You are attending a general meeting with management to discuss proposed changes in the Quality Assurance program secondary to a “never event” occurring in your organization [you can consider any never event offered by the AHRQ]. After the presentation and during a question and answer period, several nurses indicate that the “never event” occurred because of inadequate staffing. Several surgeons joined the nursing staff in these allegations.

– What would your response be to their statements?

– Discuss what never event occurred that was discussed at this meeting. You must pick one never event.

– Describe how you would address the staff immediately in that meeting.

– Discuss how you would go about examining the validity of their statements.

– Describe what methodology would be used to explore the validity of their statements.

– What measures you would implement on an ongoing basis to prevent a recurrence of the “never eve

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