C-ONQS

Breaking Down Human Error

Breaking Down Human Error

When errors occur in healthcare, the contemporary approach to patient safety involves evaluation of the root causes of why the error happened, evaluating both system and person factors. Unfortunately, systems are not often designed in a way to set people up for success, to make it easy to do the right thing. According to James

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Debriefing

Debriefing

Interdisciplinary medical teams often come together during high-stress, high-stakes situations and are expected to produce positive patient outcomes. This requires a well-functioning team. Debriefing fosters an environment for learning and improving team performance that may better future practice. It allows teams to identify and improve gaps in care processes, potentially mitigating future patient harm (Salas

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