During a review of repeated delayed antibiotic doses, the team finds that orders are entered electronically but are not visible to the medication administration nurse until the next shift. Which preventive action is strongest?
Correct answer: A. Redesign the electronic notification process and test it before wider use
- A. Redesign the electronic notification process and test it before wider use
- B. Remind nurses to work faster when reviewing medication orders
- C. Tell patients to alert staff when an antibiotic seems late
- D. Add a warning poster without changing the electronic process
Explanation
The finding identifies a system design problem that can delay treatment across shifts. Redesigning and testing the notification process addresses the cause more effectively than relying only on reminders or patient vigilance.
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About Quality and Patient Safety
Quality and patient safety include standards of care, quality assurance, continuous quality improvement, audits, indicators and patient feedback. The subject also covers medication errors, falls, infections, communication failures, incident reporting, root cause analysis and preventive actions, distinguishing system improvement from assigning blame to an individual.
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