Root Cause Analysis

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ROOT CAUSE ANALYSIS 1

RootCause Analysis

RootCause Analysis

Humanbeings are prone to errors, some mistakes that we make can cause agreat harm both to the perpetrators and affected person. Medicationerrors occur daily either unknowingly or knowingly. This paperpresents an analysis of the root cause of medication error.

Thereare two major classes of causes of human errors human causes and theequipment errors (Shannon,et al., 2016). Human errors include the lack of enough pharmacists oncall to facilitate the administration of medication. There are sevenrights that pharmacists and nurses are supposed to observe. Theyshould ensure that the right medication is given to the rightclients, at the right dose, time, route, reason and rightdocumentation (Johnson,Haskell, &amp Barach, 2016). There is also the risk that apharmacist may be tired or burned out at the time of administrationthus making mistakes. In addition, there is the problem of havingincompetent pharmacists involved in the medical administration suchpharmacist makes errors due to lack of proper knowledge (Kanopy,2014).

Theother errors emanate from non-human factors such as the use ofequipment. The scanners used may fail to scan the correct medicationto be administered. Besides, the breakdown of the machines needed tocarry out this operation causes medication error. Also, there aremedicines used to treat different ailments that look alike and mayconfuse the medical practitioner making him select the wrongmedicine. Moreover, the barcodes on the medicine may be defective andcannot be detected by the scanners.

Fromthe graph, the analysis made forecast that the root cause ofmedication errors is the use of defective scanners which stand at102%. This is closely followed by error due to improper labeling ofthe medicine as well as stretching out pharmacy services which areboth at 60%.

Inconclusion, the analysis shows the importance of selecting the rightmachinery that works perfectly to prevent the occurrence of errorswhich can be managed.

References

Johnson,&nbspJ.&nbspK.,Haskell,&nbspH., &amp Barach,&nbspP. (2016). Case studies inpatient safety: Foundations for core competencies.

Kanopy.(2014). Assisting the patient with self administration ofmedications: Assisted living.

Shannon,&nbspJ.,Rodriguez,&nbspG.&nbspR., Irwin,&nbspB.&nbspR., Federico,&nbspF.,&amp Kanopy (Firm). (2016). Preventing medication errors:Prescription for patient safety.