“Sarah Geller was a 68-year-old woman who had undergone a cardiac bypass operation. On the morning of her planned transfer out of the intensive care unit (ICU), she suffered a seizure. She had no seizure history and was not on any epileptogenic medications. They drew some blood tests, and emergently wheeled her to the computed tomography (CT) scanner to rule out the possibility of a stroke or intracerebral hemorrhage. While she was in transit, the lab paged the doctors to report that Geller's serum glucose was undetectable. The patient never recovered from her coma. During the investigation, it was …show more content…
Costs related to hospitalization following adverse events in skilled nurse facilities of Medicare members accounted for 2% of all Medicare spending in the United States. Many of the events identified were preventable, which confirms that there is a need to raise awareness of nursing home safety and seek to reduce patient harm through methods used to promote patient safety in hospitals (Luke Slawomirski, 2017).
In 2008, the cost of medical errors in the United States was $19.5 billion. According to reports, the economic effect of medical errors was estimated to be much higher, and near $1 trillion annually (Luke Slawomirski, 2017).
Intervention
Medical errors are avoided by interruption and diminishing fatal errors. the first step is in the medication, preparation, and administrative process which is subject to error and medication safety. Removing medications from certain areas, for example, the removal of concentrated potassium from patient care areas because of the dangers of intravenous potassium overdoses, this stops the heart, as when potassium is used in capital punishment (Wachter …show more content…
Forcing functions are designed to anticipate common human errors and make harm from them impossible by blocking either the error or its consequences (Wachter, 2012).
It is said it is difficult to see the increasing complexity of health resides in the structures, processes and delivery points across all levels of a healthcare system. There has been a range of interventions, programs and initiatives exist to prevent harm and improve patient safety.
Modern health care it is a very difficult attempt, requiring input from various participants working in separate institutions and interacting with complicated technologies, machinery, and technical infrastructure. The causes of harm are complex and diverse across the healthcare delivery from education and training, to financing, down to administration and clinical activity. There have been many differences and barriers in place to prevent failure, human mistakes (Luke Slawomirski,