The story of a nurse sending the wrong medicine at a hospital in the United States

An American scholar tells the story of a nurse sending the wrong medicine in a hospital in the United States:

The nurse named Mary has been working in a New York hospital for three years. This year, New York experienced abnormal climate, led to a surge in hospitalization, and Mary was very busy. When she prescribed the wrong medicine to the patient one day, Zhang guanli Dai was found in time without causing an accident.

However, the hospital management department is still severely "accountable" for the incident ".

First, the nursing department is accountable. They pulled medical records from their computers and found that "the number of patients in the Mary region has increased by 30% while the number of nurses has not increased ". The Survey Department believes that the nursing department did not increase manpower in due time, resulting in increased workload and overworked Mary. Personnel allocation error.

Then, the human resources department's Psychological Counseling institutions are held accountable. What's wrong with Mary's family recently? I learned that her child was just two years old and she was not comfortable in kindergarten. She cried all night, affecting Mary's evening break. The investigators thought that "the hospital's psychological experts did not help her, and they were not responsible !"

Finally, the accountability system for pharmaceutical companies. Experts believe that "no one wants to send the wrong medicine. There may be reasons for the drug itself ". They put Mary's wrong medicine together for comparison, and found that the appearance and color of several commonly used medicines are similar and easy to confuse. They send a letter to the pharmaceutical company: it is recommended to change the outer packaging of commonly used tablets or change the shape of the medicine to minimize the false identification of the medicine by nurses.

In those days, Mary was very nervous and did not know how to deal with it. The hospital psychology expert visited her and told her not to worry about patient compensation, which had been resolved by the insurance company. She also discussed with her husband and wife how to take care of the children andCommunityApply to give her 10 hours of volunteer help. Mary works at night and volunteers take care of her children to ensure she can take full rest. At the same time, the hospital specially approved her "taking a few days off to help her daughter adapt to kindergarten life ".

Since then, Mary has worked more carefully and no one has made similar mistakes. She and her colleagues liked her work and wanted to keep doing it.