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Smart Reasoning:

C&E

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Qaagi - Book of Why

Causes

Effects

the potentialto leadto patient identification errors or mix ups

Learncausespatient identification errors and how to avoid them

It found several contributing factors -- including interruptions , alert fatigue and the lack of an active patient identification processcould leadto wrong - patient errors

the life - threatening and costly inefficienciesresultfrom duplicate medical records and patient identification errors

by writing(passive) caused bypatient identification error

Improper patient identification ... patient language barrierscan leadto errors in a patient identity

Factors believedto contributeto wrong - patient errors

conditionsleadingto wrong - patient errors

Patient misidentificationresultsin wrong - patient errors

updating and presence of incorrect entriesmay leadto major identification errors

close callswould have resultedin wrong - patient errors

several common wristband problemscontributeto patient identification errors

problems downstream from registrationpotentially leadingto wrong - patient errors

by manual labeling(passive) caused bypatient ID errors

this numerous situations ariseresultin errors in patient identification

Despite this , numerous situations ariseresultsin errors in patient identification

Despite this , numerous situations ariseresultin errors in patient identification

Legacy patient identification processes that rely on oral demographic data or even barcode wrist bandscan causepatient identification errors

Time pressures , distractions , and complacencycan causepatient identification errors

oral demographic data , or Social Security Numberscan causepatient identification errors

Other issuescausepatient matching errors

More , positive patient identification , legacy patient identification processes that rely on photo delivery IDs , oral demographic data , or Social Security Numberscan causepatient identification errors

Legacy patient identification processes that rely on photo IDs oral demographic data or Social Security Numberscan causepatient identification errors

More Positive patient identification Legacy patient identification processes that rely on photo IDs , oral demographic data , or Social Security Numberscan causepatient identification errors

empty or default fieldscontributedto patient matching errors

transact patient information , or Social Security Numberscan causepatient identification errors

ion processes that rely on photo IDs , oral demographic data , or Social Security Numberscan causepatient identification errors

factorscontributeto wrong patient medication errors

information about software flawsmay causepatient error

For example , an insurance company that is currently associated to any patients or guarantors can not be deletedwould causeerrors in the patient 's record

clinical situationsmay contributeto patient errors

by negative 100 % liability(passive) caused byATM identification errors

the user interface designcould leadto patient errors

UnderstaffingDOES causepatient errors

Low health literacymay leadto patient errors

pervasive miscommunicationcontributesto patient errors

inefficient work environmentscan contributeto patient errors

A nurse 's job is cognitively complexcan leadto patient errors

Nursing A nurse 's job is cognitively complexcan leadto patient errors

This practicecould resultin incorrect patient identification

to temporary or permanent harm or death to an individualleadingto temporary or permanent harm or death to an individual

to improper healthcare and high organizational costscan leadto improper healthcare and high organizational costs

to fatal transfusion reactionscan leadto fatal transfusion reactions

yetcausesyet

registration denialscauseregistration denials

in temporary harm ... permanent harm or deathresultedin temporary harm ... permanent harm or death

in falsely elevated or decreased glucose measurementsmay resultin falsely elevated or decreased glucose measurements

to delays in treatment or providing treatment to the wrong patientcan leadto delays in treatment or providing treatment to the wrong patient

to inaccurate lab workcould leadto inaccurate lab work

to unnecessary breast cancer surgeryledto unnecessary breast cancer surgery

to harmful mistakescan leadto harmful mistakes

no harm Additional monitoring required caused no harm ERROR HARMcausedno harm Additional monitoring required caused no harm ERROR HARM

to at least 500 a week getting the wrong treatmentleadto at least 500 a week getting the wrong treatment

in Patient # 2 having tests for cancer when Patient # 2 did not have cancerresultedin Patient # 2 having tests for cancer when Patient # 2 did not have cancer

in Patient # ... having tests for cancer when Patient # 2 did not have cancerresultedin Patient # ... having tests for cancer when Patient # 2 did not have cancer

in Patient # 2resultedin Patient # 2

in Patient #resultedin Patient #

to serious consequencescan leadto serious consequences

medical errors(passive) caused bymedical errors

to poor outcomescontributeto poor outcomes

in harmcould resultin harm

the issues(passive) caused bythe issues

to adverse drug events ( ADEsleadto adverse drug events ( ADEs

to serious medical errorsleadto serious medical errors

A near miss(passive) caused byA near miss

Your patient identity crisis(passive) is caused byYour patient identity crisis

yetcausesyet

serious harmcan causeserious harm

hence improper administration of medicationcan leadhence improper administration of medication

unnecessary harmcan causeunnecessary harm

chaoscauseschaos

to fatal transfusion reactionscan leadto fatal transfusion reactions

or overlay record(passive) was caused byor overlay record

or overlay record(passive) was causedor overlay record

to errors in medication administrationcan leadto errors in medication administration

to improper medication etcmay leadto improper medication etc

in duplicate health records caused by inpatient registration mistakesresultingin duplicate health records caused by inpatient registration mistakes

to errors in medication administration , web modulescan leadto errors in medication administration , web modules

adverse effects(passive) caused byadverse effects

to medical emergencies and patient harm in hospitals around the globehave ledto medical emergencies and patient harm in hospitals around the globe

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Smart Reasoning:

C&E

See more*