- Compose a list of 25 projects
or programs to achieve reliable quality and safety measures in a large
healthcare organization. - 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. - 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.
