Morbidity & Mortality to Amazing and Awesome · Simplify/standardize Less effective Reminders Rules...
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Preventable Adverse Lessons
Transcript of Morbidity & Mortality to Amazing and Awesome · Simplify/standardize Less effective Reminders Rules...
Preventable
Adverse Lessons
You must be primarily involved
Identify
Analyze
Present
Discuss
Action
System issues
Activity 3Analyze your case for system issues
NOTE - M&M is confidential and NO identifying features of the case
Preventable
Adverse Lessons
You must be primarily involved
Identify
Analyze
Present
Discuss
Action
Present10min Set up
10min Analyse
10min Discuss & Action Items
DiscussCognitive issues
System issues
Action items
Bottom lineACTION
More effectiveForcing function
Automation
Simplify/standardize
Less effectiveReminders
Rules & Policies
Education & training
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+
Activity 4Identify action items
NOTE - M&M is confidential and NO identifying features of the case
Preventable
Adverse Lessons
You must be primarily involved
Identify
Analyze
Present
Discuss
Action
SlidesInvite everyone
involved
Amazing and AwesomeRounds
Activity 5Identify an amazing and awesome case, analyze for one
cognitive or system deviance
NOTE - M&M is confidential and NO identifying features of the case
Preventable
Adverse Lessons
You must be primarily involved
Identify
Analyze
Present
Discuss
Action
Identify the constellation
Be Amazing and
Awesome with NOSM
