What might have led to this error? What other factors might contribute to an
2. How could this error have been prevented?
3. How can the nurse and the team recover from the incident?
4. What were your reactions and feelings during the simulation?
5. What experience have you had with medication errors?
6. What is needed to support reporting of medication errors? (i.e. culture of
learning/safety, no blame, support from colleagues and leadership to identify
causes of error and initiate processes to mitigate future risks)