Reference no: EM132086709

Physician progress notes, nurses’ notes, and medication administration records to the physicians of the patients to be discharged and making copies of those items to send to the hospital with Mrs. Burns per protocol for continuity of care, keeping each set of patient records in a separate pile. Carol’s son then calls to say that he missed the school bus. Carol sets the papers aside while she calls a neighbor to arrange transportation for her son. As she hangs up the phone, the ambulance arrives to transport Margaret to the hospital. Carol gathers the copies of Margaret’s records together and places them in an envelope. The hospital process is for a nurse to double check the records to ensure they are correct prior to the patient leaving the building, but another ambulance crew arrives simultaneously with a patient for admission, handing that patient’s paperwork to Carol. Carol hands the envelope with Margaret’s records to the first crew and directs them to Margaret’s room. A week later, the patient care coordinator at the skilled nursing and rehabilitation facility receives a call from the acute care hospital and is informed the medication administration record sent with Margaret Burns was that of another patient. The acute care hospital failed to notice this discrepancy on admission, and the wrong medications were ordered and administered to Margaret for three days. Margaret suffered an extension of her hemorrhagic stroke and was transferred to the ICU. the Case Study entitled "Communication of Patient Information During Transitions in Care" on pages 570-571 of the eText. Please read through the case very carefully and then think about the issues covered in the case in light of the information that you learned in Chapter 7. Next, read through the questions at the end of the case -- This will help you to consider the various aspects of the case before you post your discussion post. Lastly, answer the following question in your initial post: 1. Which of the Quality Improvement tools mentioned in Chapter 7 would be the most appropriate to analyze this situation? Why? 2. What are the top 3 management issues in this case? 3. What are the legal and ethical obligations a healthcare organization has to its patients and families, and how do they apply to this case? 4. Who should be held responsible for addressing these problems? 5. Which health care facility is responsible for the medication errors? What obligations does the facility have to Margaret? To her family?