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The Joint Commission defines a sentinel event as follows: "A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase "or the risk thereof" includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. Such events are called "sentinel" because they signal the need for immediate investigation and response." Study the following case, which involves a sentinel even. In a 1-page Word document, write your answer to the case study question that follows. (Any citations should be in APA format.) Johnny's Fatal Overdose After a visit to his pediatrician, two-year-old Johnny Solerno, who suffers from a chronic kidney condition, was admitted to Community Hospital for control of high blood pressure. While being treated at the hospital, Johnny received a massive overdose of a drug used to lower his blood pressure, resulting in deprivation of oxygen to the brain and permanent brain damage. The drug in question comes in adult strength only and must be diluted in the hospital pharmacy before syringes are prepared for pediatric use. The pharmacy technician labeled the drug as diluted, yet failed to dilute it. The supervising pharmacist did not catch the error, causing the child to receive an adult strength dose of the drug. Case Study Question- What steps should Community Hospital take to prevent such a sentinel event from happening in the future? In your answer, follow the steps suggested by the Joint Commission in this article: https://content.learntoday.info/M211_Summer_13/site/Media/SEA_39%20sentinel%20event.pdf
Preventing Pediatric Medication Errors
Explain how each of these steps can be effective in preventing this type of fatal error. Use APA format for any citations.
Sociologists offer several explanations of the fact that the incest taboo is found everywhere. Which of the following is NOT one of them?
Explain why the size of the ozone hole centered over Antarctica has increased over the past 30 years. What changes occurred since the implementation of the Montreal Protocol?
Read the Walmart case and then compare walmart.com with amazon.com. What features do the sites have in common
respondeat superior is a legal concept that deals with the liability of a health care organization. it states that an
Describe how the Yerkes-Dobson model explains the link between stress in the workplace and identify how a leader can impact the effectiveness of their subordinates by applying the concepts in the model to their leadership style.
Identify the key operational performance indicators for firms competing in this industry.
If you’re a state had a chance to reach a major tradeagreement by making substantial concessions. The agreement wouldproduce 10 million in new wealth for your state, as well as 20million for each of the other states involved (which are politicalallie..
Briefly define ownership of food establishment in minimum 500 words
Developing a research plan and executing it in its entirety is a long and comprehensive process, but you have learned all of the necessary fundamentals for this during this term.
How would you determine who your audience is
Describe in general terms the implementation phrase of the public policymaking process. Discuss rule making,include the role of interest groups in rule making in your response
Poverty is a situation of simplicity – it's only about people not having enough money to pay their bills. According to the reading, a total of 43.2 million people live in Central America, and over half of them are poor. The practice of child labor in..
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