This study source was downloaded by 100000859819779 from CourseHero.com on 02-03-2023 07:44:11 GMT -06:00https://www.coursehero.com/file/177390489/Nurs-FPX6016-assessment1-1docx/ Adverse Event or Near-Miss AnalysisDenise LacyCapella University NURS-FPX6016Dr. Lisa CoxDecember 31, 20211This study source was downloaded by 100000859819779 from CourseHero.com on 02-03-2023 07:44:11 GMT -06:00https://www.coursehero.com/file/177390489/Nurs-FPX6016-assessment1-1docx/IntroductionHealthcare is very labor and intellectually heavy field for workers. Possessing the ability to multi-task is an essential quality for healthcare workers, especially nurses. Because feelings ofbeing overwhelmed are unfortunately a common occurrence in nursing, missed steps and protocol deviations are bound to happen. In their roles, nurse leaders and administrators are tasked with developing plans, strategies, and goals that reduce these incidents. Missed Steps and Protocol Deviations Numerous circumstances can contribute to the mismanagement of a patients medical care. Medication errors are an excellent example of one of these circumstances. One major cause that we are aware of is worker fatigue. According to Gorgich et al. (2016), nurses make medication errors more often when working in environments that lack sufficient staffing. Maintaining a reasonable nurse-to-patient ratio is imperative to prevent burnout and avoid preventable mediation errors.One notable incident witnessed during my nursing career is a mediation error involving insulin. The nurse administered thirty units of Novolog (insulin aspart), when the physician's