Case Study Assignment: • What should following clinicians be doing

Case Study Assignment: • What should following clinicians be doing for a typical medication order – MD, RN, and RPh? – Pick one and explain their role in a typical medication ordering/administration process. • What is our Swiss Cheese – holes that aligned? – Explain each ‘slice’ of the issue – what went wrong in each step of the way. • Who can/should speak up? – Explain who would be the best person to catch this error/issue. • What is the solution for the issue? – What is your primary solution – how will you change the EHR for your solution? Which clinician are you targeting and why? • What are independent checks that can be put in place? – What is your ‘check’ – how will you change the HER for this check? Which clinician are you targeting and why? • What are Process Measures for your solution and independent check? – List at least 3 process measures for each. 29 HI4100 Guru Patel

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