course material

1. Operations Managment
1. Are the medication errors a cause for concern? If harm did not occur, is action necessary?
Why or why not?2. What strategies will you employ to gain more insight into the causes of
the near misses? Search the relevant literature and incorporate key findings into your
answer. Who would you interview to learn details about the issues?3. The pharmacists
advise you that, because they have worked together for so long, they do not feel the need to
verify one another’s work. Policies, however, clearly require a second check. Would this be
considered a violation of policies and procedures? Is respect for a just culture reasonable in
this situation? How will you balance the need to ensure compliance with policies and
procedures while acknowledging the transparency demonstrated by the pharmacists?4. You
decide to conduct a root cause analysis of the near misses. Propose a methodology for
identifying the causative factors contributing to the problems with medication prescription
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