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Double check systems rules - PowerPoint PPT Presentation

Learning From Defects

Learning From Defects. What is a Defect?. Anything you do not want to have happen again. Sources. Adverse event reporting systems Sentinel events Claims data Infection rates Complications Asking the question of frontline staff: where / how is the next patient going to be harmed?.

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Double check systems rules - PowerPoint PPT Presentation

Learning From Defects