The local hospital had an incident involving the wrong medication administered to a patient. You have been asked to perform a root cause analysis.
First, you need to discover: The event that happened, how it happened, and why it happened.
Recommend key stakeholders to investigate this case. Why should these stakeholders be involved with the investigation?
Compare the Five Whys of medication administration. How could addressing these questions help identify the root cause of this problem?
How could medication errors be avoided in the future?