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Smart Reasoning:

C&E

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Qaagi - Book of Why

Causes

Effects

to implementcausingerrors in treatment administration

Mistakes such as entering the intended flow rate into an infusion pump 's dose rate fieldcan leadto dangerous medication administration errors

PLAN B ... other drugscauseDRUG PRESCRIBING ERROR

human , process and system factorsleadingto medication administration errors

PLAN BcausesDRUG PRESCRIBING ERROR

physician orders with missing information and those that are difficult to read and understandmight causeerrors in medication administration

the factorscontributeto medication administration errors

Factorscontributingto medication administration errors

the factorscontributingto medication administration errors

the factorsmay leadto medication administration errors

factorscausingmedication administration errors

the factorsmay influencemedication administration errors

factorsleadto medication administration errors

views about the factors ... , barriers to error reporting and strategies to promote safe medication administrationmay influencemedication administration errors

perception for factorscontributeto medication administration errors

the potentialto resultin medication administration errors

the nurses perception for factorscontributeto medication administration errors

labels and information sheets of the medicationcontributeto medication administration errors

views about the factorsmay influencemedication administration errors

that were foundto leadto medication administration errors

nurses views about the factorsmay influencemedication administration errors

behaviorleadingto medication administration errors

nurses ' behaviorleadingto medication administration errors

labels and information sheets ofcontributeto medication administration errors

the factorscausemedicinal drug errors

reports of inadequate staffingcontributingto medication administration errors

several factorsleadingto medication administration errors

by inefficiencies in medication storage(passive) caused bymedication administration errors

interruptionscould leadto medication administration errors

interruptionscan leadto medication administration errors

These discrepanciescould have potentially ledto medication administration errors

adverse eventsresultingfrom medication administration errors

The questions ... the main human factorsinfluencemedication administration errors

Human factorsinfluencingmedication administration errors

the human factorscausemedication administration errors

human factorsinfluencemedication administration errors

human factorscausingmedication administration errors

tacticscould ... causemedication administration errors

administrative , personal and environmental factorsmay contributeto medication administration errors

the human factors ... registered professional nursescausemedication administration errors

to adverse drug events , patient morbidity , prolonged hospital stays , and increased readmission ratesmay leadto adverse drug events , patient morbidity , prolonged hospital stays , and increased readmission rates

appalling harm and deathscauseappalling harm and deaths

to deathleadingto death

to deathleadingto death

to its reduced efficacy or increased drug toxicitymay leadto its reduced efficacy or increased drug toxicity

to deathscould leadto deaths

to patient mortalitymay contributeto patient mortality

to death Opioid prescriptionsleadingto death Opioid prescriptions

to death omissionleadingto death omission

deathmay ... causedeath

to The most common error categoryleadingto The most common error category

in severe or fatal injurycan resultin severe or fatal injury

to severe complicationsleadingto severe complications

to death Posts navigationleadingto death Posts navigation

in 7,000 deaths a yearhave resultedin 7,000 deaths a year

from giving an incorrect medication , an expired medication , or an incorrect strength or volume a medicationcan resultfrom giving an incorrect medication , an expired medication , or an incorrect strength or volume a medication

to hospital admissionsleadingto hospital admissions

in medical intervention ( e.g. , hospitalization ... within 24 hours as required by MAP policiesresultedin medical intervention ( e.g. , hospitalization ... within 24 hours as required by MAP policies

in adverse patient outcomesresultin adverse patient outcomes

in adverse patient outcomesresultin adverse patient outcomes

in patient deathcould resultin patient death

to overdoseleadingto overdose

kidney death ... and its treatmentcausekidney death ... and its treatment

to deathcontributingto death

to adverse events to patientsleadingto adverse events to patients

harm andcauseharm and

deaths(passive) caused bydeaths

appalling harm and deathscauseappalling harm and deaths

appalling harm and deathscauseappalling harm and deaths

appalling harm and deathscauseappalling harm and deaths

serious harmcan causeserious harm

in overdosesresultingin overdoses

you can occurcan causeyou can occur

approximately 700 deaths in Canada each year , deaths that were preventable simply by the implementation of an electronic drug prescription system.(1causeapproximately 700 deaths in Canada each year , deaths that were preventable simply by the implementation of an electronic drug prescription system.(1

at least once a daycauseat least once a day

appalling harmcauseappalling harm

appalling harm andcauseappalling harm and

adverse drug interactionscauseadverse drug interactions

yourself permanent harmcauseyourself permanent harm

to accidental awarenessledto accidental awareness

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Smart Reasoning:

C&E

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