Medication Error Case Study

I like the way you enumerated the issues that led Julie to commit a medication error, Jackie! It only shows that the contributory factors to her preventable mistake involved the multi-system failure. These elements include fatigue, a lacking component of the Rights of Medication Administration, subpar healthcare technology, and failing to ensure MD order was in place before medication retrieval. In my viewpoint, her fatigue was the primary culprit for the medication error. When we are exhausted, we cannot think clearly and critically. It also drives us to cut corners to get the job done. However, it was not just because of her fatigue that caused the medication error. The hospital management should have recognized that nurse exhaustion would