Evaluate why and how humans produce errors and what precautions should have been taken in this case study|Medicine
CASE STUDY
Single-Event Analysis—The Wrong PatientÂ
(See attachment for case study/pages 205-212)
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Instructions
Review the case study in Chapter 5 and answer the questions below:Â
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1. After the initial patient misidentification, what systemic reasons can you identify that lead to subsequent caregivers not recognizing that the patient transferred to, prepped for, and undergoing surgery was not the right patient?Â
2. Use the three components of root cause analysis to evaluate the following:
A. How significant was the role of data collection and data analysis in measuring the chronology of events? Explain.
3. From your perspective, what steps should have been taken to avoid this latent medical error?
4. Evaluate why and how humans produce errors and what precautions should have been taken in this case study.
250 to 300 words
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