Hi, if you have access to the journal, IMAGE: journal of Nursing scholarship
, you should take a look at the current issue (Third quarter, 1999). The journal issue is devoted to health care policy and one article relays an interview of a physician, Dr. Lucien Leape, who now works in the area of dealing with error prevention. I consider what he has to say about error prevention to be a Gadzooks!!! experiece. In essence, he is saying that health care systems should analyze their way of doing things to see how they can be changed to reduce error. Often error is a system problem, not a person problem. Brief quote from Buerhaus's article: "Nursing tends to be locked into double-check and rules approach in which if something goes wrong, then we need a new rule, and when the trouble continues, we need a triple-check instead of double-check. Rules and checks are weak instruments. They have gotten us where we are today. We need to have some fresh thinking to find a better way." He points to unit dose meds as one such preventative.
If you read his article, you may gain a new perspective on your question.