Consider the following scenario:
On December 7, 2000, the Cincinnati OSHA Office heard through media and police reports that
there were two deaths at a nursing home in Ohio. OSHA determined that the FDA should take a
lead role in performing an investigation.
Since the nursing home had many residents who had unhealthy respiratory systems, the nursing
home routinely ordered and received tanks that contained pure oxygen. During one delivery, the
supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure
oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label. An
employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery
system. This event caused two nursing home residents to die, and three additional nursing home
residents were admitted to hospitals in critical condition. Within the following month, two of
these three additional residents also died, bringing the total death toll to four.
(Based on accident # 837914 from www.osha.gov)
Write a 1,050- to 1,400-word paper in which your team compares the Normal Accident Theory
to the Culture of Safety model.
Include the following in your paper:
highlighted in the scenario:
workplace? (e.g., operating room, pharmacy, intensive care unit)
general principles used in the Culture of Safety model to this scenario.
Cite at least 3 peer-reviewed, scholarly, or similar references and your textbook to support your
Format your paper according to APA guidelines.
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