A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?
Surgery to the wrong site was stopped prior to a procedure.
Paralysis of a client's lower extremities occurred following epidural anesthesia.
A client fall during ambulation did not result in client injury.
A complaint that a nurse was culturally insensitive was made by a client's family member.
The Correct Answer is B
A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.
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Related Questions
Correct Answer is B
Explanation
A. Searching the literature for a systematic review: Searching for systematic reviews is part of evidence retrieval but does not encompass the broader concept of TRIP, which focuses on applying research.
B. Applying strategies that aid in adoption of research in practice: TRIP involves implementing strategies to incorporate research findings into clinical practice, which aligns with this option.
C. Providing the results of research studies to practitioners: Simply providing research results does not address the broader process of translating and applying research into practice.
D. Conducting an integrative review of the literature: An integrative review involves summarizing existing research but does not focus on the application of research findings to practice.
Correct Answer is B
Explanation
A. Identifying patients with extended lengths of stay: While identifying these patients can highlight areas needing improvement, it does not directly help in implementing an evidence-based practice program.
B. Reviewing specialty organization guidelines: Specialty organization guidelines are based on current best practices and evidence, providing a foundation for the implementation of evidence-based practice.
C. Conducting a review of adverse events and incident reports: This review is important for quality improvement and safety but does not directly facilitate the establishment of an evidence-based practice program.
D. Soliciting input from staff members: Staff input is valuable for ensuring engagement and compliance, but it should be guided by evidence and guidelines to establish a robust evidence-based practice program.
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