Describe Avoidance
denial that the error happened and refusal to help fix it.
FMEA
________ identifies both sources and consequences of failures based on past events.
honest atmosphere
To error is to be human: creating a safe environment where errors are nonpunitive is essential to have an open and ________.
hearing or visual impairments
cannot understand written information
To error is to be human
creating a safe environment where errors are nonpunitive is essential to have an open and honest atmosphere
avoidance
denial that the error happened and refusal to help fix it
blame
"It was someone elses fault they messed up"
what is an example of a distraction over the phone
heavy accents as well as other language barriers
what is a possible problem with handwritten medication orders
unclear abbreviations
what is a common communication problem with the patient
they cannot understand the terminology
what is the purpose of reporting errors
not to get someone in trouble but to learn from it and possibly better the safety precautions
what us the best way to start initial contact with patients after a med error
When meeting try to go somewhere private
What is the best way to handle a patient after you made a mistake
You should make sure that you do not rush through the experience and allow patients time to ask questions and express their feelings.
what is the best way to Contact Other Health Care Providers
be in control of the information
what does an RCA do
Focuses on specific root causes of error; it asks why not how
what is the majority cause of error
caused by the system and not the person
what do you do if patients are having a hard time understanding the material given to them
Allow them to ask questions and in reverse ask them questions after