Author Question: A nurse attends an in-service aimed to educate staff about reporting hospital errors. The nurse ... (Read 28 times)

misspop · **on:** Jul 8, 2018

A nurse attends an in-service aimed to educate staff about reporting hospital errors. The nurse demonstrates understanding when listing which of the following as consistent with error reporting within the United States?

a. Error reporting is transparent
b. Errors are overreported
c. Errors are underreported
d. Providers are not concerned about consequences of reporting errors

Question 2

When working on a nursing unit, the nurse recognizes that incomplete communication errors most often occur during

a. staff meetings.
b. the night shift.
c. a handoff procedure.
d. medication administration.

duy1981999 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
Providers are concerned about negative consequences of disclosing errors, such as malpractice litigation, reputation damage, job security, and personal feelings such as loss of self-esteem, among others. This has led to serious underreporting. In the United States, according to IOM, only a tiny fraction of unsafe care incidents are reported. Some estimate that more than 90 of errors go unreported.

Answer to Question 2

ANS: C
It is estimated that 70 of reported errors are preventable. Preventable means the error occurs through a medical intervention, not because of the client's illness. Fatigue is repeatedly cited as a factor contributing to errors. The most common cause of error is incomplete communication during the very many handoffs' transferring responsibility for client care to another care provider, another unit, or agency. It is estimated that in 1 day a client may experience up to 8 handoffs.