Medication Errors and Just Culture Paper
Medication Errors and Just Culture Paper
Medication errors form a critical issue in healthcare. Medication errors predispose patients to unintended harms. In relation to the provided care scenario, the two nurses should not be disciplined. The most appropriate approach to addressing the issue would be investigating the factors that led to the medication errors. Often, medication errors arise from factors that include organizational, patient, and provider factors. Organizational factors include those related to the adequacy of the nursing staffs and the efficiency of the adopted systems and processes to guide medication processes. The patient factors include those related to the condition, workload, and changes in the health status of the patients during the process of medication administration. Provider factors may include aspects such as lack of knowledge, burnout, and stress (Asensi-Vicente et al., 2018). As a result, it is important to investigate the factors that led to the error. The factor could be those beyond the control by the nurses. The nurses should be disciplined in the same way should such a decision be considered. Medication errors can cause or fail to harm the patient. As a result, the measures of disciplining them should be the same to promote justice, fairness and equality in the organization.
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The medication errors would be addressed in a structured approach in a just culture. The approaches would include developing methods to prevent the issue, building awareness, adopting policies to support the desired culture, and implementing them for daily use. In this case, the errors would be investigated to determine their causes. Providers will be informed about the potential risks in the organization as well as the strategies adopted to prevent them in the future. They will also be equipped with the desired knowledge and skills to create the desired culture of patient safety (Edwards, 2018). The interventions and processes will be incorporated into the routines to promote continuous quality improvement. Therefore, the aim would be learning from the errors rather than punishing the nurses.
References
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Asensi-Vicente, J., Jiménez-Ruiz, I., & Vizcaya-Moreno, M. F. (2018). Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educator, 43(5), E1. https://doi.org/10.1097/NNE.0000000000000481
Edwards, M. T. (2018). An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. American Journal of Medical Quality, 33(5), 502–508. https://doi.org/10.1177/1062860618768057
Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?
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