International Journal of Human Rights in Healthcare Assignment
This order is for 2 assignments – the first is a discussion post of 1 page/250 words that answers the following
Question 3: What were you thinking as you watched the scenario?
This post will require 2 references. The scenario was a video of a nurse administering medications and the patient had an allergic reaction. What I was thinking was this was a train wreck waiting to happen as soon as the nurse was in the med room and said she had to administer medications to 12 patients. A medication administration error was inevitable. During the video the nurse was also distracted by a physician requesting her presence to answer questions, the charge nurse could have taken that for her. Her lack of infection control evidenced by not changing her gloves after picking things up from the floor was such a risk, as well as not cleaning the hub before she connected the medication. Medication rights are required for reasons just such as this and she didn’t use any of the five rights. She’s fortunate the patient only experienced itching as a reaction. International Journal of Human Rights in Healthcare Assignment
You can tweak that however you need to.
The second assignment is a reply (1 page/250 words) to the following discussion post, with 2 references also.
Question 2: How can the scenario affect patient satisfaction?
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I can see how this would decrease patient and family satisfaction. Medical mistakes are a primary cause of death in the United States and a critical public health concern (Rodziewicz et al., 2022). It is good that the nurse explained to the patient that she was given the wrong medication and why it might have happened. Communication between a health care provider and a patient, family members, or a patient’s proxy that acknowledges the occurrence of an error, discusses what happened, and describes the link between the error and outcomes in a manner that is meaningful to the patient is what is known as medical error disclosure (Mansour et al., 2020). This does not mean the patient will be satisfied with the answer.
The patient was allergic to the medication, and something worse could have happened. This patient seems like she will be just fine physically. However, medication errors have the potential to alter patients’ lives completely, as well as the lives of their families, as well as the medical, emotional, psychological, social, and financial consequences (Ottosen et al., 2021). In the video, you can see how the granddaughter has asked more than once if her grandmother could have Benadryl. She had lost faith in the nurse. This one incidence would lower patient satisfaction down no matter what happened next. International Journal of Human Rights in Healthcare Assignment
References
Mansour, R., Ammar, K., Al-Tabba, A., Arawi, T., Mansour, A. & Al-Hussaini,M. (2020). Disclosure of medical errors: physicians’ knowledge, attitudes
and practices (KAP) in an oncology center. BMC Medical Ethics, 21(74). https://doi.org/10.1186/s12910-020-00513-2
Ottosen, M., Sedlock, E., Aigbe, A., Bell, S., Gallagher, T., & Thomas, E. (December 1, 2021) Long-term impacts faced by patients and families after
harmful healthcare events. Journal of Patient Safety, 17(8). https://DOI: 10.1097/pts.0000000000000451.
Rodziewicz,T., Houseman, B., & Hipskind, J. (December 4, 2022). Medical error reduction and prevetion. StatPearls Internet.
Discussion Post/Reply to Discussion
Discussion Post
Medication errors are preventable events that may lead to or cause inappropriate medication use or harm to the patient while the medication is in the control of the care provider, the patient, or the consumer. Medication errors compromise patient safety since they may adversely affect health. More so, medication errors also have consequences faced by the care provider involved, especially if negligence is involved. This discussion presents my thoughts on a case scenario involving medication errors and compromising patient safety. International Journal of Human Rights in Healthcare Assignment
In the case scenario, I identified that the nurse involved is overworked, and the heavy workload could be one of the major causes of the problems seen in the scenario, including medication errors and inadequate infection control. The nurse states that she is supposed to administer medications to 12 patients in the room, yet the physician is still engaging her with questions, despite the presence of the charge nurse, who would have helped answer the questions. The nurse needs to remember the five rights of medication use: the right patient, drug, time, dose, and route (Abedi et al., 2019). However, with the current workload, it is easy to overlook them and even cause other mistakes.
With a heavy workload, the nurse is also prone to stress and burnout, which may further affect her work efficiency and compromise patient safety. According to Garcia et al. (2019), stress and burnout in nurses negatively affect their work efficiency and jeopardize patient safety. Additionally, the issue of inadequate infection control is evident in the video. The nurse forgets to change her gloves after picking up things from the floor and does not clean the hub before connecting the medication, compromising patient safety. The series of events in the scenario will affect patient satisfaction.
In conclusion, the issue evident in the case is patient safety, seen through poor infection controls and failure to consider medications’ side effects. All these issues stem from a high workload. I think the best action the charge nurse should take is to advocate for more nurses in the unit to reduce the workload, promote patient safety, and enhance patient satisfaction.
References
Abedi, G., Mahmoodi, G., Malekzadeh, R., Khodaei, Z., Siraneh Belete, Y., & Hasanpoor, E. (2019). Impact of patients’ safety rights and medical errors on the patients’ security feeling: a cross-sectional study. International Journal of Human Rights in Healthcare, 12(3), 215-224. https://doi.org/10.1108/IJHRH-01-2019-0001 International Journal of Human Rights in Healthcare Assignment
Garcia, C. D. L., Abreu, L. C. D., Ramos, J. L. S., Castro, C. F. D. D., Smiderle, F. R. N., Santos, J. A. D., & Bezerra, I. M. P. (2019). Influence of burnout on patient safety: systematic review and meta-analysis. Medicine, 55(9), 553. https://doi.org/10.3390/medicina55090553
Reply to Discussion
Hello_. You have a great perspective on the effect of the case scenario on patient satisfaction. You have brought about the family satisfaction issue, broadening the perspective. I agree with you that issues of medication errors, despite affecting the patient impacts the family adversely as well. Family dissatisfaction may lead to a bad reputation for the institution, and many families lose trust and hope in the care providers and their ability to help their patients in their situations. International Journal of Human Rights in Healthcare Assignment
However, the care provider needs to facilitate a medical error disclosure as soon as the medical error is identified. According to Kim et al. (2022), medical error disclosures increase patient satisfaction since the patient and the family can understand that the occurrence of the medication error is not intentional, and the care provider acknowledges that they made a mistake. It is also essential to explain to the patient/family the outcomes of the medication error and how it might impact their health. You mentioned that a medication error disclosure should be brought forward of whether the patient will be satisfied with it.
However, I believe there is a way you can deliver the information to the patient/family and make them satisfied despite the impact of the error on the patient’s health. Ozeke et al. (2019) note that most care providers are unaware of medication error disclosures. Therefore, it is vital to train care providers on medication error disclosures and their importance in enhancing patient/family satisfaction in the occurrence of a medication error. I believe the training would also go a long way in helping prevent medication errors. International Journal of Human Rights in Healthcare Assignment
References
Kim, C., Park, K. H., & Eo, E. K. (2022). Education program on medical error disclosure for emergency medicine residents using standardized patients. Korean Journal Of Medical Education, 34(1), 1. https://doi.org/10.3946%2Fkjme.2022.215
Ozeke, O., Ozeke, V., Coskun, O., & Budakoglu, I. I. (2019). Second victims in health care: current perspectives. Advances in Medical Education and Practice, 593-603. International Journal of Human Rights in Healthcare Assignment
