Specific Type of Medical Error Discussion Replies

Need two discussion replies. 1-2 parapgraph each using information posted by the students and also connecting it back to the discussion question.
Questions:
Provide an example of a specific type of medical error and discuss its significance and the factors contributing to such errors.
Post 1

Patient identifying and medication errors still occur even with advancements in technology we still see mistakes made by not properly identifying the patient or the drug that is being given. Being in the medical field over a decade I’ve seen this occur multiple times. Identifying a patient seems simple enough but you will run into to same name alerts throughout a career. Its important to clearly verify the date of birth and full name of each patient before any treatment or medication is given. In one case a patient was given the wrong medication by accident by a pharmacy. The patient was a 71 year old female in the hospital for hypertension. Upon release the pharmacy dispensed Navane on accident for a 3 month supply instead of Norvasc. The patient took the medication for the full 3 months until it was noticed and corrected. The patient was diagnosed with thiothixene-related drug-induced Parkinsonism. Once the drug was discontinued the patient status did improve. This error was missed on many levels multiple times and is unacceptable. The first error was at discharge with an error of communication between the hospital and pharmacy, the second error was failure of medication reconciliation, the third was at the hospital follow up where medication review wasn’t done, the fourth was failure of drug monitoring. .
Post 2:

A medical error is a preventable adverse effect of care, whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, or other ailment. An example of a specific type of medical error is a SSI (surgery site infection). A SSI is best known as infection related to an operative procedure that occurs at or near the surgical incision within 30 days of the procedure, or within 90 days if prosthetic material is implanted at surgery—is among the most common preventable complication after surgery, (Patient Safety Primer 2019). Studies show that more than 10 million patients undergo surgery a year. A SSI is known to occur in 2% to 4% of all patients. This is not good and can be prevented if the surgeon and nurses paid closer attention. Surgeons have so many patients to keep track of and to prevent these mishaps he they should double check the diagnosis before performing any surgery this would help prevent deaths. Deaths is an outcome of some SSI’s and more than 3% of patients who contract a SSI will die.

 

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