University Nursing Report: Adverse Event or Near Miss Analysis
VerifiedAdded on Ā 2022/08/23
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Report
AI Summary
This report analyzes an adverse drug event experienced by a new graduate nurse in an intensive care unit. The incident involved a medication error due to confusion with drug names, lack of cultural competence in patient communication, and insufficient peer support. The analysis highlights the importance of evidence-based practice, electronic reminders, and supervisor support in preventing such events. The report identifies contributing factors such as lack of cultural awareness, inadequate training, and psychological safety concerns, and proposes quality improvement strategies. These include staff training on health information technology, seminars on cultural communication, counseling sessions for new nurses, and the implementation of electronic medical records. The report also emphasizes the need for clinical supervision, audit systems, rewards, and performance evaluations to promote ethical medication administration and prevent future errors, ultimately improving patient safety and healthcare quality.
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