A physician orders a drug for a patient with a known allergy resulting in anaphylactic shock. The nurse:
a. realizes that disclosure of the error will result in more severe ramifications for the agency than if the negligence is discovered by the patient or family.
b. should disclose the occurrence before speaking with the physician who ordered the drug or with hospital management.
c. recognizes disclosure as an essential component of the national patient safety movement.
d. should report the occurrence to the patient's insurance company to decrease patient costs.
ANS: C
Correct: The National Quality Forum identified the process of disclosure as a key element of the national patient safety movement.
Incorrect:
a. Disclosure usually results in less severe ramifications for those involved.
b. The nurse should not assume responsibility for disclosure before speaking with the physician who ordered the medication or hospital management.
d. It is not the nurse's responsibility to inform insurance companies of errors.
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