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Quality Improvement and Patient Safety Forum

Quality Improvement and Patient Safety Forum. This is a peer review document subject to the confidentiality requirement of the New Mexico Review Organization Immunity Act, NMSA §1978 41-9-5 (2003).  Unauthorized disclosure is strictly prohibited and subject to fines. Objectives.

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Quality Improvement and Patient Safety Forum

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  1. Quality Improvement and Patient Safety Forum

  2. This is a peer review document subject to the confidentiality requirement of the New Mexico Review Organization Immunity Act, NMSA §1978 41-9-5 (2003).  Unauthorized disclosure is strictly prohibited and subject to fines.

  3. Objectives • First Objective • Second Objective • Third Objective

  4. Case

  5. Root Cause Analysis • Identify the problem • Identify the major factors • People, Environment, Process, Methods, Materials, Management • Identify possible causes • Analyze your diagram

  6. Root Cause Analysis

  7. Group Session

  8. Root Cause Analysis

  9. Potential Interventions?

  10. Learning Points

  11. Questions?

  12. Objectives • First Objective • Second Objective • Third Objective

  13. References

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