For this post we welcome guest blogger, Ruperto A. Glaize, A CIV US USA MEDCOM, equipment maintenance, Womack Army Medical Center, who shares his best practices concerning use errors, based on his observations from working in small rural hospitals the past few years. Here’s what he says:
“As more and more of the equipment is computer based, your work force is less and less capable of using it. They want to turn it on, push one or two buttons, and that’s it. If someone accidentally changes one setting, most nurses are incapable of resetting the unit back to their perceived “natural” setting.
In the higher skilled areas (ICU, NICU, etc) the common use errors occur during crisis moments when the nurses are totally focused on patient care and are unable to step back for a second, process what the unit is doing or not doing. They would rather shut the unit down, disconnect the patient, bring in another unit, then reconnect the patient.”
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