Reflect
Reflecting
on your learning is an effective practice that helps you become a
better learner. It also helps me see where you might need some
additional support. In this activity, your job is to talk about your own
learning.
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 intent
At-risk behavior, which encompasses acts designed to cut corners and
save time despite the known but seemingly justified behavior
Reckless behavior, which consists of acts that disregard all safety measures” (p. 137).
For
this week’s reflection, read this position statement from the National
League for Nursing (NLN) on their stance of the unfortunate events that
unfolded in Tennessee:
NLN Promotes a Just Culture Approach with Health Care Errors
What are your thoughts about ‘’just culture”? What is the responsibility of the organization in preventing medication errors?
reading requirement:
https://www.nln.org/detail-pages/news/2022/03/30/nln-promotes-a-just-culture-approach-with-health-care-errors
