Your unit data reflect an upward trend in blood administration errors. Is this likely an individual failure or a system failure? Which performance improvement theory or model would you use to address it?
References: (1 or 2 of these references)
Johnson, J. K., & Sollecito, W. A. (2018). McLaughlin and kaluznys continuous quality improvement in health care (5th ed.). Jones & Bartlett Learning.
Vance, M. E. , Proctor, T. & Schmidt, K. A. (2021). Using Performance Improvement to Enhance TimeOut Compliance and Prevent WrongSite Surgery. AORN Journal, 113 (6), 635-642. doi: 10.1002/aorn.13413.
Fondahn, E., Fer, T. M. D., Lane, M., & Vannucci, A. (2016). The Washington manual of patient safety and quality improvement. Wolters Kluwer Health.
