Chasing Zero: Winning the War on Healthcare

Chasing Zero: Winning the War on Healthcare Harm https://www.youtube.com/watch?v=MtSbgUuXdaw&t=2514s 1. “Fear is a major barrier to action.” What are your thoughts on the sources of fear in healthcare organizations and among individual healthcare workers to act on patient safety problems? 2. “The weapons against healthcare harm are leadership, safe practices, and technology.” In your opinion, what role in patient safety do each one of these things have? 3. This documentary was made in 2012. At 11:26 in the documentary, Vanderbilt Medical Center was noted as a leader in the patient safety movement. Given what you know about the RaDonda Vaught case at Vanderbilt, how do you reconcile Vanderbilt’s status as a safety leader with the details of Vanderbilt’s role in the death of Charlotte Murphey? 4. The Braxton Rel case revealed a lack of transparency to victims of healthcare harm. What effect does this have on trust between patients and healthcare organizations and the organization’s ability to make systems changes to improve safety? 5. At 32:30, two nurses are doing bedside shift reports to improve patient safety. What is your experience in clinical on bedside reports? Is it done consistently or not? If not, why do you think it is not done consistently? What changes could be made to encourage nurses to engage in this evidence-based practice? 6. As mentioned previously, this documentary was made in 2012. Since then, barcodes for medications and smart pumps with drug libraries is widely used. What may be some problems with the widespread use of technology in healthcare? SCIENCE HEALTH SCIENCE NURSING RESEARCH NUR4440

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