Editor’s Choice Fundamentos Explicación
Editor’s Choice Fundamentos Explicación
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86 Yet the impact of team members that had difficulty in fully engaging in teamwork because of competing workloads (e.g., working double shifts) was dampened.97 Better understanding of each other’s role is an important project outcome and provides a basis for continuing the development of other practices to improve outcomes.97 The work of teams was motivated through continual sharing of progress and success and celebration of achievements.87
67 Taken one step further, the notion of aggregate RCA (used by the Veterans Affairs (VA) Health System) is purported to use staff time efficiently and involves several simultaneous RCAs that focus on assessing trends, rather than an in-depth case assessment.68
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109 The assumption could not be made that senior staff or leadership would not need training.105 Furthermore, if the team had no experience with the quality tools or successfully creating change, an additional resource could have been a consultant or someone to facilitate the advanced knowledge involved in quality improvement techniques.106 Another consideration was using a model that intervened at the hospital-community interface, coupled with an education program.97
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Other considerations were given to the desired objective of sustaining the changes after the implementation phase of the initiative ended.105 Investigators asserted that improving quality through initiatives needed to be considered Ganador integral in the larger, organizationwide, ongoing process of improvement. Influential factors attributed to the success of the initiatives were effecting practice changes that could be easily used at the bedside;82 using simple communication strategies;88 maximizing project visibility, which could sustain the momentum for change;100 establishing a culture of safety; and strengthening the organizational and technological infrastructure.
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. During his time at the publication, he has written countless news stories alongside features, advice and reviews of products ranging from floorstanding speakers and music streamers to over-ear headphones, wireless earbuds and portable DACs.
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87 It was also asserted that senior leaders needed to understand the impact of high-level decisions on work processes and staff time,88 especially when efforts were underway to change practice, and that quality improvement needed to be incorporated into systemwide leadership development.88 Leadership was needed to make patient safety a key aspect of all meetings and strategies,85, 86 to create a formal process for identifying annual patient safety goals for the organization, and to hold themselves accountable for patient safety outcomes.85
g., probabilistic occurrences) and to proactively identify steps in a process that could reduce or eliminate future failures.77 The goal of FMEA is to prevent errors by attempting to identifying all the ways a process could fail, estimate the probability and consequences of each failure, and then take action to prevent the potential failures from occurring. In health care, FMEA focuses on the system of care and uses a multidisciplinary team to evaluate a process from a quality improvement perspective.
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