An incident where a wrong red label sticker was placed on a child’s pack and given to the mother. The error was noted before leaving and promptly corrected. Apology was tendered to the mother.
Explore how this happened with a root causal analysis to look at trust policy, roles and responsibilities, accountability in nursing, etc. Also look at duty of candour and importance of being honest and open with parents.
Use Driscoll model of reflection.
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