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Asked by glaulcia.goncalves718

A 72-year-old woman who developed slurred speech and weakness in her right arm and hand was referred from her primary care provider’s office to a hospitalist for admission and evaluation of a possible TIA. Her admitting physical evaluation by the RN showed an elderly but otherwise generally healthy patient. The admission lab tests were all within normal limits except for her CBC, which showed a moderate degree of anemia. The hospitalist attributed this to a diet low in iron, which is not unusual in the elderly, and started her on an iron supplement during hospitalization. He also ordered a stool test for occult blood because anemia can result from GI bleeding caused by ulcers and other illnesses.

As with most patient errors, there was a chain of events that led up to the result. List the chain of events involved with the client’s case.
Who or what was primarily responsible for causing the poor outcome in this case? Why do you believe this individual, or entity was primarily responsible?
What sentinel events would have been identified as needing risk-reduction policies?
What would you do to correct the events that led to the poor outcome?
 
SCIENCE
HEALTH SCIENCE
NURSING

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