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Consequences of Clinical Error in Nursing Practice

   

Added on  2022-11-11

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Practice of registered nurse
INTRODUCTION
CONSEQUENCES OF CLINICAL
ERROR
Consequences of clinical error during
hospitalization include :
1. Error in taking histories:
since the patient was deaf, during initial
assessment , it is difficult to communicate with
the patient. Moreover , patient may failed to
interpret what registered nurse was saying.
Consequently , the patient safety may be
breached since there will be error in
documentation followed by difficulty in designing
interventions. The patient may subjected
psychological distress because of inability to
understand the process of communication
(Pendergrass
et al. 2019).
2. Error in diagnosis :
since the patient was deaf, the error in diagnosis
may occur , especially perform a physical exam
for asthma. The patient may provide wrong answer
which will further lead to wrong diagnosis (Blevin
2015).
3. Error in pharmacological intervention:
since the patient was deaf , he failed to provide
adequate medical history such as if patient has
drug allergy. It will further lead to error in
providing wrong medicine which will cause drug
allergy (Shukla
et al. 2018).
figure : error in clinical setting
source: (Mugada et al. 2018).
the case study represents health issue of Wilfred
Dockrill who is 75 years old man. He had been
admitted to hospital with an exacerbation (increase in
the severity of his symptoms) of his asthma.
in the current context ,
patient was at high risk of clinical error because of
sensory deficit.
He was deaf and use hearing aid.
He had poor vision and use glass
CLINICAL ERRORS
since the patient had sensory deficit , the patient
may be subjected to significant number of clinical
error. The three clinical error would be :
1. Error in taking histories
2. Error in diagnosis
3. Error in pharmacological interventions (Mugada
et al. 2018).
Title : Error in clinical setting
Source: (Shukla
et al. 2018).
STRATEGIES TO PREVENT
ERROR
REFERENCE:
First strategy would be involving family
members in the session for taking histories for
avoiding error (Williams and Cadick 2018)
The second strategy would be involving family
members and health professionals during
assessment. The fall prevention assessment is
require to adopt since they are highly prone to
these types of error (Gichane
et al. 2018).
The third strategy would be using written
instruction to communicate with patient
The fourth strategy would be sign language
and enact form of communication while
communicating with the patient (Gichane
et al.
2018).
figure : error in clinical setting
source: (Mugada et al. 2018).
Title : Nursing practice
Source: (Blevin 2015).
Mugada, V., Devineni, R. C., Pendyala, R. M., Vempati, D., and Kuchi, S., 2018.
Categorization, Appraisal, and Reporting of Medication Errors Ascertained in Medical Ward
of Tertiary Care Hospital.
Journal of Applied Pharmaceutical Science,
8(05), 109-114.
Pendergrass, K.M., Newman, S.D., Jones, E. and Jenkins, C.H., 2019. Deaf: A concept
analysis from a cultural perspective using the Wilson method of concept analysis
development.
Clinical nursing research,
28(1), pp.79-93.
Blevins, S., 2015. Teaching patients with hearing loss.
MedSurg Nursing,
24(2), pp.128-
130.
Shukla, A., Nieman, C. L., Price, C., Harper, M., Lin, F. R., and Reed, N. S., 2018. Impact of
Hearing Loss on Patient–Provider Communication Among Hospitalized Patients: A
Systematic Review.
American Journal of Medical Quality, 1062860618798926.
Williams, A., & Cadick, A. 2018. Forgotten, silent, and overruled: Hearing the voice of the
nursing home patient.
The International Journal of Psychiatry in Medicine,
53(5-6), 395-404.
Gichane, M. W., Heap, M., Fontes, M., & London, L. (2017). “They must understand we are
people”: Pregnancy and maternity service use among signing Deaf women in Cape
Town.
Disability and health journal,
10(3), 434-439.
Consequences of Clinical Error in Nursing Practice_1

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