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Medication Errors Reflection Part II:
Last week we self-reflected upon our own medication errors, whether near misses or actual events. With errors being common, it is important for organizations to support a "just culture". According to Taylor et al. (2019), a "just culture" encourages open reporting of errors, recognizes that errors may be systemic rather than personal failures, and focuses on determining the root of the problem when events such as errors and near misses occur. According to the theory of just culture, three types of behaviors contribute to errors:
Human error, which occurs unintentionally and without malicious intentAt-risk behavior, which encompasses acts designed to cut corners and save time despite the known but seemingly justified behaviorReckless behavior, which consists of acts that disregard all safety measures" (p. 137).
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