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Patient Safety

Patient Safety. Human Factors. Group Leader: Mohammad basel alkahil. Group Members :. Video Title :. Medication Safety: A Patient's Story https://www.youtube.com/watch?v=CspIrlJ2bd4. Case Summary:. Helen Haskell a mother of 15 years old boy “Lewis”

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Patient Safety

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  1. Patient Safety Human Factors

  2. Group Leader: Mohammad basel alkahil Group Members :

  3. Video Title : Medication Safety: A Patient's Story https://www.youtube.com/watch?v=CspIrlJ2bd4

  4. Case Summary: • Helen Haskell a mother of 15 years old boy “Lewis” • Was born with congenital condition known as pectus excavatum (Concave appearance of sternum bone) • He was admitted to hospital to undergo a correction surgery of his chest shape which known to be safe and minimal-invasive procedure, he was slightly dehydrated that day and unable to produce urine, after surgery he was prescribed a low i.v drip were not appropriate to 15 years old child. • They work on changing medication, and it was changed to hydromorphone with adjunct medication “ketorolac tromethamine I.V ” every 6 hours for his pain. • They kept continuously increase the dose because he maintains high levels of pain, which is really high levels of narcotics for opiate naïve child including that he was also low on fluids. • Three days after surgery he suffered from sever epigastric pain, and the nurse said it’s just a constipation as side effect of narcotics. • 3 hours later he was experiencing signs of shock and then he died because of cardiac arrest. • Autopsy showed that he had duodenal ulcer with blood and gastric secretions in his peritoneal cavity.

  5. Human factor Importance of communication in health care • The patient satisfaction increased when the members of the health care takes the problem seriously and explain the information clearly • In order to avoid medical errors like wrong interpretation of patients' results or diagnosis the communication among health care workers is very essential • Build the trust between the physician and patient improves the health care • Lack of communication increases workplace difficulty and decrease the efficiency in the team members

  6. Human factor : Memory • -What is The Solution? • Don’t Depend on Your memory • Checklists • Reminders and Alarms • Documentation*

  7. Summary of lesson

  8. Thank YOU

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