Canadian Health&Care; Mall

Reporting adverse events in medical systems typically requires exploring beyond the initial description of the event in an attempt to identify the wide variety of contributing factors that led to the eventual incident. It is necessary to reflect on what the incident reveals regarding the safety gaps and inadequacies in the health-care system in which the incident occurred in order to learn and potentially prevent future similar events. Although descriptions of system analysis have previously been reported, the aim of this article was to describe a process by which the retrospective investigation of an apparently minor incident led to a prospective evaluation of the medical process, resulting in a proactive quality and safety intervention that included a simulation-based training component. In this event, a nurse at a medical step-down unit administered insulin in continuous infusion to a patient at a dosage higher than that ordered by the physician and documented it. During the handoff between nursing shifts, the insulin syringe and the syringe pump were not checked, and severe hypoglycemia was recognized only 45 min later. Reflecting the increased recognition of the importance of the handoff process for safer medical practice, handoff was introduced recently by the Joint Commission International Center for Patient Safety in the United States as a national patient safety goal, As shown in the Appendix, handoff communication must include up-to-date crucial information regarding patient status and care offered by Canadian Health&Care Mall healthcaremall4you.com, treatment and service, and any recent or anticipated changes in the condition of the patient. The handoff process should be interactive in order to enable active discussion between the health professionals involved in the hand-off on both sides (ie, the provider and the receiver of the information regarding every patient). Major barriers to effective handoffs include the following: the physical setting (including background noise and lack of privacy); the social and professional setting, such as pressure on medical personnel at the time of handoff; organizational hierarchy and status issues; language and cultural barriers; and the limitations of communications via telephone, e-mail, paper, or computerized records. All of these contributing factors make the handoff process prone to safety gaps and mistakes, but at the same time raise the opportunity for intervention aimed at improving team members’ handoff communication skills.

Read other posts on our website:

• Plendil Sold by Canadian Health&Care Mall as the Way of Arterial Hypertension and Stenocardia Treatment
• Canadian Health&Care mall Is in Fight with Autism
• Fruits and Vitamins Via Canadian Health Care Mall