Medication error assignment

Catastrophic safety events, like medication errors, are almost never caused by isolated errors committed by individuals. Most adverse events result from a series of circumstances in environments with underlying system flaws and failure points. In a culture of safety, health systems understand and acknowledge the high-risk and complex nature of providing care to patients. These health systems will also maintain a just culture in which they promote a blame-free environment so individuals can report errors or near misses without fear of negative consequences, reprimand, or punishment. Health systems that maintain a culture of safety also encourage collaboration among staff to identify opportunities to improve patient safety and have an organizational commitment to provide resources that will help address safety concerns and further prevent system failures” (Zangaro et al., 2023, para. 2).”To overcome the fear of reporting and promote a culture of transparency and accountability, healthcare organizations must create a safe and nonpunitive environment for reporting, build trust with healthcare workers so that they feel comfortable reporting, provide training and education on the reporting process, and demonstrate the importance of learning from errors rather than punishing those who make them. Lessons learned from adverse events could help improve future patient safety. Identifying and mitigating hazards helps healthcare systems identify ways to avoid repeating errors, prevent further harm, and implement improvements” (Zangaro et al., 2023, para. 10).The entire article is visible here: https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workersIn this activity, you will create a fictional medication error (older adult). By asking you to write an incident report, it is a kind of forced mistake where you can see and imagine how a failure would look and feel. But by exposing you to an error in a safe environment, we can reform it into something instructive, good, and constructive. This activity forces you to accept a failure that happened, anticipate client needs once it happens, and reflect on the emotions that will inevitably come with a medication mistake.Download the Medication Error/Incident Report form.On Page 1 of the document, create a fictional medication error (older adult). It can be as simple or as complex as you choose, but it should be an error that reaches the client. Complete all fields.The BEERS guide might help you as you create your fictional medication error: AGS-2023-BEERS-Pocket-PRINTABLE.pdf (usc.edu)On Page 2 of the document, think about what happens after the medication error. What assessment data would you anticipate? What happens next? What additional monitoring, labs, or testing is needed? You must always notify the provider, but should you also notify respiratory therapy, the rapid response team, etc?On Page 3 of the document, reflect on how it feels to create a fictional error, and also how a nurse might respond if they truly made this error. How will you prepare to notify the provider and/or family, and what suggestions do you have so an error like this never happens?https://gwep.usc.edu/wp-content/uploads/2023/11/AGS-2023-BEERS-Pocket-PRINTABLE.pdfhttps://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers