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	<title>Comments on: Learning from Our Mistakes</title>
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		<title>By: SARAH VEAL CPhT.</title>
		<link>http://rxmike.com/2009/01/learning-from-our-mistakes/comment-page-1/#comment-16</link>
		<dc:creator>SARAH VEAL CPhT.</dc:creator>
		<pubDate>Fri, 16 Jan 2009 22:21:53 +0000</pubDate>
		<guid isPermaLink="false">http://rxmike.com/?p=106#comment-16</guid>
		<description>I work as a pharmacy technician at a VA Hospital in Georgia. I am also part of a RCA (Root Cause Analysis) committee. This brings mistakes, med errors, and other incidents to the committee to research why it happened and to find a way to prevent it from happening again. I feel this is a very useful tool to provide the excellent customer service to our Veterans.</description>
		<content:encoded><![CDATA[<p>I work as a pharmacy technician at a VA Hospital in Georgia. I am also part of a RCA (Root Cause Analysis) committee. This brings mistakes, med errors, and other incidents to the committee to research why it happened and to find a way to prevent it from happening again. I feel this is a very useful tool to provide the excellent customer service to our Veterans.</p>
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		<title>By: Mike Stegeman</title>
		<link>http://rxmike.com/2009/01/learning-from-our-mistakes/comment-page-1/#comment-14</link>
		<dc:creator>Mike Stegeman</dc:creator>
		<pubDate>Tue, 13 Jan 2009 17:34:03 +0000</pubDate>
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		<description>I have to say, that admitting our errors is a very important thing, especially in health care. Sure, there are small errors like making an IV in a 100cc bag of NS rather than a 50cc bag of NS, that is unfortunate, but usually hardly fatal. But every once in a while those mistakes can be so much worse, like compounding chemo in a super concentrated Saline solution (to use certain events in my home state as an example.)

If we, as techs, and more importantly as health care professionals, are unwilling to admit to the smaller stuff when it happens, then there is little hope that the big stuff is going to be prevented.

 Also, who would have ever thought that an obsession with the song &quot;Piano Man&quot; would ever get me mentioned in someone&#039;s blog?</description>
		<content:encoded><![CDATA[<p>I have to say, that admitting our errors is a very important thing, especially in health care. Sure, there are small errors like making an IV in a 100cc bag of NS rather than a 50cc bag of NS, that is unfortunate, but usually hardly fatal. But every once in a while those mistakes can be so much worse, like compounding chemo in a super concentrated Saline solution (to use certain events in my home state as an example.)</p>
<p>If we, as techs, and more importantly as health care professionals, are unwilling to admit to the smaller stuff when it happens, then there is little hope that the big stuff is going to be prevented.</p>
<p> Also, who would have ever thought that an obsession with the song &#8220;Piano Man&#8221; would ever get me mentioned in someone&#8217;s blog?</p>
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