The risk manager has noted an increase in error rate for a nursing unit over the last year. Which factors should the risk manager investigate? Select all that apply
1. How strong is the unit leadership?
2. Are nurses being asked to fulfill unreasonable work assignments?
3. How well does the unit staff function as a team?
4. Who on the unit is making the most mistakes?
5. Does an environment of learning exist on the unit?
1, 2, 3, 5
Explanation: 1. Strong leadership helps to provide a safe healthcare system. If the unit leadership is weak all processes of the unit are affected, including safety.
2. There are limits to which people can be expected to work. Exceeding those limits increases the likelihood of error.
3. Effective team functioning can work to improve safety as nurses "look out for one another" even during times of maximum workload.
4. This is the punitive, traditional method of dealing with error.
5. A learning environment encourages all staff members to perform at their highest level.
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