Question

Mrs. Jackson dies on Saturday afternoon after receiving fatal intra-venous medication infusion. The charge nurse learns that Betty, RN programmed the infusion pump administering the medication to deliver the medication at a rate of 1.0 ml per hour instead of 0.1 ml per hour.   Investigation suggests that the default settings on the pump failed to prevent the provider from programming the pump for this medication at such a high dose. The charge nurse reported the event through ECH electronic reporting system.

Which of the following statements does NOT describe the role of event reporting in a healthcare organization?

All staff are encouraged to report events and ‘near misses’ using a designated event reporting system.

Event reports are privileged communication and protected from most disclosures by the risk management, peer review and attorney/client privileges.

Event reports are a key component of staff performance management and are included in the staff human resources files.

Analysis of reported events and ‘near misses’ is characteristic of a high reliability organization and promotes patient safety.

Mrs. Jackson’s family calls ECH Administration and asks for an appointment to discuss the lawsuit they intend to bring. Prior to the meeting with the Jacksons, the AOC learns that Betty was initially hired in 2000, works weekends only and has had multiple warnings and progressive discipline.

The elements of a professional negligence claim include:

Duty

Breach of duty

Willful and wanton conduct

Intent

Causation

Damages

a, b,e and f

all the above

The Jackson family is considering filing suit naming ECH, Betty and the charge nurse as defendants.

Litigable claims against ECH include:

Vicarious liability for the negligence of Betty

Hospital liability for using malfunctioning equipment

Vicarious liability for the negligence of the infusion pump manufacturer.

Hospital liability for staffing issues raised in the Petition.

a and b

a and c

a, b and d

all the above

Answer 1

O1 option C is right as it is not the only way of the staff performance.

Q.2 Correct options are a b e and f which are best suited in this situation

Q.3

Correct options are a b and d as these are fitting in the need