Compose a list of 25 projects or programs to achieve reliable25

  1. Compose a list of 25 projects or programs to achieve reliable quality and safety measures in a large healthcare organization.
  2. Make sure you illustrate how the projects or programs on your list use concepts of reliability science, expected failure rates, non-catastrophic and catastrophic processes, improvement actions, measuring action plan effectiveness, etc., to achieve reliable patient quality and safety.
  3. This list should be no more than one paragraph for each project or program, summarizing the basic concepts. Here’s an example:

    Morbidity and Mortality Conference. A mandated program in all U.S. hospitals where all stakeholders (doctors, allied health, administrators, residents, medical students, etc.) meet weekly to discuss patients who have died (mortality) or suffered any degree of infection or complication (morbidity) as a result of receiving treatment in the hospital. For example, the cardiothoracic surgical department would give a presentation of the 25 surgical procedures performed during the previous week, including all pre-surgical and post-surgical care, where patients died as a result of treatment (open heart surgery) or suffered any type of infection or complication (myocardial infarction). Ways to identify potential problems, protocols to correct problems once identified, and plans to reduce mortality and morbidity problems in the future (improved antiseptic techniques, use of more advanced surgical techniques and machinery, better pre- and post-surgical nursing care, improved patient screening techniques, etc.), are discussed and implemented. This conference is an example of a PSO that has existed in hospitals for many years and is used to improve patient safety, is a real-time teaching tool, and is actually mandated by governmental and accrediting agencies.

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