The hospital has adopted a medication administration system that has a series of checks and balances designed for patient safety. The system works well, but is time consuming. Nurses have discovered shortcuts around the safeguards. This is an example of which situation?

Question

Quizplus · Accepted Answer

1. Handoffs are times in the care process when a patient is moved from one care setting to another.
2. When there is a breakdown or problem, staff often figure out ways to get the work done without really analyzing what is going on. The staff may think this saves time, but it often does not. This is often a time of increased errors.
3. This is part of the Failure Modes and Effects Analysis (FMEA) system, which provides a systematic, proactive method for evaluating a process to identify where and how it might fail and to assess the relative impact of different failures in order to identify the parts of the process that are in most need of change.
4. A "never event" is an event identified by Medicare that occurs to extend the patient's hospitalization, but that should have been avoidable.

The Hospital Has Adopted a Medication Administration System That Has