PS 102: From error to harm questions and answers rated A

Nearing the end of her 18-hour work shift, a resident sees a patient with extremely high blood glucose levels. She writes the patient a prescription for insulin; however, in her exhaustion, she closes her "U" (for "units"), and it looks more like an extra zero. As a result, the pharmacist dispenses an insulin dose that's ten times stronger than the patient needs. Which of the following is a latent unsafe condition in the system that contributes to the resident's error? long work schedule To prevent this problem from happening again, which of the following would be the best course of action? Develop a system that prevents messy handwriting from causing miscommunication that leads to error. "Latent errors" are best defined as: Defects in the design and organization of processes and systems. Two women — one named Camilla Tyler, the other named Camilla Taylor — arrive at a particularly busy emergency department at about the same time. Ms. Tyler needs a sedative, and Ms. Taylor needs an antibiotic. The doctor orders the medications, but mixes up the patients