-Are the medication errors a cause for concern? If harm did not occur, is action necessary? Why or why not?
-What strategies will you employ to gain more insight into the causes of the near misses? Search the relevant literature and incorporate key findings into your answer. Who would you interview to learn details about the issues?
-The pharmacists advise you that, because they have worked together for so long, they do not feel the need to verify one another’s work. Policies, however, clearly require a second check. Would this be considered a violation of policies and procedures? Is respect for a just culture reasonable in this situation? How will you balance the need to ensure compliance with policies and procedures while acknowledging the transparency demonstrated by the pharmacists?
-You decide to conduct a root cause analysis of the near misses. Propose a methodology for identifying the causative factors contributing to the problems with medication prescription –
