List at least two other factors reported in the literature that can contribute to wrong site surgeries

You have been asked to participate in a root cause analysis of a recent sentinel event in which a wrong site surgery occurred at another facility in your region. The investigation reveals that team communication and distractions contributed to this event. In particular, it was noted that the surgeon was called to the telephone during the team Time Out.

What will be an ideal response?


Answer:
Inattention to detail, staff not following correct procedure/protocol, time pressures, skill mix/junior staff/level of experience, fatigue and stress.

Nursing

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The nurse is attempting to locate the thyroid gland in order to determine if it is enlarged. Where should the nurse palpate the thyroid gland?

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Which statement best fits a request for proposal (RFP) for a wireless system?

1. The vendor sends literature about its wireless system to several institutions to increase their business. 2. The search committee sends email requests to several vendors stating the needs of the institution for a new wireless system. 3. The steering committee sends a formal document to several vendors to ask for specific information about their wireless system. 4. A formal document is sent by a vendor who heard an institution is upgrading its monitoring system.

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The nurse is aware that cromolyn sodium (Intal):

a. is a beta-2 receptor agonist. b. is best used in the treatment of an acute asthma attack. c. inhibits release of histamine from mast cells. d. produces an anticholinergic effect.

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A client in labor received a dose of meperidine (Demerol) for pain control. Which assessment findings should the nurse suspect are adverse effects of this medication? Select all that apply

1. Nausea 2. Pruritus 3. Sedation 4. Bradycardia 5. Hypotension

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