg symptoms and was doing reasonably well at the time of discharge. She remained afebrile throughout her hospital course. Her incision was healing nicely and she was ambulating without difficulty.…
Patient presented to the emergency room, complaining of vaginal bleeding with pain in the lower pelvic area. Ultrasound preformed in the emergency room showed a 13.8 cm left adnexal mass with positive cardiac activity, Compatible with ectopic pregnancy.…
The term constructive discharge is by definition when an employee feels they are forced to resign their job because the employer has made working conditions unbearable (Doyle,2013). In the circumstance presented, the employee felt compelled to resign because the work schedule was changed and would require him to work on his religious holy day. The business changed the production team schedule to accommodate growth and expansion, changing the schedule from 8:00am-5:00pm, Monday thru Friday, to four twelve hour shifts. The employees would rotate four days on and four…
the client and his counselor met for his 1x1 session to discuss the six components of his treatment plan and to dress any issues with client reaching his treatment goals. The client at this time has been in compliance with this treatment goals. (legal)The client is working towards getting his license back, being a support to his mother while she goes to court to custody of his daughter. The client reported that he will seek custody of his daughter in future when he is stable enough to take care of her. Client reported that he still has plans on going to sober living . The client at this time appears to serious about getting clean and sober. The counselor will meet with client next week to complete his discharge planning…
Medication errors can be a result of long work shifts, inexperience staff, medical services such as an interpreter, multiple medications for a single patient, environmental factors, fatigue in doctors and nurses, dosage requirements, poor communication, distribution system error, improper drug storage, miscalculations or measurements, confusing labels or packaging of medications, poor handwriting, verbal commands, lack of authority in policies and procedures, poor overseers.…
In reference to the pending lawsuit against our company, I have done some research and compiled some information that may help us in evaluating the best course of action in dealing with this problem. “Constructive discharge is generally when working conditions are so intolerable as to amount to a firing, despite a lack of a formal termination notice.” ("Constructive discharge law," 2012). the former employee is using this idea for her decision to leave our company as equivalent to being unfairly fired. She alleges the requirement to work on the “Holy Day” put her in positions that left her choice to quit. For her to access constructive discharge a number of different items must hold true.…
DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female, gravida 3, para 1-0-2-1, had her last menstrual period in early January. Prior menstrual cycles had been regular. She reported using no contraception but not attempting pregnancy. Patient presented to the emergency room complaining of vaginal bleeding with pain in the lower pelvic area. Ultrasound performed in the emergency room showed a 13.8 cm left adnexal mass with positive cardiac activity compatible with ectopic pregnancy. HOSPITAL COURSE: On March 27 the patient underwent exploratory laparotomy, left partial salpingectomy, evacuation of hemoperitoneum, and lysis of adhesions. Blood loss was approximately 1000 mL and was replaced with transfusion of 2 units of red blood cells. Her blood type was noted to be O, Rh-negative, and RhoGAM was provided. (Continued)…
According to the Agency for Healthcare Research and Quality, adverse drug events account for over 770,000 patient injuries or deaths each year. ADEs account for an increase of 8-12 hospital days per patient at a cost increase of $16,000 to $24,000 over other admissions/ diagnoses. This leads to an average national cost to hospitals of between 1.56- 5.96 billion per year. Furthermore, as much as 30% of adverse drug reactions are due to preventable medication errors such as missed dose, wrong technique, duplicate dosing, and preparation errors. Going further, the AHRQ states that between 42-60 % of medication errors are due to excessive dosing for patient weight, age, renal function, and underlying medical condition (AHRQ 2001).…
These were voluntary reports, so the number of medication errors that actually occur is thought to be much higher. There is no "typical" medication error, and health professionals, patients’, and their families are all involved. Some examples are:…
The cost of medication error/issues carries a very high financial cost. The numbers in medication errors are equally disturbing whether its 380,000 or 450,000 people that have been victim to medication error. The medication errors are undoubtedly costly to those such as…
As health professionals we are responsible for the welfare and safety of our patients is our duty to provide services where their recovery is guaranteed in the shortest time possible. “Caring about mistakes and failures is an important part of improvement” (Austin, 2016, p.18). When administering medications we put into practice our knowledge and follow the correct and meet with the national goal number one according to JC is the correct identification of the patient to avoid mistakes. “The Joint Commission is an independent, not-for-profit organization that accredits more than 20,000 health-care organizations and programs in the United States has historically had a tremendous impact on planning for quality control in acute-care hospitals”…
The most useful data for correcting errors in this prescription process is data that outlines where the majority of the errors occur. There are a wide variety of possibilities and errors that can occur in the prescription process, therefore having data that helps to pinpoint where most issues occur would be very helpful. Once it is understood where the majority of the errors occur, analysis can be done and solutions can be analyzed to fix the problem area(s). As seen on the Medication Errors – Error Reporting pie chart, a vast majority of medication errors can be traced to either administration or prescribing of the medication (Griffith). This means when process improving to reduce prescription errors, these two areas should be the initial…
Failure to safely and appropriately discharge patients from the hospital is placing patients at risk, not to mention the increase costs to hospitals, providers, and insurers. Many acknowledge that the hospital discharge is non-standardized, unsystematic, and fragmented process (Anthony, Chetty, Kartha, McKenna, DePaoli, & Jack, 2005; Minott, 2008). Furthermore, the inefficiencies in the discharge planning process have also shown to have life-threatening implications, especially in association with Adverse Drug Events (ADEs) (Forster, Murff, Peterson, et al., 2003). It has also been recognized that ADEs are also a result of medication non adherence (----) and medication non adherence may be correlated to a harried discharge process…
Mediation reconciliation is imperative during different points of care to ensure that preventable medication errors are caught such as; medications can be accidentally listed multiple times or not at all, some drugs can be listed that patients never have taken before or their medical practitioner never prescribed, medications can also have the wrong dose, route, frequency and time. In some cases they may not be appropriate for the patient due to drug allergies, or drug interactions, or they are irrelevant to the patient's current medical…
A medication error is any avoidable event that may cause or lead to untimely medication use or patient harm; however, while the medication is still in control of the health care administer (Brock, 2006). 80 percent of the most severe medical errors can be interrelated communication between clinicians, primarily in handoffs. For example, a handoff is a medical error if information regarding an essential diagnostic test is not communicated carefully and properly between providers at shift change (Starme, 2015). However, the end result could be a detrimentally harmful delay in patient care.…