What kind of precautions would be needed to avoid a repetition of this particular system failure?

What kind of precautions would be needed to avoid a repetition of this particular system failure?.

What kind of precautions would be needed to avoid a repetition of this particular system failure?
Article: Smetzer, J.L. (1998). Leason from Colorado: Beyond blaming individuals. Nursing Management, 29(6), 4951.Inthe article it identifies 14 system failures that were present. 1. Language Barrier 2.Inconsistant procedure forcommunicating prenatal care 3. Staff inexpirience and poor documentation 4. Nonstandard method of writing the drugorder 5. Insufficient drug information 6. Lack of a unit dose system 7. Insufficient information on infant injections 8.Incomplete clinical information 9. Inconsistent independent double check system 10. No staff education before dispensingnonformularydrugs 11. Insufficient drug information and inadequate drug references 12. Unclear definition on nonphysicianprescriptive authority 13. Unclear manufacturing labeling 14. Conflicting information on IV and use of milky whitesubstances. CHOOSE TWO SYSTEM FAILURES AND COMPLETE THE FOLLOWING 1) For each failure write a pageexplaining how the system failure contributed to the sentinel event of the article.1Whatkind of precautions would beneeded to avoid a repetition of this particular system failure? From what discipline might this precaution emerge e.g.,nursing, pharmacy, medicine, nursing administration, hospital administration? 2Foreach of the system failures chosen,find the most recent piece of evidence that demonstrates either research being done in this area or new recommendationsto address this particular system failure. Provide a summary o the article or initiative, and if appropriate, attach a copy ofthe article to the paper. RUBIC REQUIREMENTSystem #1clearlyidentifies and explains the chosen system failure #2Describesprecautions needed to avoid the failure. #3 Identifies and provides rationale as to which discipline should

 
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What kind of precautions would be needed to avoid a repetition of this particular system failure?

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