Intent:
Medication errors can impact patient outcomes, therefore safe and appropriate administration of medicines is an important part of patient safety. The intent of this assessment is to prepare students for clinical practice by developing their understanding of the types of medication errors and the reasons these occur, and to develop strategies for students’ own clinical practice to prevent medication errors.
Task:
You are required to view one of the case study videos provided, then analyse and discuss the factors within the video that lead to the medication error.
1. Discuss your understanding of James Reason’s Model of System Failure ‘Swiss Cheese Model’ (2000) in relation to patient safety.
2. List all the factors in the video that lead to the medication error occurring.
3. Select and analyse three main factors that lead to the medication error occurring.
4. Discuss how the nurses’ involved could have prevented the medication error with
reference to the factors identified in point 3.
