Author Question: Despite the implementation of bar-code medication administration (BCMA) on your busy medical unit, ... (Read 15 times)

penza · **on:** Jul 8, 2018

Despite the implementation of bar-code medication administration (BCMA) on your busy medical unit, you notice that the number of medication errors has not significantly decreased.

Which of the following reasons might explain the lack of change in errors? a. A number of new medications have been introduced into the hospital pharmacy that are not yet recognized in the CDS.
b. There have been an unusually high number of patients on the unit who have been unable to confirm their identity at the time of medication administration.
c. Lack of staff understanding and support for BCMA has led to overrides or failures to scan bar codes during busy times.
d. Clinical data that have been entered into the system to guide administration of the medications are outdated.

Question 2

You pull staff together to assess a situation in which the family of a seriously ill patient is anxious and is absorbing a great deal of staff time in consultation, discussion, and questioning of treatment decisions.

Staff members are becoming distanced from the family. After inviting the concerns of staff, you explain that the organization values patient-centered care and that evidence supports that acting as an advocate and a listener is helpful to families. You ask the staff for ideas as to strategies that are effectively patient-centered in these situations. In this situation, you are taking on which role? a. Leadership
b. Management
c. Follower
d. Visionary

Expo · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

C
Most errors related to technology involve mislabeled bar codes on medications, mistakes at order entry because of confusing computer screens, or issues with management of information. Errors also are related to dispensing devices and human factors, such as failure to scan bar codes or overrides of bar-code warnings.

Answer to Question 2

A
As a leader, you provide and communicate vision and direction based on evidence and expe-rience, and you engage others in decision making that moves them toward the vision with a rea-sonable level of risk taking.