Examining Nursing Medical Malpractice Cases Related to Medications.

IF 1.8 4区 医学 Q2 NURSING Journal of Nursing Administration Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI:10.1097/NNA.0000000000001502
Julie Higden, Patricia Folcarelli, Adam Schaffer
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Abstract

Objective: The aim of this study was to analyze medication-related nursing medical malpractice cases to gain insights regarding how malpractice risk can be reduced.

Background: The criminal prosecution and verdict of nurse RaDonda Vaught focused attention on the potential medicolegal risk for nurses related to medications.

Methods: Medication-related medical malpractice cases involving nurses were obtained from a national database. Various attributes of these cases were examined, including contributing factors, injury severity, and case outcomes.

Results: Authors identified 231 nursing medication-related medical malpractice cases closed from 2017 to 2021. The most frequent adverse events involved medication administration. Not following policies or protocols was the most common contributing factor. Opioids and epinephrine were the medications most frequently involved in the cases. Indemnity payments were made in 56.3% of the cases, with an average indemnity payment of $366 002.

Conclusions: Nursing medication-related medical malpractice cases are relatively uncommon, which may reassure nurses regarding medicolegal risk. Medications and contributing factors involved in the cases suggest patient safety interventions including education related to policies, procedures, and protocols.

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审查与药物有关的护理医疗事故案件。
研究目的本研究旨在分析与用药相关的护理医疗事故案例,以深入了解如何降低医疗事故风险:背景:对护士 RaDonda Vaught 的刑事起诉和判决使人们开始关注护士在用药方面的潜在医疗法律风险:方法:从国家数据库中获取了涉及护士的与用药相关的医疗事故案例。方法:从一个全国性数据库中获取了涉及护士的与用药相关的医疗事故案例,并对这些案例的各种属性进行了研究,包括促成因素、伤害严重程度和案例结果:作者确定了 2017 年至 2021 年期间结案的 231 起与护理用药相关的医疗事故案例。最常见的不良事件涉及用药。不遵守政策或协议是最常见的促成因素。阿片类药物和肾上腺素是案件中最常涉及的药物。56.3%的案件获得了赔偿,平均赔偿金额为 366 002 美元:与护理用药相关的医疗事故案例相对较少,这可以让护士们对医疗法律风险放心。案件中涉及的药物和诱因建议采取患者安全干预措施,包括与政策、程序和协议相关的教育。
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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: ​JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.
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