I am not surprised to observed
each of the respondents, including Dr.
Lucien Leape's failure , to recognize an extremely fundamental cause of medication errors: the Human factor. The Human.. to whom the responsibility for the safe administration of assigned medication was given. It is basically misguided to suggest,conclude or identify ANY established procedural entity,relevant to the administration of drugs by a Nurse,as the culprit! If one was truly alert to the realities around oneself as pertains to medication errors... one recognizes, beyond a resonable doubt,that the causative factor
was (to put it simply) the FAILURE one of the Nurse to successfully confirm,satisfactorily, the 5 R's associated with the safe and effective administration of said delivery of the assigned medication.
Punitive: Do you suggest we reward one for
ineffective administration of medications? I suggest one ought to be rewarded with the
reality that, subsequent review which demonstrated, on the part of the RN, a lack of knowledge and/or a lack of an ability to construct logic from
established principles relating to processes of safety, would result in a review of his/her competency by the Licensing Authority. I truly get tired of one always
attempting to find some elusive pseudo-construct toward identify acts of incompetency as a "norm" . It is truly no wonder why such acts continue, given that
type of support.
[This message has been edited by Anthony Marc (edited December 20, 1999).]