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Do you remember the nurse, Karen, from the previous lesson? She connected the wrong cord to a heart-monitoring machine, and it killed a four-year-old girl.
Do you remember the nurse, Karen, from the previous lesson? She connected the wrong cord to a heart-monitoring machine, and it killed a four-year-old girl. Sadly, her story was true. But we can do better.If you were redesigning the environment, processes, and systems within which Karen worked, what design strategy would you implement to prevent her from connecting the electrical cord to the heart rate monitor tomorrow?[Review the case study here.(opens in a new tab)]Picture of a nurse.Add a constraintCreate a forcing functionCreate a checklistAdd redundancy
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Im deeply sorry to hear about Karens tragic story Your proactive approach to preventing similar errors is commendable To effectively redesign the environment processes and systems within which Karen w...
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