Reflective Essay of this Motivational Video
Video Reflection Assignment – Heparin Mixup
The accidental overdose of movie star Dennis Quaid’s twins with heparin, a blood thinner, placed a significant role in exposing drug errors as a substantial issue in hospitals in the United States. Such errors are attributable to human error due to the cognitive limitations of the healthcare providers. Identifying such a significant factor helps anticipate the various factors that would help reduce medical errors, thus saving lives.
Healthcare providers ought to be taught to consistently assess their cognitive ability at a particular time to help reduce the risk of medical errors. Additionally, clinical training for healthcare providers reduces reading errors, reducing the patient’s exposure to harm. This is better than the design changes or the standardization of medical labels; however, the implementation of both would help guarantee the reduced risk of drug errors. Therefore, a behavioral intervention is more effective than an intervention meant to deal with other factors.
Look-alikes in Lab Test Orders
An effective safety improvement intervention anticipates the most likely sources of medical errors, isolates them, and pays special attention to eradicating human errors, even with efforts to reduce medical error through behavioral interventions and other methods targeting the healthcare system’s human element. It is essential to notice that these errors are likely to happen anyway, but the correlation between various medical errors can be used to trace common sources of the error, where more vigilance can be applied.
Additionally, this helps the healthcare providers admit that they are likely to make errors and double-check their work, rectifying the mistakes. Also, patient education is essential in eradicating medical errors, as they get to know some of the aspects of the lives that may increase their exposure to medical errors. Additionally, this helps the patient understand the treatment method and may increase their ability to point out inconsistencies.
Cognitive Aids and Emergency Manuals
The human errors targeted in emergency checklists are skill-based, leading to memory lapses or slip of action. Such errors can be eliminated with proper medical training that increases the health care providers with the tools to ensure that they pay conscious attention while dealing with the patient, which may lead to medical errors.
Another type of human error targeted by emergency checklists is mistakes, which are a failure in decision making, which could be due to a lack of the proper medical knowledge, the lack of exposure to the rule, and the intention to each of the rules. Checklists can be used in emergencies to help reduce human errors that are always high in such situations than in regular healthcare situations. Additionally, dictated by specific rules, checklists play an essential role in ensuring that they are adhered.
The caller in the first video does not introduce themselves and a brief description of the situation leading to the call. Additionally, the caller points outcome inconsistencies with that patient the downplays them by pointing out that they may not be important. Therefore, no definitive information is provided, which might help the receiver understand the situation and the most effective solution.
Common frustrations in verbal communication that I have experienced in the work pace include the varying communication styles from various colleagues, making it hard to decipher the message of concern. Therefore, a barrier to effective communication exists, which is likely to affect the healthcare outcome.
The best training tool for SBAR and its use to ensure effective communication amongst healthcare providers is video clips showing the contrast between communication quality, when SBAR is being applied, and when it has not. This helps the healthcare providers to understand the essence of applying.
Cable News Network (2010). Medical errors and the Quaid twins [Internet]. [Cited 12 March 2021].
College of American Pathologists (2017). Mistake Proofing: Eliminating Look-Alikes [Internet]. [Cited 12 March 2021]. Available at
Royal College of Surgeons of Edinburgh (2015). Communication Skills [Internet]. [Cited 12 March 2021]. Available at
SafeSurg2015 (2014). OR Emergency with OR Crisis Checklist [Internet]. [Cited 12 March 2021]. Available at
Tulane Center for Advanced Medical Simulation and Team Training (2017). SBAR Rambling [Internet]. [Cited 12 March 2021]. Available at
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