APA format. MUST BE  1 SEPERATE RESPONSE TO Each Discussion. 1 p

APA format. MUST BE  1 SEPERATE RESPONSE TO Each Discussion. 1 paragraph per response. Use only scholar authors only. References needed. Please see attachment  Discussion 1: An RCA, or root cause analysis, is performed after an event. It takes a step back and looks at what lead to the error, death, injury, etc. and helps prevent it in the future. It is estimated that 44,000 to 98,000 Americans die each year because of medical errors that are preventable, and that it costs the healthcare system around $29 billion (Spath, 2018, p. 194). An RCA team needs to be made up of those that are potentially directly or even directly involved in the event. In the case study they are looking at medication errors, with only two of the three directly involved parties it could benefit from a physician for input on their end of the flow. If medications are difficult to find for the physician, it may also have an effect downstream. Also, in the chart it shows that scanners are defective more often than any other error. If an IT person were available to consult, even over the phone, it would assist in finding out why the scanners keep breaking. It may even be safe to say that the LASA or look-alike-sound-alike drugs and the manual entry errors would be avoided if the scanners worked. The meeting started off with both parties on the offensive. It quickly changed when they all realized the objective is not to blame but come up with solutions that work for all parties. The goal for all parties involved was patient safety and a reduction to elimination of medication errors. Both parties directly involved wished to be heard and once they felt they would be the willingness to work together became possible. With making the charts to analyze the process, find the most common reasons for errors, and cause/effect leading to the increased number of errors it helped narrow down where and when the errors started. These are very effective tools to determine where to focus efforts for possible training needs and staffing needs.  I have experienced this scenario when our facility first changed EMRs. We purchased all new updated equipment to facilitate ease of medication administration and while not the top of the line it was new and should have functioned. Within the first six months over half the scanners were broken. We were told we must scan our medications to prevent errors but when they just did not work, we did what we had to, and we had more errors. The scanners were under a warranty, so our facility exchanged them for something else, and now they work more often than not. Another topic that was reoccurring was pharmacy burn out. It appears they need better staffing ratios and more ability to have time off. This is tied with the second highest cause of errors so it must get addressed to prevent continuing errors even if the scanners are fixed.  Discussion 2: Collapse              A Root Cause Analysis occurs after a sentinel event. In this case study, a medication error occurred at Downtown Medical, where a patient was administered the incorrect medication. The provider ordered Ultram 50 mg every 6 hours for pain. The medication scanner wasn’t working, so the nurse entered the internal entry number (IEN) into the computer; the computer registered the medication as Ultracet 37.5 mg/325 mg, but the package said Ultram 50 mg. The nurse called the pharmacy and is informed by the pharmacist that because there is only one number difference between these two medications and that the package says that it is Ultram, that it must be Ultram and to administer the medication. The nurse gives the drug, and the patient has an allergic reaction because of a recorded allergy to acetaminophen. A medication error incident report is filed, and a Root Cause Analysis is completed (Walden University, 2016a).    The Root Cause Analysis team consists of the facilitator or risk manager who organizes the meeting and collects information from team members for patent safety. Another RCA team member should be an RN who works full time on the unit who can provide expertise on the scanner and medication administration process. A pharmacy technician would need to be interviewed about how the medication machine is filled in the medication room. The nurse who administered the medication and the pharmacist who spoke to her about the medicine need to be interviewed to determine what led to the error (Walden University, 2016a).   In the video, the pharmacy tech and staff nurse started at odds but eventually agreed on common areas that needed to be improved. Once the facilitator explained what the goal was to be and that they would take the information back to their departments, they were more at ease, and both found that their departments are significantly understaffed. The charts that were created, the Fishbone Cause and Effect, the Pareto, and the Process Flow Chart came from the collaboration with their departments.   The Fishbone Cause and Effect Chart is easy to read and lists why medication errors occur (Walden University, n.d.). It contributes to the Root Cause Analysis by breaking down three significant areas that contributed to including human factors from the pharmacy side, human factors from the nursing side and equipment, and supplies. Some specific causes include look-alike medications, scanners failing to scan, unit dose machines breaking down, and workaround for nursing with a manual entry for medication internal entry numbers (Walden University, n.d.).   To prevent medication errors from occurring in the future, pharmacy needs to ensure that barcode label scanners are in working order and that pharmacists are accessible for nurses to reach by phone. Nurses should be double-checking allergy lists and checking with their charge nurses and pharmacy if they’re feeling uncomfortable with any medication administration. They should also be using the seven rights of medication administration every time they administer a medication. Using these techniques, medication errors should decrease significantly, and patient safety should increase. Walden University (2016a). Root cause analysis at Downtown Medical [Interactive file]. Walden University Blackboard. https://class.waldenu.edu Walden University (2016a). RCA dramatization 1 [Video]. Walden University Blackboard. https://class.waldenu.edu Walden University (n.d.). Fish Bone: Cause Effect Diagram [Document]. Walden University Blackboard. https://class.waldenu.edu


Order NOW to get 15% Discount!

{{total || ""}}

Why MyAssignmentWriters.com?

Top-Quality Papers with MyAssignmentWriters

Are you stuck with your paper? Is a research paper giving you a hard time crafting research topics? We assist students in achieving the best top-grade academic writing services in compliance with the provided instructions. Have your paper written with a certified specialist Ph.D., Bachelor's, and Master's graduates with many years of experience in academic writing. All our writers undergo thorough tests to ensure they are qualified writers and deliver the best consistent papers of high quality under tight deadlines.

1000+ Master's, Bachelor's and Ph.d. Experts

We ensure all our writers have the knowledge and experience of crafting the best papers before hiring them. Our writers have acquired Bachelor's or Ph.D. credentials from reputable institutions all over the globe. Our writers can handle papers from any discipline and can handle over 100+ subjects. Including but not limited to a dissertation, term papers, research papers, narrative essays, thesis papers, expository essays, etc. All your orders must pass through a strict protocol of our expert essay writing editors.

Affordable Essay Writing Services

We know that students have very limited budgets. And for that, we always strive to provide only the best, most affordable online college homework help services to our customers. We provide a great deal of student-friendly prices and professionalism with all our essay writing services. We provide great discounts for all our returning customers and new clients. Our paper writing services have a user-friendly interface and professional academic assistance. We are committed to assisting all students in any discipline regardless of their academic level. Place an order with an essay writer today.

Timely delivery of Work

Are you close to missing your paper deadline? Or spent a lot of time conducting extensive research and crafting papers? You are at the right place to get your research paper done in under 3 hours to meet your tight deadline. Our writers follow a strict schedule to ensure papers are delivered before the deadline to enable our editors to proofread before the final delivery to our customers. We strictly observe the early delivery of assignments to meet our clients' deadlines. You can, therefore, trust that your paper will be done within and before the set deadline.

100% Original Papers

"Hello, can you write my essay with 100% original content?" We are dedicated to conducting thorough research and writing papers from scratch to deliver original papers. Writers who deliver plagiarized papers are suspended to avoid future plagiarized papers. To avoid paper plagiarism, all orders go through steps of writing, editing, and proofreading. All papers are delivered with 100% plagiarism content. You can, therefore, rest assured that any signs of plagiarized or unoriginal content will be rejected before it reaches your portal.

24/7/365 Customer Assistance

We are dedicated to ensuring our customers have an excellent experience while using our essay writing services. Our customer support is available 24/7/365 to help clients and make their paper writing services easy to use. Our experienced support team is available to answer your queries any time, 24 hours a day. Kindly feel free to ask your queries on your order placement, payment methods, and order processing. Our customer support is always available round the clock and ready to listen to your queries. Feel free to contact us via our website or live chat.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

For years now, MyAssignmentWriters.com has stood as a leader in providing its customers with the best online college homework help service in the industry. And all you have to do is provide us with the details of your order. Leave everything else to us. We’ve always got you covered.


Essay Writing Services

Since we launched, Assignmentsabc.com deserved the best online “college homework help status” thanks to our essay ordering, writing, and delivery process. We deliver nothing but excellence in our results. Our essay writing services include impeccable grammar, zero-plagiarism, proper structure, and conformance to guidelines.


Admission and Business Papers

Our top-quality online college homework help services guarantee that you will be accepted into your desired university. You just need to fill out your admission and business papers, and our team of online homework help workers will handle the rest. We will help you achieve and secure the best positions in your admissions forms.


Editing and Proofreading

At MyAssignmentWriters.com, we have a skilled writing and editing team that’s dedicated to creating, editing, and restructuring for all types of papers. Our online college homework help editing and proofreading team will check, paraphrase, and correct any grammar mistakes on your paper before submitting the final document to you.


Technical Papers

At MyAssignmentWriters.com, we pride ourselves in having writers in almost all fields, even the most technical ones. You never have to worry about your paper being too technical for our certified online college homework help writers to handle. MyAssignmentWriter's team of writers can handle even the most complex writers. We will match your paper to the most competent writer that we believe will handle your paper the best way possible.