The quality professional should encourage the nurse to report the near-miss error through the adverse event reporting system. Reporting near-misses is crucial for identifying potential system vulnerabilities and preventing future errors. It allows the organization to analyze the incident, learn from it, and implement changes to improve safety. A culture that encourages reporting near-misses is key to proactive risk management.
Recommend additional medication safety training (B): This may be appropriate later, but the first step is to ensure the near-miss is reported.
Perform no additional action (C): Failing to report the near-miss would be a missed opportunity to improve safety.
Report the nurse to the manager (D): This could discourage future reporting and does not align with a culture of safety, which should focus on system improvement rather than individual blame. Reference NAHQ Body of Knowledge: Incident Reporting and Near-Miss Management NAHQ CPHQ Exam Preparation Materials: Encouraging Reporting in a Safety Culture