A case of medication error by brahmadeo dewprashad

Supporting Lectures:
Review the following lectures:

Quality
Performance Enhancement Measurements
Introduction:
Case Study Twenty-Four: Medication Error
You are a physician making rounds on your patients when you arrive at Mrs. Buckman’s room. She’s an elderly lady in her late ’70s who recently had a colon surgery. She is also the wife of a prominent physician at the hospital. She has been known to be somewhat confrontational with the nursing staff. However, today she states she was just given a shot of insulin to cover her elevated blood sugar and the amount of insulin did not seem to be the usual amount. Even though Mrs. Buckman often complains, you are somewhat concerned about this observation and decide that it would be best to check on this. You ask the charge nurse to review the dose of insulin given. She, in turn, finds Mrs. Buckman’s nurse, who states that, as ordered, she had given the patient 80 units of insulin.

You immediately become quite alarmed, as this is an extraordinarily large dosage. You make sure that the patient is given a large amount of glucose supplement and that her blood sugar is monitored every fifteen minutes for the next two hours. To follow up, you also review the chart and note an order from the house physician to give Mrs. Buckman 8.0 units of insulin.

You can readily see how this could easily appear to be 80 units. You meet with the charge nurse, the nursing supervisor, the director of nursing, and the treating nurse to determine what can be done to prevent this type of error in the future.

Tasks:
Discussion Questions
What are the facts in this case?
What are the management issues that need to be addressed in this case?
Is it reasonable for the nurse to have given this dose of insulin?
Should the nurse have questioned giving this large amount of insulin without checking with the doctor?
Should the pharmacist have questioned the dosage?
What mechanisms can be put in place to prevent this from occurring in the future?
Should this be considered a sentinel event? Should a root cause analysis be performed?
Submission Details:
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your initial posting should be addressed at 500–1000 words as noted in the attached PDF. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.

Respond to your classmates throughout the week. Justify your answers with examples, research, and reasoning. Follow-up posts need to be submitted by the end of the week.

This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. Response

No Submission

0 points

0 %

Emerging (F-D: 1-27)

27 points

27 %

Satisfactory (C: 28-31)

31 points

31 %

Proficient (B: 32-35)

35 points

35 %

Exemplary (A: 36-40)

40 points

40 %

Quality of Initial Posting

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The information provided is inaccurate, not focused on the assignment’s topic, and/or does not answer the question(s) fully. Response demonstrates incomplete understanding of the topic and/or inadequate preparation.

The information provided is accurate, giving a basic understanding of the topic(s) covered. A basic understanding is when you are able to describe the terms and concepts covered. Despite this basic understanding, initial posting may not include complete development of all aspects of the assignment.

The information provided is accurate, displaying a good understanding of the topic(s) covered. A good understanding is when you are able to explain the terms and topics covered. Initial posting demonstrates sincere reflection and addresses most aspects of the assignment, although all concepts may not be fully developed.

The information provided is accurate, providing an in-depth, well thought-out understanding of the topic(s) covered. An in-depth understanding provides an analysis of the information, synthesizing what is learned from the course/assigned readings.

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Criterion score has been overridden

This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. Participation

No Submission

0 points

0 %

Emerging (F-D: 1-13)

13 points

13 %

Satisfactory (C: 14-16)

16 points

16 %

Proficient (B: 17-18)

18 points

18 %

Exemplary (A: 19-20)

20 points

20 %

Participation in Discussion

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May include one or more of the following: *Comments to only one other student's post. *Comments are not substantive, such as just one line or saying, “Good job” or “I agree. *Comments are off topic.

Comments to two or more classmates’ initial posts but only on one day of the week. Comments are substantive, meaning they reflect and expand on what the other student wrote.

Comments to two or more classmates’ initial posts on more than one day. Comments are substantive, meaning they reflect and expand on what the other student wrote.

Comments to two or more classmates’ initial posts and to the instructor's comment (if applicable) on two or more days. Responses demonstrate an analysis of peers’ comments, building on previous posts. Comments extend and deepen meaningful conversation and may include a follow-up question.

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This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. Writing

No Submission

0 points

0 %

Emerging (F-D: 1-13)

13 points

13 %

Satisfaction (C: 14-16)

16 points

16 %

Proficient (B: 17-18)

18 points

18 %

Exemplary (A: 19-20)

20 points

20 %

Writing Mechanics (Spelling, Grammar, Citation Style) and Information Literacy

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No postings for which to evaluate language and grammar exist.

Numerous issues in any of the following: grammar, mechanics, spelling, use of slang, and incomplete or missing citations and references. If required for the assignment, did not use course, text, and/or outside readings (where relevant) to support work.

Some spelling, grammatical, and/or structural errors are present. Some errors in formatting citations and references are present. If required for the assignment, utilizes sources to support work for initial post but not comments to other students. Sources include course/text readings but outside sources (when relevant) include non-academic/authoritative, such as Wikis and .com resources.

Minor errors in grammar, mechanics, or spelling in the initial posting are present. Minor errors in formatting citations and references may exist. If required for the assignment, utilizes sources to support work for both the initial post and some of the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).

Minor to no errors exist in grammar, mechanics, or spelling in both the initial post and comments to others. Formatting of citations and references is correct. If required for the assignment, utilizes sources to support work for both the initial post and the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).

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Overall Score

Overall Score

No Submission0 points minimum

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Emerging (F to D Range)1 point minimum

Satisfactory progress has not been met on the competencies for this assignment.

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Satisfactory (C Range)56 points minimum

Satisfactory progress has been achieved on the competencies for this assignment.

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Proficient (B Range)64 points minimum

Proficiency has been achieved on the competencies for this assignment.

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Exemplary (A Range)72 points minimum

The competencies for this assignment have been mastered.

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