PPT-Sustainability: Learning From Defects

AHRQ Safety Program for Surgery Sustainability AHRQ Pub No 1618000415EF December 2017 Learning Objectives After this session you will be able to Describe the difference between firstorder and secondorder problem solving. Dr Zoe Robinson (and Dr Sherilyn MacGregor),. . Sophie Bessant. , Keele University. Nicholas Goodman. , Change Agents. Roy Morgan-Wood. , Leicester College. EAUC 28. th. March 2012. What’s this session all about?. Review the impact of errors and patient harm and the underlying causes of errors. Show how CUSP supports other quality and safety tools . Describe Comprehensive Unit-based Safety Program (CUSP) framework and the goals of the . Review . key steps of the CUSP Toolkit. Learn how Just Culture principles can augment CUSP. 2. Introduce Just Culture principles . Introduction to Just Culture Principles. 3. Understand Just Culture. Supporting capability building and business in training for sustainability. To go to the Sustainability Hub either:. Go to . Ecommunities. and click on ‘Sustainability Hub’. OR. Go straight to the . Hemodynamics, Pharmacology, and Updates. Amanda L. Affleck CRNA, MAE. Providence Anesthesia Services. Five Basic Questions. Is the patient acyanotic or cyanotic?. Is pulmonary arterial blood flow increased or not?. Sensemaking. Tools. 1. CUSP Tools. Sensemaking. Tools. Staff Safety Assessment. Discovery Form. Safety Issues Worksheet. Root Cause Analysis. Learn from Defects Form. Failure Mode and Effects Analysis. Meghann Jarchow, Matthew Sayre, Shane Nordyke, and Paul Formisano. Sustainability Program, University of South Dakota. Education focused on sustainability is . not . based on a shared consensus of important concepts or curricular organization.”. Teri Balser. tcbalser@ufl.edu. Today. Introductions (Where coming from, What stands out for you so far about being a Sustainability Fellow?) . A few things to consider regarding embedding the sustainability learning outcomes. Introduce the three basic types of imperfections: point defects, line defects (or dislocations), and surface defects.. Explore the nature and effects of different types of defects.. 2. Point defects. . SIEC-ISBE Conference 2013. Dr Carina America. Overview. Teacher Education . Requirements – South Africa (SA). Business Education . in SA schools. Background. Curriculum aspects. Literature Perspectives. By the end of this presentation participants will be able to. Describe . clinical features of . gastroschisis. Understand . main . epidemiological . features of . gastroschisis. Apply helpful . tips for coding and . AHRQ Safety Program for Surgery. Implementation. . AHRQ Pub. No. 16(18)-0004-15-EF. December 2017. Learning Objectives. Describe difference between first-order and second-order problem solving. List contributing factors that make defects in care more likely to occur.  . AHRQ Safety Program for Improving Antibiotic Use. Presenter – Pranita Tamma. Pranita D. Tamma, MD, MHS. Title: . Assistant Professor of Pediatrics; Director of the Pediatric Antimicrobial Stewardship Program. interns, staff . and students from the University of South . Carolina . developed and enhanced their leadership skills and have built important relationships to help advance sustainability initiatives among elementary .