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DB 1 Reply
b. Develop a step-by-step program to decrease the frequency of medical mistakes in a healthcare
practice setting. Cite the principles or key concepts from your chosen learning theory that back each
step of the program you develop.
The learning theory that I have chosen from the assigned reading is Maslow’s Theory of Human
Motivation. “There are at least five sets of goals, which we may call basic needs. These are briefly
physiological, safety, love, esteem, and self-actualization.” (Zhou, Brown, &, 2015, p. 114) According to
Maslow, once a goal is attained then a human can focus on another goal. (Zhou, Brown, &, 2015) For
example, once someone has food and water then they can focus on safety and so on. I feel like this
particular theory applies easily to a program that could decrease medical mistakes. Much of what
medical professionals do relies on higher thinking and the ability to use sound clinical judgement. It
makes sense that if a person is caught up in being hungry, fatigued, not in safe environment…etc. that
their attention will split to those other concerns and not solely focused on the medical problem at hand.
So, providers should: 1. Have a required 8 hours off between shifts and shifts should not exceed 12
hours- Maslow’s physiological needs 2. Providers should have sufficient time off throughout the day to
eat and use the restroom-Maslow’s physiologic needs 3. There should be adequate security within a
facility so a provider doesn’t have worry about his/her safety- Maslow’s safety needs 4. Providers should
be recognized when their hard work leads to good patient outcomes- Maslow’s esteem needs These
steps should help to ensure that providers can focus on the job at hand not on other factors that could
contribute to splitting focus.
2. Reply 2
What are the 4 criteria presented here needed to finalize the diagnosis?
The presentation of at least 4 of the 11 criteria for SLE has a LR+ 40 with a 98% specificity. This patient
already presents with: (1) malar rash, (2) arthritis, (3) hematologic disorder (thrombocytopenia
120,000). Neurologic disorder is listed as a criteria but headache, seizures, or psychosis is listed as
qualifiers. The patient presents with memory loss so to error on the side of caution this will be
excluded. It would be most cost effective to further evaluate the patient for photosensitivity, oral
ulcers. Sending a urinalysis and comprehensive metabolic panel can help identify renal disorder which is
a criteria. The patient experiences dyspnea which could be a result of serositis (criteria) and could be
identified by chest x ray. Also, a positive ANA is one of the eleven criteria (Stern et al., 2015).

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