|
|
Human Performance Improvement
Juran Healthcare believes that patient safety is the foundation of all health care processes. To that end, we have developed a successful model of Human Performance Improvement that incorporates proven error-prevention techniques into the everyday behaviors and practices of caregivers. Our unique blending of Human Performance Improvement and process improvement initiatives can reduce overall serious safety events by as much as 90%, in as little as two years, using the following tools and techniques:
|
1 |
System-Wide Data Analysis
of serious safety events and incident reports allows the organization to identify and prioritize areas for improvement. Common cause requires a comprehensive data base that will allow stratification of event data using Pareto analysis. This type of analysis is also used to identify the high-risk situations and high-risk behaviors that contribute to the causes of serious safety events. With the appropriate data, common cause analysis provides the basis for behavior-based expectations and error prevention techniques, red rules, and project selection. Common cause analysis should be performed at least once per year for system-wide data and as needed for departmental or service line data. |
|
2 |
Establish Behavior-Based Expectations and Error Prevention Techniques
based on common cause analysis data, designed specifically to address the high-risk situations and behaviors. The error prevention techniques provide the toolbox that enable staff to meet the behavior-based expectations. Behavior-based expectations and subsequent error prevention toolbox should be few in number and only relevant to specific improvement opportunities.
|
|
3 |
Implement Red Rules,
which are a set of minimum standards associated with certain patient safety processes that MUST be met and require verbatim compliance (e.g. patient identification, proper hand hygiene, universal protocol, high-risk medication administration, and tag-out procedures). Red rules should focus on the highest-risk activities at both the system and departmental levels. They should be few in number in order not to dilute the significance of the red rules. |
|
|