N420 Fall 2020 Class 2 - Case 1 by Rae Walker, PhD RN FAAN (they/them) https://padlet.com/r_walker6/u893w3hw81t0elle Post your questions & answers here! en-us 2020-08-20 16:03:01 UTC 2020-09-02 12:56:21 UTC hello@padlet.com Breakout Group 2 uawale https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714622790 Workarounds aren't always necessarily bad, it depends on whether the nurse is using workarounds for their patients safety and well being or for themselves.

]]> 2020-09-02 12:49:25 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714622790 group 6 https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714623007 -Workaround “adaptive response to a real or perceived barrier”

Very common

Workaround -medications seem like a negative however it is a positive outcome for a patient

Its bad that nurses feel like they have to do that however its for the patient

-Workaround were 4th amount top 10 safety concerns in 2018
-No some seee bad however they truly benefit the pt

-ACA is a form of work arounds

-Workarounds occurred in 66 of medication administrations and are associated with large amounts of medication errors

]]> 2020-09-02 12:49:31 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714623007 Group 3 ngrigas https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714625273 NICOLE

ORIELLE

JESSICA

VICTORIA

KATE

JULIA

ADAM

ASSOCIATION BETWEEN WORKAROUNDS AND MEDICATION ERRORS AND BARCODE ASSISTED MEDICATION ADMINISTRATION AND HOSPITAL

INFORMATICS AND BIOMEDICINE

2/3 OF MEDICATION ERRORS WERE DUE TO WORKAROUND

WORKAROUNDS ARE ROUTNINELY USED BY NURSES BUT ARE THEY ARE ETHICAL?

TALKS ABOUT THEY ARE MEANT TO BE ETHICAL BUT THEY CAUSE ERRORS ..

]]> 2020-09-02 12:50:25 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714625273 Group 5 https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714625463 -A Workaround is defined in nursing as a time saving shortcut to a system failure that interferes with patient care.

-Workarounds typically take up a portion of a nurses busy day. Fairly common at busy or inefficient hospitals with slow pharmacies.

--Nurses use workarounds to save time and give the patients better care at inefficient hospitals or places slower pharmacies.

-Patient to nurse ratios relate to workarounds

-Some hospitals use barcode scanners and some nurses refuse to work with the barcodes despite the good intentions of administration to reduce med errors.

-poor system design and workarounds of the system cause the remaining of medication errors.

-unreadable medication bar codes, missing patient wrist band identification, malfunctioning scanners, uncertain wireless connections, nurses overrode BCMA alerts

-BCMA design sometimes encourages workarounds

]]> 2020-09-02 12:50:30 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714625463 Group 10 erinsummers1 https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714630344 Workarounds Are Routinely Used by
Nurses—But Are They Ethical?

Staff Workarounds Pose Medication Error Risk

]]> 2020-09-02 12:52:21 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714630344 erinsummers1 https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714630572 2020-09-02 12:52:26 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714630572 Group 8 https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714634114 Workaround: "informal temporary practices for handling exceptions to normal procedures or workflow”
Creating a solution to a real or perceived barrier, or system flaw.
Common sense can underlie workarounds

10% of the nurse’s day

Common occurrences in the computer world

Ranked 4^th (out of 10) on national survey of patient safety concerns

]]> 2020-09-02 12:53:42 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714634114 Group 7 https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714639510 Evaluate the workarounds to explore the limitations of the system and use them for quality improvement opportunities.

Study has used workaround to improve use of eMAR to enhance patient flow.

Article from 2016, led to mediated relationships between high work load and safety for the patient. ]]> 2020-09-02 12:55:38 UTC https://padlet.com/r_walker6/u893w3hw81t0elle/wish/714639510