Read the case study in your textbook on p. 229-230. After reading the case study, respond to the following questions. Submit your responses in a Word document. Include references applying APA guidelines to support your answers.

1. What negative outcome could this patient experience because of this situation?
2. What steps in the medication administration process was missed?
3. How could Mike have used the skill of mindfulness to increase his awareness of distraction?
4. How could a distraction-free zone policy and subsequent culture have allowed the circumstances presented in the case?

230 References blue alert is called; Mike and the respiratory therapist complete their conversation and Mike adminin the medication to his newborn patient. Case Study Questions 1. What negative outcome could this patient experience because of this situation? 2. What step in the medication administration process was missed? 3. How could Mike have used the skill of mindfulness to increase his awareness of distraction? 4. How could a distraction-free zone policy and subsequent culture have altered the circumstances presented in the case? Review Questions 1. Provide two examples of possible patient safety issues related to medication errors and adverse drug events, and demonstrate how a healthcare organization could avoid these safety issues with effective policies and procedures. 2. A physician provided an order for a patient to receive Tylenol if his or her temperature was "> 993 degrees F." Is this an acceptable medication order? Why or why not? 3. Detail how laws and regulations have improved the likelihood that a patient will receive medication that has been administered correctly. 4. A patent for a new drug gives its manufacturer an exclusive right to market the drug for a specific period of time under what type of name? a. Brand b. Generic c. Specific d. Patent 5. Inappropriate dose, nonformulary agent, and medication errors to transfer are all examples of this type of medication error. a. Administration b. Pharmacy c. Discharge d. Prescribing References American Society of Quality (ASQ). 2018. "Failure Mode Effects Analysis (FMEA)." http:/ /asq .org/learn-about-quality /process-analysis-tools/overview /fmea.html. Bates, D. W., D. J. Cullen, N. Laird, L. A. Petersen, S. D. Small, D. Servi, G. Laffel, B. J. Sweitzer, B. F. Shea, and R. Hallisey. 1995. Incidence of adverse drug events and potential adverse drug events: Implications for prevention. JAMA 279:1200-1205 Food and Drug Administration (FDA). 2018. CPG Sec. 160.900 Prescription Drug Marketing Act-Pedigree Requirements under 21 CFR Part 203. https:/ /www.fda.gov/ICECI ComplianceManuals/CompliancePolicyGuidanceManual/ ucm073857.htm.Effective Medical 329 I directly to a user as a dealer, or to sell 12.1 FMEA O.R. example umentation of the preparation, dispensing Sample Fallure Mode, Effect, and Criticality Analysis ms or health records as though the medica. for Hypothetical Medication Use Process in O.R. ofved in the medication processes must be I procedures are being followed to the let rough all steps of the process. When care. identified, the individual involved must ization must also determine whether to ntialing agencies. State licensure is us discipline is instituted per the certifying the organization may have to be further of substance abuse issues. 106 ocal hospital for multiple fractures and is nurse Holly. Holly correctly followed istered correctly. Holly began monitor. hin a few minutes of administration, rights" of medication administration dis/Joint Com haj Oakbrook Terrace, IL: Joint Commission on "anizations are inessingly using RCA as one step of a proactive risk-reduction effort combined when CA. One step of an FMEA involves identifying the root causes of failures (failure model plished by the Joint Commission, il why these abbreviations are a Real-Life Example a new sleeping pill containing the drug thalidomide was found to cause severe birth defect In Passed by pregnant women. This included lost limbs and other major deformities that affected thousands "Children in Europe, where the drug had been widely used. In the US, the drug was not yet approvesten Analysis dieting and was only being used in tests. However, the nature of the defects and the number of children maried created a public demand in the US for tighter drug regulations that resulted in the Kefauver-Harris at are used by the healthcare Andment, which changed the course of the drug approval process. From then on, manufacturers wire ective tool used to analyze the Amined to provide proof of both safety and effectiveness of a drug before they could market it. Later studies mode and effects analysis "thalidomide to be safe and effective in treating multiple myeloma, and it is now approved for that use. lems when introducing new includes defining high-risk processes; and scoring each ial harm, and the likelihood Case Study. Mike is a nurse working in the newborn intensive care unit (NICU) in a large tertiary care medical ed frequently in analyzing center. He has gone to the medication room to pick up a medication ordered for one of his newborn ry day. vients. While in the medication room, he scans the bar code on the medication to ensure this is the correct ethods such as FMEA, a the for his patient and also confirms that this medication matches the ordered drug. He returns to the he highest criticality score CU and scans the bar code on the medication again, as well as the bar code on the patient's identifica- ion from the pharmacy to an band, confirming a match. The drug Mike needs to administer to this patient is considered a high-risk an error to occur. In this medication. Per hospital policy, Mike must have another nurse confirm the medication before administer- he highest criticality score ng it to his patient. As Mike is preparing to ask another nurse to confirm this high-risk medication, the ent, so this would be the respiratory therapist stops Mike to ask him a question about his patient. During this conversation, a code