Refer to Chapter 9 of the textbook and identify one potential problem in health care. Use the five-stage model for approaching problem solving by Wheatley. What is the aspect of this situation that you think is most important? What new learning did you experience?  Which things get in the way of solutions? How will we work together?


In recent years, the healthcare industry has faced numerous challenges and complexities, requiring innovative problem-solving approaches. One potential problem in healthcare that demands attention is the issue of medication errors. Medication errors refer to any preventable events that lead to inappropriate medication use or patient harm. These errors may occur at any stage of the medication management process, including prescribing, dispensing, and administering. This paper will use the five-stage model for problem-solving by Wheatley to analyze this problem and highlight its most critical aspect.

Identifying the problem

The first stage in Wheatley’s model is to identify the problem. In this case, the problem is medication errors in the healthcare system. Medication errors can lead to adverse drug reactions, prolonged hospital stays, and even death. According to a study published in the Journal of Patient Safety, medication errors harm an estimated 1.5 million people in the United States annually. Therefore, it is crucial to address this issue and develop effective strategies to prevent medication errors.

Understanding the problem

The second stage of Wheatley’s model is understanding the problem. One crucial aspect of the medication error problem is the complex nature of the healthcare system itself. Numerous healthcare professionals, including physicians, nurses, and pharmacists, are involved in the medication management process, making it vulnerable to errors. Additionally, healthcare organizations often face resource constraints, such as inadequate staffing and outdated technology, which can contribute to medication errors. Understanding these factors is vital to comprehensively address the issue and develop appropriate solutions.

New learning

During the process of problem-solving, one often experiences new learning. In the case of medication errors, I have gained new insights into the importance of interprofessional collaboration and communication. To effectively prevent medication errors, healthcare professionals must work together, share information, and establish clear lines of communication. This includes proper documentation of medication orders, clear instructions for administration, and open channels for reporting and discussing potential errors. By embracing a collaborative approach, healthcare teams can enhance patient safety and reduce medication errors.

Barriers to solutions

Several factors can impede the successful implementation of solutions for medication errors. Firstly, resistance to change within healthcare organizations may hinder the adoption of new practices or technologies aimed at reducing errors. This resistance can arise from concerns about increased workload, fear of technology, or a preference for traditional methods. Overcoming this resistance requires effective change management strategies, such as engaging healthcare professionals in the process, providing comprehensive training, and demonstrating the benefits of the proposed solutions.

Furthermore, financial constraints can also impede the implementation of solutions. Healthcare organizations may lack the resources needed to invest in technologies such as computerized physician order entry systems or barcode scanning systems, which have been proven to reduce medication errors. Finding creative solutions, such as securing external funding or partnering with organizations that can provide support, is essential to overcome these financial barriers.

Working together

Collaboration among healthcare professionals, patients, and policymakers is crucial to effectively address the problem of medication errors. Healthcare professionals must work as a team, embracing a shared responsibility for medication safety. Patients, as active participants in their care, should be encouraged to voice concerns or ask questions about their medications. Policymakers play a vital role in establishing regulations and policies that promote patient safety, including standardized practices for medication management and reporting systems for errors.


The problem of medication errors in healthcare is complex and multifaceted. By using Wheatley’s five-stage model, we have identified the problem, understood its critical aspects, and acknowledged the importance of collaboration and communication. However, several barriers, such as resistance to change and financial constraints, must be overcome to implement effective solutions. By working together and embracing a shared responsibility for patient safety, healthcare professionals, patients, and policymakers can make significant strides in reducing medication errors and improving healthcare outcomes.

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