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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Types of Errors: Detection and Minimization01:12

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Error is the deviation of the obtained result from the true, expected value or the estimated central value. Errors are expressed in absolute or relative terms.
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Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
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Computerization can create safety hazards: a bar-coding near miss.

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Hospital bar-coding systems aim to reduce patient identification errors. However, a near miss occurred when a diabetic patient

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Area of Science:

  • Health Informatics
  • Patient Safety
  • Medical Error Prevention

Background:

  • Hospitals are increasingly adopting bar-coding systems for patient identification to enhance safety.
  • These systems aim to minimize errors in patient identification and associated medical interventions.

Observation:

  • A case involved a diabetic patient mistakenly assigned another patient's bar-coded identification wristband.
  • A severe hyperglycemia result for the diabetic patient was entered into the incorrect electronic medical record.
  • The other patient nearly received a fatal insulin dose due to the erroneous data.

Findings:

  • Computerized systems, while intended to improve safety, can introduce novel error types.
  • Inadequate cross-check processes and a weak safety culture can exacerbate risks associated with these systems.
  • Computer systems may inadvertently reduce human vigilance, a critical safety safeguard.

Implications:

  • Further research is needed to understand the real-world benefits and harms of computerized systems in healthcare.
  • Healthcare administrators and providers must proactively identify and mitigate potential harms from these technologies.
  • Well-designed implementation strategies and a robust safety culture are crucial for safe adoption of health IT.