Symptoms
It is challenging to uncover a consistent cause of errors and, even if found, to provide a consistent viable solution that minimizes the chances of a recurrent event. By recognizing untoward events occur, learning from them, and working toward preventing them, patient safety can be improved.
Causes
Physiologic interventions to prevent fall-related injuries in acute care RCT Design:Double blind RCT Outcomes:Hip fractures Setting:Stroke unit at hospital in Japan Population:280 male poststroke patients ≥ 65 years Risedronate 2.5 mg or placebo
Prevention
Some experts hold that the term “error” is excessively negative, antagonistic and perpetuates a culture of blame. A professional whose confidence and morale has been damaged as a result of an error may work less effectively and may abandon a career in medicine. Many experts suggest the term “error” should not be used at all.
Complications
Traumatic Brain Injury. A traumatic brain injury (TBI) is defined as a blow to the head or a penetrating head injury that disrupts the normal function of the brain. TBI can result when the head suddenly and violently hits an object or when an object pierces the skull and enters brain tissue.
Why is it important to identify the cause of patient safety?
Can physiologic interventions prevent fall-related injuries in acute care?
Should the term “error” be used to describe errors in medicine?
What is considered a traumatic brain injury?
Which term would be used to identify an injury occurring to a client resulting from treatment?
Adverse Event Adverse events can include unintended injury, prolonged hospitalization, or physical disability that results from medical or surgical patient management.
When describing the issue of medical errors in health care which of the following would most likely be included?
Terms in this set (48) precautions are taken to avoid error in science, but they can still occur. When describing the issue of medical errors in health care, which of the following would most likely be included? Most medical errors are the result of organization, system, or process failures.
Which statement best reflects a basic belief of the National Patient Safety Foundation Npsf )?
Which statement best reflects a basic belief of the National Patient Safety Foundation (NPSF)? client safety is central to quality health care.
Which one of the following statements describes the interrelationship between the skeletal system and the reproductive system?
Which one of the following statements describes the interrelationship between the skeletal system and the reproductive system? The pelvic bones support the uterus and developing fetus during pregnancy.
Which occurrence is a medical error quizlet?
What is a Medical Mistake/Error? MEDICAL MISTAKE/ERROR: the failure of a planned action to be completed as intended (error of execution), or the use of a wrong plan to achieve an aim (error of planning).
What is considered a medical error?
A medical error is defined as the "failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim (1)." Most medical errors do not result in medical injury, although some do, and these are termed preventable adverse events.
What is the term for an event incident or condition that could have resulted in harm to a patient?
Sentinel events are one category of patient safety events. A patient safety event is an event, incident, or condition that could have resulted or did result in harm to a patient. A.
What is the difference between RCA and RCA2?
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Root cause analysis (RCA) is a process widely used by health professionals to learn how and why errors occurred, but there have been inconsistencies in the success of these initiatives.
When providing care or treatment to a patient which action improves the accuracy of patient identification?
The main goal of improving the accuracy of patient identification is broken into two sub-goals: using at least two patient identifiers when providing care, treatment and services, and eliminating transfusion errors related to patient misidentification.
Which of the following describes a connection between the skeletal system and the endocrine system quizlet?
Which of the following describes a connection between the skeletal system and the endocrine system? Growth hormone from the pituitary gland promotes bone growth.
What is musculoskeletal anatomy?
What is the musculoskeletal system? Your musculoskeletal system includes your bones, cartilage, ligaments, tendons and connective tissues. Your skeleton provides a framework for your muscles and other soft tissues. Together, they support your body's weight, maintain your posture and help you move.
Which of the following statements describes someone who is experiencing the awakening phase in the stages that lead to burnout?
Which of the following statements describes someone who is experiencing the awakening phase in the stages that lead to burnout? You lose your self-confidence and self-esteem. You arise from the burnout ashes, adjusting to reality.
What is a TBI?
A TBI affects how the brain works. A traumatic brain injury, or TBI, is an injury that affects how the brain works. It may be caused by a: Bump, blow, or jolt to the head, or. Penetrating injury (such as from a gunshot) to the head. There are three main types of TBI:
How long does a TBI last?
Depending on the severity of the injury, those who get a TBI may face health problems that last a few days or the rest of their lives. For example, a person with a mild TBI or concussion may experience short-term symptoms and feel better within a couple of weeks or months.
Why are TBIs missed in older adults?
11 Still, TBIs may be missed or misdiagnosed in older adults because symptoms of TBI overlap with other medical conditions that are common among older adults, such as dementia.
What are the most common ways to get a TBI?
Motor vehicle crashes and assaults are other common ways a person may get a TBI 11. For more detailed information on the leading ways people get TBIs and the groups of people most likely to get a TBI, check out CDC’s TBI data reports.
What causes TBI?
Research shows that: Falls lead to nearly half of the TBI-related hospitalizations 11. Firearm-related suicide is the most common cause of TBI-related deaths in the United States 5,12.
What are the signs of TBI?
Healthcare providers should check for signs and symptoms of TBI if an older adult has: Fallen or has a fall-related injury, such as a hip fracture. Been in a car crash. This is especially important among older adults who are taking blood thinners, 14 such as:
Who is most likely to die from a TBI?
4 Examples of groups who are more likely to be affected by TBI, include: Racial and ethnic minorities 5. Service members and Veterans 6. People who experience homelessness 7.
What is a TBI?
Traumatic Brain Injury (TBI) is a disruption in the normal function of the brain that can be caused by a blow, bump or jolt to the head, the head suddenly and violently hitting an object or when an object pierces the skull and enters brain tissue.
What is the term for the loss of the ability to express oneself and/or to understand language?
Aphasia – loss of the ability to express oneself and/or to understand language. Arachnoid – middle layer of membranes covering the brain and spinal cord. Ataxia – shaky and unsteady movements that result from the brain's failure to regulate the body's posture and the strength and direction of movements.
What is a subdural hematoma?
A subdural hematoma is a collection of blood between the dura mater and the arachnoid layer, which sits directly on the surface of the brain. Contusion: A cerebral contusion is bruising of brain tissue. When examined under a microscope, cerebral contusions are comparable to bruises in other parts of the body.
What percentage of traumatic deaths are head injuries?
Deaths from head injuries account for 34 percent of all traumatic deaths. Beginning at age 30, the mortality risk after head injury begins to increase. The leading causes of TBI-related deaths are due to motor vehicle crashes, suicides, and falls. The leading causes of non-fatal TBI in the US occur from falls (35%), ...
How do you know if you have a TBI?
Symptoms of a TBI can be mild, moderate, or severe, depending on the extent of damage to the brain. Mild cases may result in a brief change in mental state or consciousness. Severe cases may result in extended periods of unconsciousness, coma, or even death.
What is the stem of the brain?
Brain Stem – the stem-like part of the brain that connects to the spinal cord. Closed Head Injury – impact to the head from an outside force, without any skull fracture or displacement. Concussion – a disruption, usually temporary, of neurological function resulting from a head injury or violent shaking.
Where is a hematoma?
Hematoma: A hematoma is a blood clot within the brain or on its surface. Hematomas may occur anywhere within the brain. An epidural hematoma is a collection of blood between the dura mater (the protective covering of the brain) and the inside of the skull.
Which type of fracture is harder to detect with routine xrays?
Sometimes this type of fracture is harder to detect with routine xrays. Impacted fracture – when the bone is fractured, one fragment of bone goes into another. Intraarticular fracture – where the break extends into the surface of a joint. Longitudinal fracture – the break is along the length of the bone.
Which is more serious, a compound fracture or an open fracture?
On the other hand, one that damages surrounding skin and penetrates the skin is known as a compound fracture or an open fracture. Compound fractures are generally more serious than simple fractures, because, by definition, they are infected.
Why do fractures occur?
A significant percentage of bone fractures occur because of high force impact or stress. However, a fracture may also be the result of some medical conditions which weaken the bones, for example osteoporosis, some cancers, or osteogenesis imperfecta (also known as brittle bone diseases).
What is a crack in a bone called?
A crack (not only a break) in the bone is also known as a fracture. Fractures can occur in any bone in the body. There are several different ways in which a bone can fracture ; for example, a break to the bone that does not damage surrounding tissue or tear through the skin is known as a closed fracture .
What are some examples of fractures?
Examples include osteoporosis, infection, or a tumor. As mentioned earlier, this type of fracture is known as a pathological fracture. Stress fractures, which result from repeated stresses and strains, commonly found among professional sports people, are also common causes of fractures.
What is a longitudinal fracture?
Longitudinal fracture – the break is along the length of the bone. Oblique fracture – a fracture that is diagonal to a bone’s long axis. Pathological fracture – when an underlying disease or condition has already weakened the bone, resulting in a fracture (bone fracture caused by an underlying disease/condition that weakened the bone).
What is the purpose of an x-ray?
In general, the x-ray will accomplish one of these three goals: Examine any areas of pain or discomfort. Monitor the progression of a disease. Follow up on how a prescribed treatment was received. More specifically, an x-ray can be used to diagnose, treat or monitor each of the seven conditions listed below. 1.
What does an x-ray show?
An x-ray of a joint can reveal whether or not the joint is dislocated or damaged in another way. A dislocation injury leads to a loss of anatomical congruence of the bones at a joint, which can cause pain, swelling and immobility of the joint.
What is a follow up x-ray?
A follow-up x-ray can help assure that the bone has healed properly and the patient is not at risk of developing a different bone injury. 6. Bone Cancer. The majority of bone cancers appear on x-rays of the bone. To identify bone cancer, medical professionals look for a portion of ragged material instead of solid.
What is an x-ray?
Short for x-radiation, an x-ray is an imaging test that sends x-ray particles known as photons through the body to produce images captured on a computer or specialized film. Although x-ray is a familiar term, few people know how many types of injuries an x-ray can detect and their many uses within the medical realm.
What type of surgery requires x-rays?
An orthopedic surgeon may rely on x-ray technology to assist them when performing various types of surgery. Specifically, a spinal fusion , fracture treatment or joint replacement are common surgical procedures that call for x-rays.
What can an x-ray reveal?
The image produced by an x-ray can reveal items such as shrapnel, accidentally left behind surgical items and objects that were accidentally swallowed. Foreign objects or substances can get inside the body by being inhaled into the airway, swallowed, lodged in the stomach or throat or embedded in soft tissues.
Can an x-ray show a fracture?
On the other hand, an x-ray image could show that a suspected bone fracture is not broken at all.
What is it called when the nerves are stretched to the point of injury?
When the nerves are stretched to the point of injury, it is referred to as neuropraxia. There are two main ways this injury occurs: compression and traction. In a compression injury, the brachial plexus nerve root is compressed, usually by the rotation of the head.
What is the term for a bullet that tears through the nerves?
Gunshot wounds: a bullet tears through or close to the nerves. Medical trauma: a nerve is cut during a surgical procedure, or damaged by an injection or the positioning of the body during surgery. Cancer: a tumor invades the brachial plexus. Radiation therapy: radiation treatment in the area damages the nerves.
Which is more common, compression neuropraxia or tension neuropraxia?
Compression neuropraxia is the most common form and generally occurs in older people. Traction neuropraxia occurs when the nerve is pulled, usually downward. This injury is less common than compression neuropraxia, but is more common among adolescents and young adults.
What tests are used to determine nerve function?
Imaging tests, such as MRI or a CT scan, during which contrast dye may be injected to show the injury to the nerves of the brachial plexus. Tests that use needle electrodes to determine nerve function and electrical activity, including a nerve conduction study and electromyogram.
Overview
This chapter consists of three parts: (1) an overview of the basic screening and assessment approach that should be a part of any program for clients with co-occurring disorders (COD); (2) an outline of the 12 steps to an ideal assessment, including some instruments that can be used in assessing COD; and (3) a discussion of key considerations in treatment matching..
Screening and Basic Assessment for COD
This section provides an overview of the screening and assessment process for COD. In carrying out these processes, counselors should understand the limitations of their licensure or certification authority to diagnose or assess mental disorders.
The Assessment Process
This chapter is organized around 12 specific steps in the assessment process. Through these steps, the counselor seeks to accomplish the following aims:
What are the two types of errors in medical terminology?
A lack of standardized nomenclature and overlapping definitions of medical errors has hindered data analysis, synthesis, and evaluation. There are two major types of errors: Errors of omission occur as a result of actions not taken.
Why are medical errors important?
It is challenging to uncover a consistent cause of errors and, even if found, to provide a consistent viable solution that minimizes the chances of a recurrent event. By recognizing untoward events occur , learning from them, and working toward preventing them, patient safety can be improved. [1]
What are the psychological effects of being a health care professional?
Health care professionals experience profound psychological effects such as anger, guilt, inadequacy, depression, and suicide due to real or perceived errors. The threat of impending legal action may compound these feelings. This can also lead to a loss of clinical confidence.
Why do healthcare systems have rigid policies?
This can cause staff to hesitate to report an error, minimize the problem, or even fail to document the issue. These actions or lack thereof can contribute to an evolving cycle of medical errors.
What is patient handoff?
Patient handoffs are a common source of errors. [21] This can occur if incorrect information is passed to the receiving clinician and/or there is a failure to remember to follow-up on all of the pending issues.
How much do medical errors cost?
Depending on the study, medical errors account for over $4 billion per year. Medical errors cost approximately $20 billion a year. Medical errors in hospitals and clinics result in approximately 100,000 people dying each year.