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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
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
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