Learning from safety events

Question

A unit is reviewing repeated near misses involving supply labels. Which contributions by the practical nurse support learning from these events? Select all that apply.

1. AReport each near miss through the established process.✓ Correct

   Reporting brings events to the team’s attention.

2. BShare observations about when the labels are confusing.✓ Correct

   Details about the process can inform improvement.

3. CWithhold a near miss because no harm occurred.✗ Incorrect

   Events without harm can still reveal hazards.

4. DChange the recorded details to protect the unit.✗ Incorrect

   Inaccurate information interferes with learning.

5. EDiscard observations that do not fit the first theory.✗ Incorrect

   The team needs a faithful account of the pattern.

Answer

A. Report each near miss through the established process. · B. Share observations about when the labels are confusing.

Rationale

Both reporting and sharing observations help a team understand patterns. The team can then use evidence to improve the work process.