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George Mason University Medication Error Fishbone Diagram Case Study

George Mason University Medication Error Fishbone Diagram Case Study

  1. Watch What Happened to Josie?
  2. Review the Medication Error Scenario Medication Error Scenario – Alternative Formats .
  3. Download the Fishbone Diagram Template Fishbone Diagram Template – Alternative Formats .
  4. Complete the Fishbone Diagram Template based on the scenario. (Hint: Start with stating the problem in the form of a question, such as “What factors contributed to the medication error?” Framing it as a “why” question will help to identify potential causes that resulted in a call to the rapid response team.)
  5. At the bottom of the Fishbone Diagram or on the next page, answer the question, “What corrective actions should be taken to ensure that a medication error like this does not happen again?”

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