Question

Which health care facility is responsible for medication errors? what obligations does the facility have to...

Which health care facility is responsible for medication errors? what obligations does the facility have to Margaret? to her family?

Case is: Communication of patient information during transitions in case - Case for chapters 7 & 12 in textbook Health Care Management Third Edition

Case as requested

Margaret Burns is a 63-year-old woman who has suffered a left occipital hemorrhagic infarct, a cerebrovascular event. In addition to this recent stroke, Margaret has a history of rheumatoid arthritis, which limits her mobility; hypertension, which has been controlled with diet and medication; osteoporosis; gastroesophageal reflux; and depression. She is alert and oriented, and has been identified at risk for falls. She requires moderate assistance with transfers and minimal assistance with ambulation using a rolling walker. Her scheduled medications include: pantoprazole for gastroesophageal reflux disorder (GERD); alendronic acid for osteoporosis; prednisone, a steroid; metoprolol for hypertension and heart disease; and calcium with vitamin D.

Following her acute care hospitalization, she is transferred to a skilled nursing and rehabilitation facility to continue her recovery. Margaret lives alone and must be independent to return home. One week after her admission to the skilled nursing facility, Margaret develops pain and swelling in her right leg and a low grade temperature. Her blood work indicates an elevated white blood cell count. The attending physician orders a venous Doppler ultrasound of the right leg and the results are positive for an acute deep vein thrombosis (DVT). Plans are made to transfer Margaret back to the acute care hospital for possible placement of a filter as she is not a candidate for anticoagulation due to her hemorrhagic stroke.

Carol Stevens, the secretary on Margaret’s unit, had a flat tire on the way to work. After calling the auto club and waiting for them to come and change the tire, she arrives late, already behind before her day has even started. After she punches in and hurries to the unit, she learns two patients are being discharged, two patients are scheduled to arrive for admission, and Mrs. Burns is scheduled to be transferred to the acute care setting. She immediately sets to work faxing the histories, current lab results, consults, diagnostics, physician progress notes, nurses’ notes, and medication administration records to the physicians of the patients to be discharged and making copies of those items to send to the hospital with Mrs. Burns per protocol for continuity of care, keeping each set of patient records in a separate pile.

Carol’s son then calls to say that he missed the school bus. Carol sets the papers aside while she calls a neighbor to arrange transportation for her son. As she hangs up the phone, the ambulance arrives to transport Margaret to the hospital. Carol gathers the copies of Margaret’s records together and places them in an envelope. The hospital process is for a nurse to double check the records to ensure they are correct prior to the patient leaving the building, but another ambulance crew arrives simultaneously with a patient for admission, handing that patient’s paperwork to Carol. Carol hands the envelope with Margaret’s records to the first crew and directs them to Margaret’s room.

A week later, the patient care coordinator at the skilled nursing and rehabilitation facility receives a call from the acute care hospital and is informed the medication administration record sent with Margaret Burns was that of another patient. The acute care hospital failed to notice this discrepancy on admission, and the wrong medications were ordered and administered to Margaret for three days. Margaret suffered an extension of her hemorrhagic stroke and was transferred to the ICU.

Homework Answers

Answer #1

According to me, the long term care facility as well as nursing facility are equally responsible for the medication errors happening in HCOs. The patients trust these staff with their lives but due to a small negligence on the part of the nursing staff, the life of a patient is put to danger. The facility needs to pay for both physical and mental harassment that happened to Margaret and her family due to the negligent attitude of the HCO. The facility must be sued for the negligence that was caused to Margaret Burns.

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
who should be held responsible for addressing these problems Case is: Communication of patient information during...
who should be held responsible for addressing these problems Case is: Communication of patient information during transitions in case - Case for chapters 7 & 12 in textbook Health Care Management Third Edition Case as requested Margaret Burns is a 63-year-old woman who has suffered a left occipital hemorrhagic infarct, a cerebrovascular event. In addition to this recent stroke, Margaret has a history of rheumatoid arthritis, which limits her mobility; hypertension, which has been controlled with diet and medication; osteoporosis;...
Based on the Case below, Write a brief explanation that explains why the case represents its...
Based on the Case below, Write a brief explanation that explains why the case represents its particular ACHE competency domain. (Be sure that the explanation justifies the assigned competency domain based upon the facts and circumstances of the case.) Case: Case 4: Knowledge of the Healthcare Environment A new administrator in a large suburban healthcare system was hired to work in the corporate offices as a patient service coordinator for the five hospitals, one rehabilitation hospital and one skilled nursing...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer on her right medial malleolus while still living at home. She moved into our skilled nursing home care facility 3 days ago. The current plan of care is focused on promoting wound healing, improving venous return, and preventing skin breakdown. Background: Mrs. Morrow has a past medical history of chronic obstructive pulmonary...
Medication errors by a nurse happen every day. In fact, adverse drug events account for almost...
Medication errors by a nurse happen every day. In fact, adverse drug events account for almost 700,000 ER visits and 100,000 hospitalizations every year. In many cases, these errors can lead to medical malpractice claims made against individual practitioners or even against entire health care teams. The majority of medication errors are preventable, and knowing how they happen can teach you what to be aware as future nurses. These five real-life medication error case studies that involved nurses. While these...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer on her right medial malleolus while still living at home. She moved into our skilled nursing home care facility 3 days ago. The current plan of care is focused on promoting wound healing, improving venous return, and preventing skin breakdown. Background: Mrs. Morrow has a past medical history of chronic obstructive pulmonary...
Having some trouble with my case studies. Case Study 3 Acute Care Mrs Fox Case Scenario:...
Having some trouble with my case studies. Case Study 3 Acute Care Mrs Fox Case Scenario: Acute Care Mrs. Fox, a 40-year-old wife and mother of 2, was involved in a massive motor vehicle accident on the Sawmill Parkway in which her car struck the center divider and flipped twice. A good Samaritan immediately dialed 911. First responders found the patient unconscious with severe injuries but were able to safely transport her to St. John’s Riverside Hospital. Upon arrival at...
QUESTION 18 The hospital outpatient prospective payment system for Medicare applies to all of the following...
QUESTION 18 The hospital outpatient prospective payment system for Medicare applies to all of the following EXCEPT: A. Physician reimbursement for observation services B. Facility reimbursement for emergency room visits C. Facility reimbursement for hospital outpatient surgery D. Facility reimbursement for outpatient clinic visits 10 points    QUESTION 19 Julia is an 80-year-old female with osteoporosis. She presents to the emergency room complaining of severe back pain. X-ray interpretation shows pathological compression fractures of several vertebrae. Which diagnosis would the...
A client asks the RN about the purpose of an advance directive. What is the RN’s...
A client asks the RN about the purpose of an advance directive. What is the RN’s most appropriate response? “It allows you to document your wishes about your health care.” “It provides instructions for your care, should you become terminally ill.” “It is a document that identifies post mortem preferences.” “It will allow the hospital to choose a health care proxy on your behalf.” The daughter of a client who is dying and unconscious, asks what she can do to...
Ms Aaliyah Abimbola; a 56-year old female who emigrated from Africa 20 years ago. Ms Abimbola...
Ms Aaliyah Abimbola; a 56-year old female who emigrated from Africa 20 years ago. Ms Abimbola is a single parent with three female children, ages 14, 17 and 18. You are working on the respiratory ward and have been allocated to Ms Abimbola who has been admitted with exacerbation of COPD. Ms Abimbola presented to A&E via ambulance at 8AM after experiencing acute shortness of breath while preparing breakfast this morning. Based on the information provided in this case study,...
Ms Aaliyah Abimbola; a 56-year old female who emigrated from Africa 20 years ago. Ms Abimbola...
Ms Aaliyah Abimbola; a 56-year old female who emigrated from Africa 20 years ago. Ms Abimbola is a single parent with three female children, ages 14, 17 and 18. You are working on the respiratory ward and have been allocated to Ms Abimbola who has been admitted with exacerbation of COPD. Ms Abimbola presented to A&E via ambulance at 8AM after experiencing acute shortness of breath while preparing breakfast this morning. Background information for the assignment. You are the RN...