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 1-2 Short Paper: The Wrong MedicationAssignment

The local hospital had an incident involving the wrong medication administered to a patient. You have been asked to perform a root cause analysis. First, you need to discover: The event that happened, how it happened, and why it happened. 

• Recommend key stakeholders to investigate this case. Why should these stakeholders be involved with the investigation? 
• Compare the Five Whys of medication administration. How could addressing these questions help identify the root cause of this problem? 
• How could medication errors be avoided in the future?