How a systems approach can change safety culture

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Reference no: EM133574905

Assignment:

Annie's story: How a System's approach can change safety culture A faulty blood glucose monitor, which staff use to check blood sugar in patients, continued reading low blood sugar as high blood sugar, which can be life-threatening. By the machines reading the blood sugar wrong, nurse Anne was giving the patient insulin throughout the day. The bad design of the glucose monitors almost took the life of the patient, as well as also caused disciplinary actions against the nurse and Anne could have lost her license.

Reference no: EM133574905

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