ODC – a 10x for Root Cause Analysis Ram Chillarege Ram Chillarege Chillarege Inc. Inc Chillarege April 2006 April 2006 ram@chillarege.com‚ +1 (917) 790 9390‚ www.chillarege.com ram@chillarege.com‚ +1 (917) 790 9390‚ www.chillarege.com Abstrak - Orthogonal Defect Classification (ODC) memungkinkan kita untuk melakukan "10x" pada Root Cause Analysis (RCA). 10x dalam hal waktu yang dibutuhkan untuk melakukan root cause analysis dan 10x dalam hal pencakupan defect stream. Peningkatan produktivitas
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on medication as the primary intervention for most illnesses‚ patients receiving medication interventions may gain high benefits‚ at the cost of increased exposer to potential harm. This discussion post will focus on reviewing; concepts of safe medication administration‚ The Joint Commission National Patient Safety Goals related to safe medication administration and finally describe how the interdisciplinary teams can participate in safe medication administration. Common Factors Medication error
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Reducing Medication Administration Errors: A Teaching Plan Rosemary Lantigua Sacred Heart University Reducing Medication Administration Errors: A Teaching Plan This paper provides an overview of a teaching plan of a single class during fundamentals of nursing course of a traditional BSN program. The subject of the class is on reducing the amount of medication administration errors in health care. The goals and objectives of the class will be provided as well as methods‚ resources
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References Athanasakis‚ E. (2012). Prevention of medication errors made by nurses in clinical practice. Health Science Journal‚ 6(4)‚ 773-783. Brady‚ A.‚ Malone‚ A.‚ & Fleming‚ S. (2009). A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Journal Of Nursing Management‚ 17(6)‚ 679-697. doi:10.1111/j.1365-2834.2009.00995.x Choo‚ J.‚ Hutchinson‚ A.‚ & Bucknall‚ T. (2010). Nurses ’ role in medication safety. Journal Of Nursing Management‚ 18(7)
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PREVENTING MEDICAL OVERDOSE I A medication error is a failure in the treatment process that leads to‚ or has the potential to lead to‚ harm to the patient. There is a need for accurate and proper drug administration. Around 100‚000 Americans die yearly of drug overdose. Medication errors: what they are‚ how they happen‚ and how to avoid them. II Dennis Quaid’s twins almost died after being given a dosage that should have been for an adult. a. The medication given was heparin. b. Media
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Case - Managing A Global Team: Greg James at Sun Microsystems‚ Inc. (A) Managing People in Organizations Case - Managing ... Case is available here - http://www.scribd.com/doc/37095326/Managing-a-Global-Team-SunMicrosystems About Me Analysis: Raring Roadster People Involved View my complete profile Greg James - A fast growing manager at IBM who faces a sudden series of issues in his team‚ which spans 3 countries - India‚ UAE and France‚ in addition to the team in the US.
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properly on my shop canters – price tagged the spare parts. Then I called her by her phone line‚ she came in less than ten minutes because she lives around the neighborhood. I consciousness called her‚ so that I can resolve the conflict using the Root cause analysis tool. The steps I took to resolving the issue are as follows. Firstly what I did was to passionately apologize to her for any inconvenience I and my business might have caused her‚ and I assured her it was not intentional‚ I went forward
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on the factors that contribute to medication errors Introduction Medication management is a fundamental component of nursing‚ so should be managed with caution however medication errors do still occur within the healthcare system till this day. Medication errors have been identified as the second most common type of patient safety error in the United Kingdom by National Patient Safety Agency with 59‚802 reported incidents occurring in 2007. The medication management process has many stages
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will do additional study to find out nurses’ opinion of medication error and their contributing factors on the (wards at hospital). A cross-sectional study will be utilized and a sample of twenty (20) nurses‚ ten (10) from each ward will be chosen. A convenience sampling method will be used and data will be collected with the use of questionnaires and interviews. In this study‚ the perspectives of the experienced nurses concerning medication errors will be investigated. Information gathered will be kept
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Analysis of Sentinel Event: Child Abduction Root Cause Analysis (RCA): Child Abduction Please note the root cause analysis and recommended action plan show evidence of the key components of the RCA matrix for the specific event. An area on the matrix that may not have an identified process breakdown should still be summarized to determine that the component was evaluated. Brief description of event Tina‚ a 13 year old teenager admitted for day surgery‚ was inappropriately released to her
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