Medical Errors
Which three units/departments are most susceptible to medical errors?
ICU's, OR's, and ED's
Are mandatory overtime restrictions in place in New York?
Yes
What state is the only state with mandatory staffing ratios?
California
What is the #1 trustworthy profession?
Nursing!
What are the 3 Regulatory Agencies we looked at today? (acronym is allowed)
ANA
NRBs
AHQR
Who requires Root-Cause Analysis of Errors?
The Joint Commission
How many times more likely are nurses who work overtime to make a medication error?
3x more likely
What is the recommended staff to patient ratio in the ICU?
1:2
What is the definition of kickback?
A term used for when a medical provider accepts any form of compensation in return for referrals
What is the role of Regulatory Agencies?
They protect healthcare consumers from health risks, providing a safe working environment for healthcare professionals, and ensure that public health and welfare are served by health programs.
Name 3 types of repercussions of medical errors?
Increased mortality
Increased duration of hospitalization
Increased medical expenses
Increased infections
How many states have regulations regarding mandatory overtime for nurses?
18
What is one major criticism of mandatory staffing ratios?
Does not consider acuity of pts, education/experience of RN, diversity of institutions
What are three adverse actions that Whistleblower Protection Laws prohibit?
Termination
Layoff
Demotion
Suspension
Denial of Benefits
Reduction of Pay
Discipline
Who develops Regulatory Agencies?
Government and Private Organizations
Name 4 kinds of errors (or quality of errors).
Surgical
Diagnostic
Medication
Devices and equipment
Systems failures
Infections
Falls
Healthcare technology
What is an example of an incentive used to encourage someone to pick up a shift?
Bonuses, gas cards, getting the next day off
How were adequate staffing ratios determined in California?
The California Department of Health researched over multiple years to determine adequate minimum ratios to be mandated
What year was the Occupational Safety & Health Act (OSHA) created?
1970
Nurses Practice Act (NPA) exists to regulate what and protect who?
Protect- public
Regulate- practitioners who are a risk to the health, safety and welfare of patients
What is root-cause analysis of errors?
A process for the analysis of sentinel events.
What are the two exceptions to prohibited mandatory overtime laws in New York?
Emergency and ongoing procedure
Who comprises of the committees determining ratios for each unit at each hospital?
½ nurses, ½ administration
From 2017/2018 to 2018/2019 what was the percent increase for whistleblowing complaints made by NHS staff?
72.7%
Which Regulatory Agency is a federal lead agency in charge of improving safety and quality of healthcare for all Americans?
Agency for Healthcare Research and Quality (AHRQ)