Systems errors, human errors, and process issues can lead to sentinel events in a hospital. Create your initial post and then use the response prompts to reply to the scenarios or examples created by at least two peers.
Initial Post
In 200–250 words, construct a scenario or example of an error that would result in harm to a patient for your initial post. This scenario or example can be something you have witnessed or a hypothetical example of a sentinel event. DO NOT post the same scenario or example as a peer.
Response Prompts
Then, respond to at least two of your peers’ posts in a substantive manner. Use the response prompts to guide your content.
How did organizational influence, unsafe supervision, etc. cause this error to happen?
How will you avoid making such an error in the future?
Sample Solution
My scenario involves a patient who was administered an incorrect dosage of medication due to a miscommunication between the nurse and pharmacy technician. The error occurred when the patient’s medication order was faxed over to the pharmacy with instructions for double the normal dose; however, this mistake was not caught until after the medication had already been given to the patient.
Sample Solution
My scenario involves a patient who was administered an incorrect dosage of medication due to a miscommunication between the nurse and pharmacy technician. The error occurred when the patient’s medication order was faxed over to the pharmacy with instructions for double the normal dose; however, this mistake was not caught until after the medication had already been given to the patient.
