Miscillaneous Flashcards
When should aspirin be stoped prior to surgery?
7- 10 days prior
When should metformin be stoped prior to surgery?
D/c the morning of surgery
What medications should be continued through surgery?
Beta blockers and statins
What lifestyle modifications should be considered prior to surgery
Stop smoking 8 weeks prior to surgery
The absence of these reflexes + a positive apnea test indicate brain death.
absence of the pupillary reflex, vestibuloocular reflex, corneal reflex, gag reflex, and cough reflex indicate brainstem areflexia,
A patient’s correctly placed IV subsequently becomes infiltrated (unpreventable), but this is not discovered for a number of hours because of understaffing.
Ameliorable adverse event, An unpreventable adverse event that could have been reduced in severity through specific actions
An incorrect order that is identified by a nurse before being completed
Potential adverse event (near miss), A medical error that could have resulted in an adverse event but did not, either incidentally or due to a prevention program or timely intervention
Wrong-site surgery, wrong-patient surgery, Post-procedure retention of a foreign object in a patient
Suicide, suicide attempt, or self-harm within a health care facility
Using contaminated devices or medications, Using medical devices for purposes other than their intended function
Administering the wrong medication
Never adverse events; preventable causes of harm to the patient
Failure to administer aspirin 48 hrs after a stroke leads to another stroke.
Error of omission; an action is not taken when required
Administering a subcutaneous drug intravenously
Error of commission
An inappropriate execution of an action or execution of an inappropriate or unnecessary action
Procedure is a cholecystectomy but the surgeon notices that he has removed the common bile duct
Active error
Medications with similar packaging that are stored directly next to each other, Understaffing, Implementation of new equipment without adequate staff training
Latent error ; An error inherent to a system that may cause patient harm under specific circumstances
The tendency to become desensitized to and subsequently ignore alerts prompted by clinical decision support systems or medical equipment due to the excessive number or limited clinical relevance of the alerts in the past
Alert fatigue
the tendency to favor evidence that supports preconceived notions and ignore potentially conflicting or problematic evidence
confirmation bias
the tendency to inappropriately rely on an initial perception or piece of information, which hinders later judgment when new information becomes available (e.g., favoring a diagnosis proposed earlier despite new evidence)
Anchoring bias
the tendency to make judgments based on the availability of information from memory (e.g., when a clinician makes a premature diagnosis that comes to mind easily and quickly due to having seen several patients with a similar clinical presentation)
Availability bias
the tendency to be influenced by how information is presented (e.g., the order of symptoms and/or emphasis placed on specific findings)
Framing bias
the tendency for clinical decisions to be influenced by positive or negative feelings towards the patient
Visceral bias
