SOLUTIONS!!
Workarounds - (answer)(a) A practice that *DEVIATES from ACCEPTED and EXPECTED PRACTICE
protocols*
(b) A *Shortcut*, an *Inappropriate Caption* or *Omission of* appropriate actions.
(c) *Risky Behaviors* or *Cutting Corners*
Blame Free Environment - (answer)(a) A *Safety Culture*
(b) Where individuals are *ABLE TO REPORT ERRORS or NEAR MISSES "without" Fear of Reprimand* or
*Punishment*
Just Culture - (answer)(a) *Encourages ERROR REPORTING* and seeks to *UNDERSTAND WORKFLOW*
and *PROCESS ISSUES* that lead to errors.
(b) It emphasizes *"ZERO TOLERANCE" for Reckless Behaviors.*
Adverse Response Team - (answer)Work to *Reenact or Simulate Adverse Events* > *to better
UNDERSTAND* the *Organizational* or *Procedural* processes that failed.
Alarm Fatigue - (answer)(a) Many *FALSE ALARMS* can lead to this fatigue
(b) Which *CAN COMPROMISE PATIENT SAFETY by Slow Response or No Response* to be physiologic
alarms.
Technology to reduce medication errors - (answer)(a) Integrating technology into the medication
administration cycle *CAN HELP REDUCE ERRORS by* performing *Electronic Checks Against a Database
of Safe Medication Administration Parameters* and *PROVIDING ALERTS*.
(b) Things that can be done *TO IMPROVE ALARM RESPONSE* (including feeding alarm data into a
reporting database for further analysis and encouraging nurse to make rounds with physicians to
provide input to alarm setting)