This was from Writer #1259 Data Collection Oder Number #113147** In analyzing the case study, the first situation involves the dispensation of the wrong medication to the patient. This is a special cause variation event since it is an unusual variation in the organizationâ€™s systems and procedures. The healthcare field prides itself in patient safety, and there are numerous checks and balances that are implemented to reduce the likelihood of medication errors (Punke, 2013). This is because errors during the medication process may further aggravate the patientâ€™s condition and in some cases, may prove to be fatal. Dispensation of the wrong medicine is also a special cause variation since it is unpredictable. The fact that healthcare organizations have invested so many resources into ensuring that the correct medication is dispensed, means that it is almost statistically impossible for systems to dispense wrong medicines, which makes it an unpredictable event probabilistically.** In the second case, the correct medication is dispensed several hours after it was supposed to be given. This is a case of common cause variation, which occurs naturally, can be quantified, and is predictable. Late dispensation of medicine is an event that has historically occurred in most, if not all hospitals, and may occur naturally even in cases where organizational systems are working effectively. For instance, human error when inputting patient information in electronic health records may affect the timelines of medication dispensed to patients. Since late dispensation of medicine has previously occurred within the historical experience base, then it has predictable probabilistic and can be anticipated. Hospital administrators can assess the past occurrence of late dispensation and predict its causality for purposes of rectifying the problem within the organizational processes and systems.Teacher’s response:Taking this a step further, how would Shwehart’s SPC and/or Control Charts come in to play as tools to use in examples such as our two scenarios for this week?
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