AHS 450 Quality Management In Health Care 1
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AHS 450 Quality Management in Health Care
Project #6
Due: 3/27
"Based on the case study of the wrong-site surgery event, propose three risk reduction
strategies that can be implemented in the hospital to prevent a similar occurrence. For
each strategy, apply one of the seven reliability science tactics described by Elgert:
standardize the approach, build decision aids and reminders into the system, take
advantage of pre-existing habits and patterns, make the desired action the default,
create redundancy, bundle related tasks, and encourage teamwork, feedback, and
training. Be specific in describing the changes, providing clear connections to the
tactics, and explaining how these changes can enhance the safety and reliability of
surgical procedures.
Word Count Requirement: 1500-2000 words"
Instructions:
In this project you’ll identify risk reduction strategies that will result in a safer healthcare
experience. A case study detailing an actual wrong site surgery sentinel event is used to
illustrate the problematic processes. You’ll suggest ways of changing how things are
done to prevent a similar event from happening at the hospital in the future.
Instructions
1. Read the article, “Reliability science: Reducing the error rate in your practice” by
Elgert
2. Read the case study event found below.
3. Think about the seven reliability science tactics described by Elgert. Consider how
these ideas for reducing errors can be applied to the different activities in the
problematic system that resulted in a wrong site surgery. The tactics described by
Elgert are:
• Standardize the approach
• Build decision aids and reminders into the system
• Take advantage of pre-existing habits and patterns
• Make the desired action the default, rather than the exception
• Create redundancy
• Bundle related tasks
• Encourage teamwork, feedback and training
AHS 450 Quality Management in Health Care
Project #6
Due: 3/27
"Based on the case study of the wrong-site surgery event, propose three risk reduction
strategies that can be implemented in the hospital to prevent a similar occurrence. For
each strategy, apply one of the seven reliability science tactics described by Elgert:
standardize the approach, build decision aids and reminders into the system, take
advantage of pre-existing habits and patterns, make the desired action the default,
create redundancy, bundle related tasks, and encourage teamwork, feedback, and
training. Be specific in describing the changes, providing clear connections to the
tactics, and explaining how these changes can enhance the safety and reliability of
surgical procedures.
Word Count Requirement: 1500-2000 words"
Instructions:
In this project you’ll identify risk reduction strategies that will result in a safer healthcare
experience. A case study detailing an actual wrong site surgery sentinel event is used to
illustrate the problematic processes. You’ll suggest ways of changing how things are
done to prevent a similar event from happening at the hospital in the future.
Instructions
1. Read the article, “Reliability science: Reducing the error rate in your practice” by
Elgert
2. Read the case study event found below.
3. Think about the seven reliability science tactics described by Elgert. Consider how
these ideas for reducing errors can be applied to the different activities in the
problematic system that resulted in a wrong site surgery. The tactics described by
Elgert are:
• Standardize the approach
• Build decision aids and reminders into the system
• Take advantage of pre-existing habits and patterns
• Make the desired action the default, rather than the exception
• Create redundancy
• Bundle related tasks
• Encourage teamwork, feedback and training
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Document Details
University
University of Wisconsin Parkside
Subject
Healthcare