How to Answer Error Selected Change Questions (Complete Guide)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to error selected change and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves error selected change. A strong answer should include explanation, application, and examples.
Original Question
The error and the selected change (intervention) to prevent this error from occurring. The error situation involves a nurse at an understaffed community clinic who has six high-acuity patients that she is responsible for on her shift. One of her patients is a 6-year-old boy named Lucas who has been admitted for a respiratory infection and is being treated with a high-dose corticosteroid. Because she is so busy, the nurse does not have time to fully explain to the mother how to administer the steroid at home properly. So, when Lucas leaves the hospital and care is transferred to his family, he is given too much of the steroid at home (almost twice as much as prescribed) and suffers overdose effects such as high blood pressure, severe behavioral changes, and adrenal suppression. An intervention to keep similar errors from occurring in the future would be the use of the teach-back method. As described by the Agency for Healthcare Research and Quality (2015), the teach-back method helps ensure that those receiving new information have a solid understanding of the material. They note that those teaching back (the patients in this case) aren’t doing a memory test – they can refer to handouts or other information to help them remember the process. This could be a helpful note for the nurse who can provide both written and verbal instructions on how to use medications and then encourage the patient to use these resources when explaining the process back. Suppose the teach-back method is adopted in practice and used with every patient/family before discharge. In that case, the nurses can be sure that they have adequately educated them on new medications by hearing them repeat the correct information needed for safe medication administration. Reflect upon the errors that occurred at SCUH identified above. 1. Respond thoughtfully to the error above. 2. In response to the above error and intervention, describe what ethical conflicts might arise (or ethical considerations) and what leadership strategies are needed to ensure ethical decision-making in implementing the proposed change or intervention. Cite and reference. 3. What additional ethical considerations should you anticipate when implementing the change in the setting where the patient error occurred? Cite and reference.
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