The purpose of the paper is to present MedCARVER+Shock method and Pareto analysis
and its usability for the risk assessment of adverse events of nursing activities. 888 activities
carried out by all 190 nurses working at the District Hospital X located in Poland were
taken into account. During the research the qualitative approach was used. As the result
sixteen groups of nursing activities causing the highest risk of adverse events were selected.
Special attention required in: admission of a patient to the ward, sterilization, verbal
communication with the patient, using of intravenous cannulas, needles, syringes, devices
for transfusion of infusion liquids, servicing of hospital rooms, first aid in life-threatening
situations, using medical devices and equipment. Ten basic causes of the risk of adverse
events were identified, among others: lack of trainings, of modern equipment, of staff, failure
to comply with procedures, lack of staff supervision, poor quality of ancillary materials, lack
of management commitment. Finally MedCARVER+Shock method and Pareto analysis usability
has been confirmed but it appeared that it is time-consuming and requires support
from skilled professionals. Several suggestions have been put forward to improve the utility
of MedCARVER+Shock.
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