scholarly journals Use of Dimensional Analysis in an Associate Degree Nursing Program

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
United States ◽  
Dimensional Analysis ◽  
Medication Errors ◽  
Medical Error ◽  
Associate Degree Nursing ◽  
Associate Degree ◽  
The United States ◽  
Insurance Company ◽  
Malpractice Claims ◽  
Medication Calculation

The aim of this retrospective study was to show the use of dimensional analysis increased associate degree nursing students’ mathematical computation competency and may reduce nursing medication errors in practice. A recent report compiled by Mackary and Daniel from John Hopkins, stated that medical error is the third leading cause of death in the United States [1]. The most commonly cited estimate of annual deaths from medical error in the United States is a 1999 Institute of Medicine (IOM) report which is possibly limited and now outdated [2]. Medication errors contribute to patients’ deaths, whereas nurses administer either incorrect medication, or incorrect doses of medication. Human error is inevitable, however designing safer systems to administer medication such as the use of a bar code system, and the standardization of academic medication calculation teaching may decrease these errors. According to a report from a major insurance company that insures a large percentage of nurses, malpractice claims in nursing is on the rise [3]. Claim settlements and court judgments for 2015 against nurses include: failure to communicate, medication errors, charting by exception, and legal risks. Medication calculation errors can be one of three categories, conceptual, mathematical, and measurement, with conceptual errors (setup of the calculation equation) accounting for 68% of all errors [4]. Nursing textbook publications teaching dose calculation often use multiple methods: ratio-proportion, “desired over have”, and various formulas to calculate medication dosage. Students then need to use the appropriate formula to solve the problem with fractions often leading to miscalculations with added or dropped zeroes. The use of dimensional analysis (DA) only requires the student to use a single equation, and learn one calculation process, rather than several steps required by other methods or even memorization of multiple formulas [5].

scholarly journals Lawsuits against plastic surgeons: Does locale affect incidence of claims?

2007 ◽  
Vol 15 (3) ◽  
pp. 155-157 ◽  
Author(s):  
Jonathan L Kaplan ◽  
Warren C Hammert ◽  
James E Zin
Keyword(s):  
United States ◽  
Emergency Room ◽  
Plastic Surgery ◽  
Medical Malpractice ◽  
The United States ◽  
Absolute Number ◽  
Malpractice Claims ◽  
High Incidence ◽  
Medical Malpractice Claims ◽  
Geographical Locations

Background Physicians continue to practice in a very litigious environment. Some physicians try to mitigate their exposure to lawsuits by avoiding geographical locations known for their high incidence of medical malpractice claims. Not only are certain areas of the United States known to have a higher incidence of litigation, but it is also assumed that certain areas of the hospital incur a greater liability. There seems to be a medicolegal dogma suggesting a higher percentage of malpractice claims coming from patients seen in the emergency room (ER), as well as higher settlements for ER claims. Objective To determine if there is any validity to the dogma that a higher percentage of malpractice claims arise from the ER. Methods An analysis of common plastic surgery consults that result in malpractice claims was performed. The location where the basis for the lawsuit arose – the ER, office (clinic) or the operating room (OR) – was evaluated. The value of the indemnity paid and whether its value increased or decreased based on the location of the misadventure was evaluated. Results According to the data, which represented 60% of American physicians, there was a larger absolute number of malpractice claims arising from the OR, not the ER. However, the highest average indemnity was paid for cases involving amputations when the misadventure originated in the ER. Conclusions The dogma that a greater percentage of lawsuits come from incidents arising in the ER is not supported. However, depending on the patient's injury and diagnosis, a lawsuit from the ER can be more costly than one from the OR.

Radiology Malpractice Claims in the United States From 2008 to 2012: Characteristics and Implications

2016 ◽  
Vol 13 (2) ◽  
pp. 124-130 ◽  
Author(s):  
H. Benjamin Harvey ◽  
Elena Tomov ◽  
Astrid Babayan ◽  
Kathy Dwyer ◽  
Sam Boland ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Malpractice Claims

Narrowing the mindware gap in medicine

Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Pat Croskerry
Keyword(s):  
United States ◽  
Cognitive Performance ◽  
Clinical Reasoning ◽  
Medical Errors ◽  
Medical Error ◽  
Causes Of Death ◽  
The United States ◽  
Morbidity And Mortality ◽  
Medical Educators ◽  
High Degree

Abstract Medical error is now recognized as one of the leading causes of death in the United States. Of the medical errors, diagnostic failure appears to be the dominant contributor, failing in a significant number of cases, and associated with a high degree of morbidity and mortality. One of the significant contributors to diagnostic failure is the cognitive performance of the provider, how they think and decide about the process of diagnosis. This thinking deficit in clinical reasoning, referred to as a mindware gap, deserves the attention of medical educators. A variety of specific approaches are outlined here that have the potential to close the gap.

scholarly journals Non-health Care Facility Medication Errors Associated with Hormones and Hormone Antagonists in the United States

2017 ◽  
Vol 13 (4) ◽  
pp. 293-302
Author(s):  
Pranav Magal ◽  
Henry A. Spiller ◽  
Marcel J. Casavant ◽  
Thitphalak Chounthirath ◽  
Nichole L. Hodges ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Medication Errors ◽  
Care Facility ◽  
Health Care Facility ◽  
The United States ◽  
Hormone Antagonists

The Pioneer in American Life Insurance Marketing

1938 ◽  
Vol 12 (5) ◽  
pp. 65-75
Author(s):  
J. Owen Stalson
Keyword(s):  
United States ◽  
Eighteenth Century ◽  
North America ◽  
Life Insurance ◽  
General Public ◽  
Colonial America ◽  
The United States ◽  
Insurance Companies ◽  
Insurance Company ◽  
Fire Insurance

Colonial America gave little thought to life insurance selling. The colonists secured protection against marine risks from private underwriters, first in London, eventually at home. It has been asserted that Philadelphia had no fire insurance until 1752; Boston none before 1795. The first corporations formed in this country for insuring lives were those of the Presbyterian Ministers Fund (1759) and a similar company organized for the benefit of Episcopal ministers (1769). Neither of these corporations offered insurance to the general public. In the last decade of the eighteenth century many insurance companies were formed in the United States. At least five were chartered to underwrite life risks, but only one, The Insurance Company of North America, appears to have accepted any. There is no basis for saying that any of these early companies tried to sell life insurance.

Topography and Culture: The Case of the Changing Cage

1957 ◽  
Vol 16 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Cara Richards ◽  
Henry Dobyns
Keyword(s):  
United States ◽  
Cultural Change ◽  
Social Systems ◽  
The United States ◽  
The Other ◽  
Insurance Company ◽  
Work Unit ◽  
Cultural Changes ◽  
The Relationship

This paper deals with a problem long debated by anthropologists—the relationship between environment and culture. We analyze effects of topography on cultural change in situations of contact between two social systems, one more powerful than the other and inclined to enforce its behaviors on the weaker. We do this by examining cultural changes in one work-unit within a large insurance company in the United States.

scholarly journals Characteristics of Paid Malpractice Claims Among Resident Physicians From 2001 to 2015 in the United States

2020 ◽  
Vol 95 (2) ◽  
pp. 255-262 ◽  
Author(s):  
McKinley Glover ◽  
Glen W. McGee ◽  
Derek S. Wilkinson ◽  
Harnam Singh ◽  
Alexis Bolick ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Resident Physicians ◽  
Malpractice Claims
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