Discuss two different ways of measuring hospital errors
What will be an ideal response?
In 2011, Health Affairs published a study using new methods of ranking hospital errors. The study found that almost one out of every three people admitted to a hospital is the subject of a medical mistake—10 times more than expected. In the past, medical errors were measured by voluntary reporting and the Agency for Healthcare Research's indicator. The Health Affairs study identified errors through medical claims data. "Among 795 patient records reviewed, voluntary reporting detected four problems, the Agency for Healthcare Research's quality indicator found thirty-five, and Healthcare Improvement's tool detected 354 events—10 times more than the AHR's method." Medical mistakes include everything from medication errors, to bed sores, to staph infections, to objects left in the body during surgery. In response to this, the Obama Administration announced a "billion-dollar patient safety program…[called the Partnership for Patients Program]…aimed at reducing preventable…errors." The program aims at reducing errors by 40 percent and "preventable" readmissions by 20 percent. According to Department of Health and Human Services, this could save as much as $35 billion. Some of the money will come from the Patient Protection and Affordable Care Act and will fund demonstration projects for 3 years.
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You are transporting a 44-year-old female with chest pain and sudden respiratory distress. She is agitated, anxious, and refuses to have a nonrebreather mask applied. Which of the following is the best option?
A) Use a nasal cannula instead. B) Consult with medical control about restraining the patient. C) Have her breathe into a paper bag to control her hyperventilation. D) Do not make further attempts to administer oxygen as it will only agitate the patient further.
According to the Chemical Safety Board (CSB), the majority of accidents involving nitrogen asphyxiation occurred during work in or near confined spaces, and many incidents were caused by the failure to ______________________
a. provide proper rescue equipment to workers b. properly check worker accountability c. detect ignition sources d. detect an oxygen-deficient environment
The myopic eye requires a ________ lens to correct vision.
A. concave B. convex C. congruent D. convoluted
Contracture of the hand, fingers, and wrist resulting from reduced blood flow to the af-fected muscles is called:
a. Paget disease b. Volkmann contracture c. Ganglion d. Rheumatoid arthritis