WHY IT MATTERS
While adverse outcomes may be unique on the surface, there are common fundamentals to help organizations improve, learn, and heal. Moving forward after adverse outcomes involves three components:
- Implementing process improvement to mitigate future risk
- Sharing lessons learned across the organization
- Supporting the well-being of care team members
- Execute action plans for improvement that were created during an investigation and cause analysis
- Identify owners, team members, and executive-level sponsors responsible for the implementation of risk reduction strategies
- Give team members involved the opportunity to help with or give input on improvement strategies
- Commit to a completion goal date and…
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