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Risk in Treating Infant Syphilis

An infant was born to a mother with a prior history of syphilis; decision was made to treat the infant from congenital syphilis. Order was written for one dose of "Benzathine Pen (penicillin G150, 000U IM".
Physicians, nurses, and pharmacist unfamiliar with the treatment, Pharmacist misread the dose in both sources as 500,000 units/kg, a typical adult dose, instead of 50,000 units/kg, due to lack of a pharmacy procedure, error was not detected, nurse unfamiliar with the various form of penicillin G. After about 1.8 ml was administrated, the infant become unresponsive

a. A risk manager's role in addressing the events described in the case study The Joint Commission requirements for reporting sentinel events for a hospital

b.Steps a risk manager must take to address these events
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Solution Preview

a. A risk manager's role in addressing the events described in the case study The Joint Commission requirements for reporting sentinel events for a hospital

The risk manager is responsible to identify the potential risks and determine the companies risk liability. Also, the risk manager must design a plan to mitigate or eliminate the risks. In the event the risk can only be mitigated, the risk manager must transfer the risk to a third party such as an insurance company. Further, the risk manager must create the risk retention program to address this issue. As part of the program, a system must be created to record and monitor the effectiveness of the risk management program. After which, the risk retention program must the communicated to the entire company. Additionally, the risk manager will manage all insurance related issues, selections and guidelines. Finally, the risk manager will create all of the risk management ...

Solution Summary

The risks in treating infant syphilis are discussed. The steps a risk manager must take to address these events are given.

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