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Reply to each post with 1 paragraph. Post#1 -Hello classmates and professor,Errors are broadly classified into two kinds: latent and active errors. While active errors need to be addressed at the individual level, latent errors indicate organizational inadequacies (Sameera et al., 2021). An example of a latent error in my clinical experience has been the one in where the quality of a ventilator wasn’t up to par. This is because the ventilator that was being used, was specific to the patient and was brought from their assisted living facility. When it becomes an active error, is when one fails to check if it’s functioning correctly. It was our duty to have had called the respiratory therapy department, the physician or manufacturer company to determine how we could have prevented such issues. An error like this could’ve been avoided to support better patient care by coming together with the interdisciplinary team from the minute the patient was admitted to the hospital. We could’ve also maybe transitioned the patient into one of our own ventilators until we knew the machine was working 100% correctly. Issues like these could almost always be prevented if we assess and work together to as a team and work on strategies to learn from our mistakes as well.Post #2 – Despite the advancements made in healthcare, errors are still a common occurrence and can be categorized into active and latent errors. Active errors can be considered frontline errors that occur in real-time and are immediately noticeable. They can often be referred to as overt errors and are caused by a variety of factors, including human error, system/process failures, and poor communication. These errors can have serious consequences up to and including death. Examples of active errors can include the administration of an incorrect medication or dose, inadequate monitoring, or performing a procedure on the wrong patient, or an incorrect site. Latent errors are considered dormant or lurking errors that may go unnoticed until triggered by a series of events. They are typically the delayed consequences of technological issues or organizational policies and procedures. Examples of latent errors can include the mislabeling of supplies and medications, insufficient training, poor staffing, inconsistent or overly complex policies, and overall fatigue. During my career, I have witnessed both active and latent errors occur. The latest active error that I witnessed was during a code blue and the result of poor communication between the provider and the group of nurses in the room. The patient was given an incorrect dose of medication. This event led to staff receiving an in-service and ongoing education regarding closed-loop communication and the implementation of assigning roles during the code. Resuscitation during code blues can become chaotic, especially when there are too many people in the room and there is no clear designation of roles and responsibilities.
