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While every harm event may be unique on the surface, there are common fundamental steps that can help organizations improve, learn and heal.
Investigating a harm event rapidly and thoroughly allows for earlier insight into the contributory causes and identification of preventive measures to avoid recurrence.
To respond effectively in the first crucial moments after a harm event, care teams need both a system for early reporting and a culture that supports it.
Accurate and timely diagnosis depends nearly as much on the health care team and systems as it does on the diagnosticians themselves.
Diagnostic errors affect an estimated 12 million Americans each year and likely cause more harm than all other medical errors combined.
National Patient Safety Awareness Week, March 14-20, 2021, is an annual event to promote awareness about patient/resident safety and showcase safety initiatives.
Recognizing that culture is multifaceted and unique to every team, your organization should tailor and implement best practices from the models that most align with your needs.
Culture determines whether care team members admit mistakes and ask for help, whether they feel safe speaking up about unsafe conditions, or whether they feel supported in bringing forth new process ideas.