HCA375 Continuous Quality Monitoring and Accreditation

Adverse Event Reporting for a Medication Error
Joseph Giello
HCA375– Continuous Quality Monitoring and Accreditation
Professor Vicki Schaefer
15-FEB-2018

HCA375 - WEEK 4 ASSIGNMENT
PART 1 – DETAIL OF THE ADVERSE EVENT CHOSEN
Refer to the instructions in the Week 4 Assignment of your online course to understand what is expected in each row. This completed template should be between six to seven pages in length. Include APA citations within the description row where appropriate. List your references in APA format according to the  HYPERLINK "https://awc.ashford.edu/Index.html"
Ashford Writing Center guidelines on the last page of this template.
CONTENTDESCRIPTIONADVERSE EVENT The adverse event that occurred was on a medication error that occurred in a hospital. There was miscommunication between the health professionals dealing with patients and this led to a terrible accident that left the patient harmed for the rest of his life. This happened in a local health facility where doctors work in shits. The doctor that was scheduled for the night shift was not aware about the changes in beds that occurred during the day. As he was executing his duties, he decided to inject one of the patient that he thought need an injection. He wasn’t aware that he was injecting the wrong person. This was a decision made wrong and the patient who was injected wrongly ended up being paralyzed for the rest of his life. The doctor played a role in the accident since he made a mistake of not enquiring about the patient from the other doctors.
HISTORICAL BACKGROUNDEvents like this have previously occurred in other institutions as well. In most cases, the hospital management has to provide answers as to why such mistakes do happen. It is known that there is no room for mistake in this industry and everything has to be done in a perfect way. However, this is usually followed by compensation to the affected family and full medication for the individual for the rest of his life.
LEGAL & ACCREDITING AGENCY REQUIREMENTSSome of the legal procedures that are followed in an event like this include; conducting a thorough investigation on the matter in order to establish the real cause of the accident. This will help determine if the mistake was conducted out of negligence. After, the affected patient is compensated in line with the damage that has been caused to his health condition.
CQI TEAM COMMUNICATIONSome of the team members that play an important role, especially during the investigation in the causes of the matter. In this case, the director of the hospital is responsible to aid investigating the matter. Some of the issues that could probably arise in the event of realizing the problem is misunderstanding on the way forward, especially when proposing some of the appropriate measures that the organization should adopt. For example, the director might suggest that there is a need for doctors to face penalties for such mistakes while on the other hand doctors may gang up and come up with another suggestion that will favor them.OPERATIONAL OR SAFETY PROCESSES Some of the safety means that I would recommend is to develop a data system for every patient that will be installed on computer ...