You are required to view one of the case study videos provided, then analyse and discuss
the factors within the video that lead to the medication error.
1. Discuss your understanding of James Reason’s Model of System Failure ‘Swiss Cheese
Model’ (2000) in relation to patient safety.
2. List all the factors in the video that lead to the medication error occurring.
3. Select and analyse three main factors that lead to the medication error occurring.
4. Discuss how the nurses’ involved could have prevented the medication error with
reference to the factors identified in point 3.
Support your answers with high quality references (minimum of ten).
Links to the videos are provided in UTS Online Assessment portal.
A marking rubric is provided in UTS Online Assessment portal.
For James Reason’s Model of System Failure ‘Swiss Cheese Model’ (2000) refer to
chapter 2 of the ‘Clinical Reasoning – Learning to Think Like a Nurse’ text
James Reason’s Model of System Failure depicted in modern literature as ‘Swiss Cheese
Model’ (2000) is widely touted as an effective healthcare risk diagnostic tool by patient safety professionals globally (Perneger, 2010). In fact, Reason’s model has become the common language through which complex accidents can be understood. Incidentally, in recent times, a growing number of practitioners and academics have dismissed the Swiss cheese diagrams as a kind of academic overkill. Nevertheless, the popularity of this model largely remains unaffected as evidenced by its wide application. It is generally felt, as I said, this provides a common ground for discussing system safety.
Beowulf as a Pacifist Poem
Beowulf is depicted by craftsmen as a social wonder of radical verse. Workmanship is an approach to communicate adverse feelings of individuals, and verse helps writers, perusers and audience members to manage individuals’ disappointment. War patterns and human hostility are the most basic issues among social educated people. The craftsman ‘s view might be covered up allegorically and under illustration and complex similarity, particularly when they repudiate the accepted practice set up in the standard society.
Beowulf is the primary character of this sonnet, Beowulf. He is an individual from the Geat clan, he is the replacement to Higylac and is the child of Edgtheo. In this sonnet, the creator is attempting to blend the mankind and bravery of others. Beowulf’s conduct and conduct against others mirrors his gallant character. He is communicated as “… more grounded and more grounded than anybody in this world”, yet there is no data on how he got this notoriety. We will become familiar with the primary character through the eyes of the Danish fighters watching the bluffs.
“Beowulf” composed between the eighth and eleventh hundreds of years is the most seasoned sonnet written in Old English. This sonnet is a common delegate of artistic epic, concentrating on the gallant quest for its title character Beowulf (Scandinavian warrior). Making Beowulf a significant part of a genuine case of epic involves his story, length, some normal ‘epic’ establishment that it uses, and its mystical and puzzling characters and animals It is identified with the clarification. The two most evident highlights of the epic are its length and the nature of the story. In contrast to verses, verses basically mirror a solitary article or individual, epic is long – normally the length of a novel – they present stories and stories with numerous items and characters. “Beowulf” contains in excess of 3,000 lines and in excess of 30 letters. This long sonnet recounts to the intricate story of the battle among Beowulf and Glendell’s legend, Glendell’s mom and Dragon of a similar name.
Seamus Heaney’s artist Beowulf portrays Beowulf as an ideal legend. Beowulf was the child of Edgetho’s fantasy and later became lord of Geats. In this sonnet, Beowulf demonstrated chivalry in two phases of his life, youth and mature age. In the entire sonnet, Beowulf is gone up against with three troublesome clashes between Glendell, the mother of Glendell, and the winged serpent. In the entire novel, Beowulf is a popular and regarded warrior from Geatland. In Beowulf’s childhood, he was viewed as an incredible warrior drawn by his quality, fortitude and fearlessness.