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3 Cards in this Set

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Sources of Diagnostic Error: box 17-4 pg. 232




What are they?

Collecting:


1. Lack of knowledge/skill


2. Inaccurate data


3. Missing data


4. Disorganization




Interpreting


1. Inaccurate interpretation of cues


2. Failure to consider conflicting cues


3. Using an insufficient number of cues


4. Using unreliable or invalid cues


5. Failure to consider cultural influences/development




Clustering


1. Insufficient cluster of cues


2. Premature or early closure


3. incorrect clustering




Labeling


1. Wrong diagnostic label selected


2. Evidence that another diagnosis is more likely


3. Condition a collaborative problem


4. Failure to validate nursing diagnosis with patient


5. Failure to seek guidance

NIC taxonomy Domains and classes

7 Domains:


1. Physiological: basic ( exercise, elimination, etc.)


2. Physiological: complex ( homeostatic )


3. Behavioral


4. Safety


5. Family


6. Health System


7. Community

Tips for good Nursing Hand-Offs




Barriers to effective nursing Handoffs

1. Manage time well

2. Keep report patient-centered/ask q's


3. Standardize: tools/checklists


4. During walk/rounds, include patient in goals


5. Limit distractions




Barriers


1. Omissions, errors, disorganization


2. Social problems, culture of blame


3. Complex cases and high patient care load = inadequate time to report