1-2 Short Paper: The Wrong Medication
Introduction The topic of this case study is an incident at a hospital where a patient received the incorrect medication. At least 1.5 million people are harmed by medication errors annually, which is equivalent to the population of West Virginia. Treating drug-related injuries in hospitals
alone costs at least $3.5 billion annually, excluding lost wages, productivity, and other healthcare
expenses. The estimated cost of medication errors in terms of morbidity and mortality is $77 billion per year. (AMCP, 2019). Patient safety is a top priority. Stakeholders When wrongdoing happens in a hospital, many stakeholders are involved. Stakeholders in the medication incident investigation comprise department heads, leaders, clinical employees, patients, and their families. In order to comprehend and find out the cause of the medication error, they need to collect all the relevant information leading up to the incident. Once all the necessary information is gathered, they must take action to ensure that errors like this incident are not repeated. Five Whys
Getting to the root of the problem requires utilizing the five whys and facilitating a root cause analysis. Why was the wrong medication administered to the patient in the first place? By asking this initial question, you persist until you reach the core of what emerged. Why was the prescription incorrect? This should be our next question. Questions about the doctor's incorrect decision should be along the lines of "why?". The purpose of every "why" is to reach a clear
