While the nurse is testing their patient’s blood glucose, the glucometer says “LOW”, indicating a blood glucose of <0.6 mmol/L. The patient has no signs of hypoglycemia. The glucometer has not been calibrated within the past year. When the nurse uses a different glucometer with the same patient, the reading is now 5.6 mmol/L. In a system review, the cause of this near miss is: Question 20Answer a. A direct cause due to budget cuts and lack of trained staff. b. A direct cause since there is no policy for this type of machine. c. An indirect cause because the wrong machine was being used on the wrong patient. d. An indirect cause due to lack of scheduled maintenance on the glucometer.
[Solved]: While the nurse is testing their patient’s blood…
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