During a medical flight, a nurse administers an incorrect medication dosage, which fortunately does not affect the patient’s condition. According to the principles of Just Culture, what is the most appropriate initial response by the organization?
Issue a warning to prevent similar mistakes.
Acknowledge the incident since no harm was caused.
Conduct a root cause analysis and provide additional education to the nurse.
Consider termination of the nurse after review of the incident.
Just Culture emphasizes learning and accountability while differentiating between human error, at-risk behavior, and reckless behavior. The most appropriate initial response includes a focus on non-punitive actions that encourage reporting and identify the root cause to prevent future errors. Conducting a root cause analysis and providing education help in making systematic improvements rather than assigning blame.
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BCEN CFRN
General Principles of Flight Transport Nursing Practice
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