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PS 102: From Error to Harm Questions and Answers Rated A+
Swiss cheese model of accident causation the idea that harm is caused by a series of systemic failures in the presence of hazard. Latent conditions are defects in the design and organization of processes and systems; things like poor equipment design, inadequate training, or insufficient resources. These errors are often unrecognized or just become accepted aspects of the work, and their effects are delayed. Active failures errors whose effects are felt immediately. Active failures are g...
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PS 102: From error to harm questions and answers rated A+
BeliebtNearing 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 s...
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