Paper Details

Class Objectives:

  1. Classify the different types of errors and contributory factors.
2. Illustrate how various system features contribute to error occurrence.
3. Evaluate how system fragmentation results in vulnerable conditions e.g., “transitions, hand-off’s” for lapses in patient safety. 
4. Define “adverse events” and implications from results of the Harvard Medical Practice Study.
5. Recognize categories of “Never Events” as defined by the National Quality Forum.
6. Discuss the different types of medication errors particular to various clinical practice settings.
7. Explain how a variety of human factors and the concept of mindfulness relate to the likelihood of medical errors.
8. Evaluate potential solutions for error reduction.

2- listen to “ Chasing Zero Documontary” http://www.safetyleaders.org/pages/chasingZeroDocumentary.jsp

 

Complete the following Class Participation Questions:

  1. In the video regarding errors and human factors, lecturer discusses Rasmussen’s Framework for Human Error.  Please discern between the 3 different types of performance errors and give a brief example of each (3 points).Write one page for this question
  2. Please list 3 (each) different internal physiologic, internal psychological and external types of human factors (total of 9 factors)Provide an example of 1 of these factors and how it could lead to an error (4 points).Write page and 1/4 for this question.

3-In the documentary entitled “Chasing Zero,” a nurse commits a serious medication error that leads to the death of a young woman in labor; please briefly analyze the contributing factors (3 points).Write ¾ page for this question.

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