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When the balloon goes up…

When the balloon goes up…. Chris Eccleston Manager, Quality and Risk Waikato District Health Board. PDSA. HACCP. RCA. Risk Plans. FMEA. Trending. 5 Whys. CAPA. Steps of the process..?. Report the event to a designated person/team Take immediate action Investigate the event

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When the balloon goes up…

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  1. When the balloon goes up… Chris Eccleston Manager, Quality and Risk Waikato District Health Board

  2. PDSA HACCP RCA Risk Plans FMEA Trending 5 Whys CAPA

  3. Steps of the process..? • Report the event to a designated person/team • Take immediate action • Investigate the event • Identify the causes • Report the findings • Develop a plan for corrective action • Implement the plan • Evaluate the effectiveness of the corrective action • Make changes for continuous improvement

  4. Question 1: What do your systems look like..? • Tools • Process • Identification of level of investigation • Serious Events • “Lower level” • Near Miss • Management • Roll out/training

  5. Question 2: Does it work..? • Identification of Actions / Recommendations • Tracking of actions • Sustained Improvement / Effectivity • Prevention of Repeats

  6. Question 3: Is it easy to use..? • How do people find it to use? • Everyone, or select few? • Outcomes

  7. Question 4: How would you change it..? • What would you see as your system’s short comings? • How could your system be improved? • Is it the right system for you?

  8. So what to do..? • Poster • Picture! Q1 Q2 Q3 Q4

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