Surgical Checklist
The tool used to decrease the amount of medical errors and the occurrence of unfavorable events.
What is surgical safety checklist?
The cause of a doctor's fear toward owning up to medical errors.
What is failure?
Rationale: Doctors fear failing themselves as well as failing the patient
The failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim.
What is medical error?
Identify the medical error. The nurse walks into room 305 B and administers 2 tablets acetaminophen PO to John Doe. After administering the med, the nurse documents the med administration and reads that John Doe is in bed 305 A in his chart.
What is patient identification error?
The two main focuses of the Surgical Checklist.
What is teamwork and collaboration?
The type of medical error that led to Jasmine experiencing tachycardia when they gave her medication for asthma instead of pneumonia.
What is medication error?
The name of the step where you inform the patient and family about the medical error in its fullest extent.
What is respond?
You are administering Furosemide to a cardiac patient on your unit. You waited to give the medication because your patient slept all day. You decided to administer it at night with her other medications. Your cardiac patient ended up having to go to the bathroom frequently the entire night.
What is medication error?
The number of parts of the surgical checklist.
What are 19 parts?
Two barriers when responding to medical errors
What is discomfort and fear of malpractice?
The step in which the medical team develops strategies to prevent the medical error from recurring in the future.
What is Review?
You are treating a patient with a history of anemia. Your patient comes in and complains of dizziness, shortness of breath, lightheadedness, and fainting. You remember his history and called his provider to recommend she prescribes him iron supplements.
What is missed/delayed diagnosis?
Examples of what the surgical checklist helps lessen the chance of.
What are breaks in wounds, infections, respiratory complications, bleeding, cardiac issues, and the need for blood infusions?
What medical professionals can do in response to a medical error that usually prevents law suits.
What is say sorry?
Errors like these include UTIs and infected wounds.
What are HAI errors?
You are treating a 92-year-old patient with a UTI from her catheter. Her past medical history includes breast cancer, anemia, and type I diabetes. You step over cords from the monitor to give her insulin. You ask her for her name and date of birth. She tells you her name is Carmen Lopez and does not know why she is receiving insulin. After providing patient education, you have her teach-back the purpose of insulin and the administer the drug. You then document it. Spot two errors.
What are patient falls and patient identification medical errors?
The question that the nurse, anesthesiologist, and surgeon have to answer before the patient leaves the operating table.
What are the key concerns for recovery and management for this patient?
The purpose of MedStar Health.
What is to identify system factors that lead to normal errors?
The step where physicians support to announce, disclose, and review the error to effect positive change.
What is recover?
A patient is about to leave the operating room. The student nurse has verbally confirmed the equipment count, specimen labeling, and name of the procedure. Afterward, the instructor reminds the nursing student missed an important part of the surgical safety checklist. BLANK is the missing component.
What is any equipment problems that had to be addressed?
*Rationale: equipment problems can threaten a patient's safety. It is important to verbalize and document them to help better improve the patient's treatment and prevent this from happening again in the future.