Read the Lewis Blackman case at the following link to answer the questions. http

Read the Lewis Blackman case at the following link to answer the questions. http://www.lewisblackman.net This does not have to be in any citation style just the questions answered. 1. Brief overview of the Lewis Blackman case as it relates to the error being analyzed. ***The error I chose to be analyzed is abnormal vital signs*** 2. Identify the error and the alignment with the “Four Evils” (key patient safety and quality concepts) 3. Active error or latent error? 4. Perspective of the Root cause (Negligence is the root cause) 5. “Swiss Cheese” model addressed ( sound clinic reasoning and judgement to address system & practice- based breakdowns) 6. Nursing intervention to improve safety 7. Summary (Salient points from analysis provided as basis for strong final recommendation to the Risk Management Dept.)

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