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📘Chapters 5 and 6 - Coggle Diagram

- - - - 🔹 Examples:
        
        • Surgery on the wrong patient or body part
        
        • Patient suicide in a hospital
        
        • Baby abducted from the hospital
        
        • Medication error that causes death
      - A serious, unexpected event in health care that causes:
        
        Death,
        
        • Serious physical or psychological injury, or
        
        • The risk of such outcomes.
    - - • An error made directly by a health care worker (doctor, nurse, etc.) at the point of care.
        • Immediate effect on the patient.
      - 🔹 Example:
        
        • Giving the wrong medication dose.
        
        • Operating on the wrong site.
        
        • Not checking patient ID before a procedure.
    - - • A hidden problem in the system or process that can lead to mistakes later.
        • Usually caused by organizational issues (not by the nurse directly).
      - 🔹 Example:
        
        Poor hospital design (two medicines stored next to each other that look alike).
        
        • Staff shortage → nurse is overworked and more likely to make errors.