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When the balloon goes up…

This guide outlines the essential steps for effective quality and risk management within healthcare systems, focusing on the PDSA, HACCP, RCA, and FMEA methodologies. Key processes such as reporting events, immediate actions, investigation of causes, and corrective actions are discussed. The guide also addresses critical evaluation metrics to ensure sustained improvement and effectiveness while considering user-friendliness and continuous enhancement of the systems in place. By addressing common questions and concerns, it aims to foster a culture of safety and quality in healthcare settings.

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When the balloon goes up…

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  1. When the balloon goes up… Chris Eccleston Manager, Quality and Risk Waikato District Health Board

  2. PDSA HACCP RCA Risk Plans FMEA Trending 5 Whys CAPA

  3. Steps of the process..? • Report the event to a designated person/team • Take immediate action • Investigate the event • Identify the causes • Report the findings • Develop a plan for corrective action • Implement the plan • Evaluate the effectiveness of the corrective action • Make changes for continuous improvement

  4. Question 1: What do your systems look like..? • Tools • Process • Identification of level of investigation • Serious Events • “Lower level” • Near Miss • Management • Roll out/training

  5. Question 2: Does it work..? • Identification of Actions / Recommendations • Tracking of actions • Sustained Improvement / Effectivity • Prevention of Repeats

  6. Question 3: Is it easy to use..? • How do people find it to use? • Everyone, or select few? • Outcomes

  7. Question 4: How would you change it..? • What would you see as your system’s short comings? • How could your system be improved? • Is it the right system for you?

  8. So what to do..? • Poster • Picture! Q1 Q2 Q3 Q4

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