Highlights
Medication safety Case Analysis
Intent:
Medication errors can impact patient outcomes, therefore safe and appropriate administration of medicines is an important part of patient safety. The intent of this
assessment is to prepare students for clinical practice by developing their understanding of the types of medication errors and the reasons these occur, and to develop strategies for students’ own clinical practice to prevent medication errors.
Task:
You are required to view the case study videos provided, then analyse and discuss the factors within the video that lead to the medication error.
1. Discuss your understanding of James Reason’s Model of System Failure ‘Swiss Cheese Model’ (2000) in relation to patient safety.
2. List all the factors in the video that lead to the medication error occurring.
3. Select and analyse three main factors that lead to the medication error occurring.
4. Discuss how the nurses’ involved could have prevented the medication error with reference to the factors identified in point 3.
• Support your answers with high quality references (minimum of ten).
• A marking rubric is provided ( see below )
• For James Reason’s Model of System Failure ‘Swiss Cheese Model’ (2000) referto chapter 2 of the ‘Clinical Reasoning – Learning to Think Like a Nurse’textbook.
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