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will fail.
Finding out about system failure in an event.
( Best People Can Make the Worst Mistakes)
strategy
needs.
Patients rights and responsibilities.
Provide the information, communication, and
education that people need and want.
Safety-driven decision-making
What is the
event severity
Index?
94 transfusion-related events.
85 infection-related events.
66 fires.
67 anesthesia-related events.
138 assault/rape/homicide.
763 other
Met.
Right Patient
Right Care
DONT USE
Patients Room Number or Patients date of Birth
Discharge Summary
Prepared at discharge , documented in the patient record and
contains:
Reason for admission.
Significant physical and other findings.
Significant diagnosis and co-morbidities.
Diagnostic and therapeutic procedures.
Significant medication and treatments.
Condition at discharge.
Discharge medications and ALL medications to be taken at home.
Follow up instructions.
( Continuity of Care)
Process.
Thank You