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Active failures - PowerPoint PPT Presentation


NoCVA HEN CAUTI Campaign Learning from Defects

NoCVA HEN CAUTI Campaign Learning from Defects

NoCVA HEN CAUTI Campaign Learning from Defects. Shelby Lassiter, BSN, RN, CPHQ, CIC Kathy Steele, BSN, RN October 11, 2012. Polling Question 1.

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666 views • 50 slides



Policy into Practice Won’t Go? HNEH Quality Exposition and Scientific Program, Newcastle

Policy into Practice Won’t Go? HNEH Quality Exposition and Scientific Program, Newcastle

Policy into Practice Won’t Go? HNEH Quality Exposition and Scientific Program, Newcastle Professor Steven Campbell Head of School, Health. For 10 years: Acted as Director of Nursing, and Head of Nursing, Board Member Member of Modernisation Board Head of Nursing R&D, R&D Director

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470 views • 39 slides


Accident Causes- Theoretical Framework-

Accident Causes- Theoretical Framework-

Accident Causes- Theoretical Framework-. Maurino, Reason, Johnston, Lee Consequences are Dire!. Terminology. Organizational Accident Latent failure Local trigger Active Failure Proximal cause Principle cause Unsafe acts- errors and violations. Individual or Collective errors.

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382 views • 34 slides


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