According to Sollecito & Johnson (2013), “Organizations do not suddenly start making mistakes. They tend to slide imperceptibly into a set of conditions that produce medical errors” (p. 327). After completing this week’s reading discuss this concept as it relates to quality patient outcomes. Answer the following questions:
a. In your opinion, do you believe that errors in the hospital setting are inevitable? Why or why not?
b. If the most frequent type of error is omitting a step in delivering care (Sollecito & Johnson, 2013, p. 312), would it be better to focus on the individual who omitted the step or the system in which they work? Explain your answer.
c. What role could being a “learning organization” play in reducing errors?
Disclosure and Litigation
Complete the week’s reading and view the Safe Patient Project video aboutLinda: Katy, TX, then answer the following questions:
a. What was the error(s) in the case presented in the video?
b. Why do you think the error(s) happened? What might the contributing factor(s) be in this situation?
c. Imagine you are this patient’s physician and are meeting with the family member to describe what happened. How would you communicate the error?
d. Do you believe there is a link between how the error was disclosed and the actions the family member took afterward? Explain your answer.
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