First- and Second-Order Problem Solving: When Rework and Workarounds Become an Opportunity for Improving Safety

The patient’s nurse further explained that the medications were overdue according to the EHR, and she believed that because she “knew the patient,” she could scan the bracelet attached to the stretcher and administer the medications as soon as possible, and then when time permitted, she would obtain...

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Veröffentlicht in:	Journal of emergency nursing 2018-11, Vol.44 (6), p.652-654
1. Verfasser:	Paparella, Susan F.
Format:	Artikel
Sprache:	eng
Schlagworte:	Case reports Creativity Drug administration Emergency Nursing - standards Failure Humans Identification Information technology Medical errors Medical personnel Medication Errors - prevention & control Memory New technology Nurses Nursing Nursing Process - organization & administration Nursing Staff, Hospital Patient safety Patient Safety - standards Patients Problem Solving Quality Improvement Safety measures Shortages Staffing
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