Reference no: EM133527379

Case Study: Medical errors are a primary cause of death in the United States and a serious public health concern. Although the outcomes differed, with one nurse causing an adverse effect and the other not, similar disciplinary action should be taken to ensure that the hospital conveys the gravity of any medication error, ensures accountability, and prevents future harm. Even if a consistent error cause is identified, it is difficult to provide a consistent, viable solution that reduces the likelihood of recurrence. Maintaining a culture that focuses on recognizing safety challenges and implementing viable solutions, as opposed to a culture of blaming, shame, and punishment, is part of the solution (Rodziewicz et al., 2023). Recognizing the importance of Just Culture in promoting patient safety, healthcare organizations must devise interventions to enhance Just Culture, increase error and near miss reporting, and enhance learning opportunities (Barkell & Synder, 2021). In a just culture, a healthcare institution would employ a transparent system that focuses not on punishing wrongdoers but rather on enhancing patient safety and outcomes by facilitating organizational change. Patient safety can be enhanced by recognizing when adverse events occur, learning from them, and working to prevent them.

Question 1: What is your comment/feedback on this statement. Please add 1 reference.

Question 2: FYI, this is the question of this answer: Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?