A nurse hung an intravenous antibiotic to infuse but failed to check patency of the IV resulting in infiltration causing pain and redness but no tissue damage. This situation would be a(n):
a. adverse event.
b. workaround.
c. breach in patient-centered care.
d. sentinel event.
ANS: A
Correct: An adverse event is unintended harm caused by medical care, not by the underlying condition of the patient. A preventable adverse event is one that could have been avoided.
Incorrect:
b. A workaround is a temporary fix to a system problem that is not standard care. This was not a system error.
c. A breach in patient-centered care would be actions taken without consideration of patient's wishes and respect for their beliefs.
d. A sentinel event is the result of error that leads to serious harm or death. This situation did not result in severe harm or death.
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