Glucometers

Introduction. Annie was a nurse who was involved in an incident that lead to delayed response to a patient deteriorating condition. This incident illustrates the concept of Swiss Cheese Model of Safety. Faulty designs in a medical device are “latent errors”. It took inquiring minds to identify the faulty designs, and a just culture to implement interventions that last.

Expectations. This is an assigned video and you are required to submit your reflections after watching the video. Click the video link below to watch. Then click the link “Submit Assignment” ABOVE, to show the submission area. You can write your reflections in a file and then copy and paste, or write directly into the space provided. Do not forget to submit.

Note that you may have used this video in the course project. For this assignment, you are encouraged to reflect based on the guide below.

Write down your reflection (about 300 words) using these questions as a guide:

• What are your take home messages about addressing errors like misreading labels or pushing wrong buttons, after viewing this video?
• What aspects of psychological safety do you see in this organization through the way it handled the incident?