Which of the following statements about apologizing after a medical error is always true: quizlet

When an error occurs, which of the following is generally the proper order of prioritization?
(A) Communicate with the patient, report to all appropriate parties, check the medical record, care for the patient.
(B) Report to all appropriate parties, check the medical record, care for the patient, communicate with the patient.
(C) Care for the patient, communicate with the patient, report to all appropriate parties, check the medical record.
(D) Check the medical record, care for the patient, communicate with the patient, report to all appropriate parties.

Care for the patient, communicate with the patient, report to all appropriate parties, check the medical record.
The first priority is to address the current health care needs of the patient. After caring for the patient's immediate clinical needs, start preparing for the initial communication session with the patient and/or the patient's representative. Various people, departments, entities, or agencies may need to be notified that there has been an adverse event, so once the immediate patient needs are addressed, you'll want to make sure the proper parties are informed. The last concern is making sure the medical record contains a complete, accurate record of the clinical information pertaining to the unanticipated adverse outcome.

A ten-year-old is admitted to the emergency room with new symptoms of abdominal pain and vomiting for four hours. He has elevated glucose (450 mg/dl), and his urine has ketones, indicative of severe diabetes. He is given fluids and admitted to the intensive care unit, where a second glucose remains very elevated at 260. In the early hours of the morning, when the nurse finds him unresponsive, she calls an emergency code. The cardiac arrest team arrives, begins resuscitation, and obtains a glucose of 560, which is sky-high. The boy is finally treated with IV insulin and recovers with appropriate treatment.

1. After this event, the provider says to you: "We looked into it, and there's no reason for you to be upset. He's fine. The good thing is that we treated him quickly. Our physicians did a great job in the emergency room, and thank goodness the code team was able to get him out of the serious condition he was in once he was in the intensive care unit. You're in good hands."
If you were the patient's parent, how would this statement make you feel?
(A) The provider empathizes with how awful the situation is.
(B) The provider is minimizing your feelings.
(C) The provider is minimizing the impact of the disease on the patient.
(D) The provider is self-aggrandizing.

I want to apologize for not treating your son effectively or quickly in a way that would have allowed us to avoid the awful experience that he had during his first night here. We should have started him on insulin as soon as we made the diagnosis, either in the emergency room or in the intensive care unit, and instead we didn't do that. When I've talked to our staff, I think that what we now understand is that while we have many adults who come into the emergency room with new diabetes, we don't have a lot of kids, and so the adults we treat pretty quickly and pretty aggressively. With children, and with your son, the staff just acted much more timidly and were a little bit less sure than we certainly would like them to be. I apologize and we apologize.

Going forward, what we've discussed is we've set up a group to look at the treatment of children. What we have planned is that when kids come in, we will immediately call the senior staff who know how to treat children properly. I know that this isn't going to help your family, but I hope that this is going to make a difference for kids in the future.

What's important from my standpoint now is making sure that we take the best care of your son moving forward, and that you know we'll be available to you to answer any of your questions and to make sure that things unfold smoothly from this point onward.

If you were the patient's parents, what would you hear "between the lines" of this conversation?
(A) The provider is showing empathy right away.
(B) The provider is acknowledging his fallibility.
(C) The provider is minimizing your feelings.
(D) The provider has identified actions to prevent recurrence of the mistake.

When an error occurs, which of the following is generally the proper order of prioritization?
(A) Communicate with the patient, report to all appropriate parties, check the medical record, care for the patient.
(B) Report to all appropriate parties, check the medical record, care for the patient, communicate with the patient.
(C) Care for the patient, communicate with the patient, report to all appropriate parties, check the medical record.
(D) Check the medical record, care for the patient, communicate with the patient, report to all appropriate parties.

Care for the patient, communicate with the patient, report to all appropriate parties, check the medical record.
The first priority is to address the current health care needs of the patient. After caring for the patient's immediate clinical needs, start preparing for the initial communication session with the patient and/or the patient's representative. Various people, departments, entities, or agencies may need to be notified that there has been an adverse event, so once the immediate patient needs are addressed, you'll want to make sure the proper parties are informed. The last concern is making sure the medical record contains a complete, accurate record of the clinical information pertaining to the unanticipated adverse outcome.

Janice is a nurse on the orthopedics unit. This night, she is caring for five patients, as well as a new admission from the emergency department. While juggling patient care, she calls the on-call resident (house officer) about Mrs. Bernardo, who is in significant pain from a fractured hip. Janice hastily writes down the morphine order from the resident and is then called away when another patient falls out of bed. An hour later, she realizes, to her dismay, that she has not yet given Mrs. Bernardo her pain medication. When she rushes into the room, the patient is crying and asking, "Why won't someone help me?" Janice quickly administers the morphine.
When discussing the event with Mrs. Bernardo, the most appropriate initial comment would be:
(A) "How is your pain?"
(B) "Although it took an hour to get the pain medication, we remain committed to making sure you receive excellent care."
(C) "I apologize for the delay in your morphine."
(D) "Pain medication can be very tricky, so we are always careful not to give too much, too quickly. Sometimes that means that it takes a while to get your pain under control."

The caregivers involved in the error
The term "second victim," coined by Dr. Albert Wu, highlights the devastation that caregivers can suffer when they are involved in a medical error, as well as their need for support from colleagues and their institution. After an adverse event, the caregivers involved may feel upset, guilty, self-critical, depressed, and scared. In addition, their job satisfaction, ability to sleep, relationships with colleagues, and self-worth can be negatively affected.

As the Health Unit Coordinator (HUC), it is your job to enter orders from providers into the computer system. Direct provider order entry is planned for your hospital next year when the electronic health record is implemented. You check charts every couple of hours for new orders, unless the providers "flag" the chart by turning a dial on its side to red — in which case, you check the chart right away. On a particularly busy day, you see a chart tucked in a corner and realize that you have not looked at it in at least six hours. Worse, you check the order dial and see that it's partly red. On the order sheet are orders for "STAT" pain medications and antibiotics for a new patient. You quickly input the orders, your heart pounding. Three hours later, the patient is transferred to the intensive care unit with worsening sepsis (infection).
When your supervisor informs you about what happened, you go numb thinking about those six hours and the cost to the patient. What should ideally happen?
(A) She should speak calmly with you about what happened and how you're feeling about it.
(B) She should remind you that these errors happen to everyone and they're no big deal.
(C) She should encourage you to stay busy at work, to help you move past the incident.
(D) She should suspend you immediately, so that you have a couple of weeks to process what happened and learn from your mistake.

Prathibha, a 29-year-old woman, is recovering from same-day knee surgery. While in the post-anesthesia care unit (PACU), she unexpectedly goes into acute respiratory failure and requires intubation. Because she is a young, healthy woman with no medical problems and this was a very unexpected outcome, the charge nurse convenes a team to conduct a root cause analysis.
As the RCA for this case begins, the team struggles with identification of the root causes of the outcome. They consider the patient's characteristics as well as the work environment. According to Charles Vincent, what other areas should they consider?
(A) Team factors, institutional context, and organizational factors
(B) Budget, human nature, and organizational factors
(C) Team factors, human nature, and PDSA cycles
(D) Psychology, PDSA cycles, and management factors

Which of the following is true regarding communication about adverse events with patients quizlet?

When an error occurs which of the following is generally the proper order?

Why is it important to communicate with the patient about this event quizlet?

Who of the following people might be appropriate to include in an initial conversation with a patient about a medical error in their care ?\?