Medical Errors

Front 1

as MTs, we often find outselves in the unique situation of being viewed by our clients as the most ______ person in the line-up of healthcare professionals working with them or their families

Back 1

approachable

Front 2

many of the medical errors that have been reported could have been ________ by changes in the current system

Back 2

avoided

Front 3

surgical errors account for _______ of all adverse medical events and one out of every 8 hospital deaths

Back 3

2/3

Front 4

the more often a procedure is performed, the more________ the doctor, nurse, or technician is likely to be with that procedure

Back 4

accurate

Front 5

according to research by AHRQ, the majority of medical errors result from the system of __________

Back 5

delivery

Front 6

______ of adverse drug events result from system level failures

Back 6

3/4

Front 7

75% of all medication errors could have been avoided if the necessary _____________ where in place

Back 7

system steps

Front 8

________ failure is another example that the system is not working

Back 8

equipment

Front 9

as MTs these problems may not affect us directly; however, it is important that we understand what is happening in the _________

Back 9

medical community

Front 10

AAOS urges members to place their _______ on the site prior to surgery

Back 10

initials

Front 11

including a pharmacist on medical rounds reduced errors related to medication ordering by ____________

Back 11

66%

Front 12

what is RCA?

Back 12

root cause analysis; used by risk management departments to determine the cause of serious problems

Front 13

what is the purpose of the RCA?

Back 13

to find ways to correct the problem

Front 14

to jot down and keep track of ideas, people, etc

Back 14

brainstorm

Front 15

an injury caused by medical management rather than by underlying disease or condition of the patient

Back 15

adverse event

Front 16

unexpected occurrences involving death not related to the natural course of the patient's illness or underlying condition or psychological injury or risk thereof

Back 16

sentinal event

Front 17

events or situations that could have resulted in an adverse event, which includes environmental issues, accident, injury, or illness

Back 17

close calls

Front 18

may include our habits, attitudes, assumptions and beliefs about the way we do business that lead up to or cause errors

Back 18

latency or latent causes

Front 19

the most fundamental reason a problem has occurred

Back 19

root cause

Front 20

most obvious cause in an error event, although not necessarily the main cause

Back 20

proximal cause

Front 21

any additional reasons the error occurred and not necessarily the most basic or obvious reason

Back 21

contributing factors

Front 22

when () takes place, RCA calls for meeting of the parties potentially involved, along with any relevant parties within the organization together to _______ exactly how and why the event took place

Back 22

brainstorm

Front 23

each error and mistake produces a unique ______ and stems from a different set of circumstances

Back 23

cause map

Front 24

RCA needs to be done quickly and effectively in order to be __________

Back 24

cost effective

Front 25

________ has often been called a "lawsuit kit for attorneys"

Back 25

RCA

Front 26

many doctors are no longer offering certain services that insurance has classified as _______ resulting in shortages of medical services in some areas

Back 26

high risk