- Watch What Happened to Josie?
- Review the Medication Error Scenario Medication Error Scenario – Alternative Formats .
- Download the Fishbone Diagram Template Fishbone Diagram Template – Alternative Formats .
- 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.)
- 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?”
George Mason University Medication Error Fishbone Diagram Case Study
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