100+ Safe design principles PowerPoint (PPT) Presentations, Safe design principles PPTs

Safe design principles - PowerPoint PPT Presentation

Learning from Defects

Learning from Defects. Learning Objectives. To Understand the difference between first order and second order problem solving To understand how to address each of the four questions in learning from mistakes What happened? Why? What will you do to reduce risk? How do you know it worked?.

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397 views • 26 slides

Learning From Defects

Learning From Defects. What is a Defect?. Anything you do not want to have happen again. Sources. Adverse event reporting systems Sentinel events Claims data Infection rates Complications Asking the question of frontline staff: where / how is the next patient going to be harmed?.

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798 views • 17 slides

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Safe design principles - PowerPoint PPT Presentation

Learning from Defects

Learning From Defects