BCEN CEN Practice Question

The correct answer is to review the system factors that contributed to the error. This approach aligns with the principles of Just Culture, which emphasizes learning from errors and improving systems rather than solely focusing on individual blame. By examining the system factors, the organization can identify potential weaknesses in processes, procedures, or environmental conditions that may have contributed to the error. This approach helps prevent similar errors in the future and encourages open reporting of mistakes.

While counseling the nurse on proper medication administration is important, it should not be the initial response in a Just Culture environment, as it may discourage future reporting. Disciplinary action is not appropriate in this scenario, as the nurse promptly reported the error and there was no harm to the patient. Ignoring the incident is never an appropriate response, as it misses an opportunity for improvement and may lead to future errors.