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Value by Design: Developing Clinical Microsystems to Achieve Organizational Excellence, Second Edition by Joel S. Lazar, Marjorie M. Godfrey, Paul B. Batalden, Eugene C. Nelson

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Chapter 3. IMPROVING SAFETY AND ANTICIPATING HAZARDS IN CLINICAL MICROSYSTEMS

Gautham K. Suresh

Marjorie M. Godfrey

Eugene C. Nelson

Paul B. Batalden

LEARNING OBJECTIVES

  • Describe the frequency and scope of medical errors in health care systems.

  • Differentiate between medical errors and adverse events.

  • Compare and contrast the person approach versus the systems approach to patient safety in microsystems.

  • List four methods to identify medical errors and adverse events.

  • Discuss work conditions, human conditions, and organizational factors that affect patient safety.

  • Describe how microsystem members should respond to medical errors and adverse events within their microsystem.

  • Describe the five hallmarks that constitute mindfulness in a clinical microsystem.

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