February 2, 2006 | Mark Paradies


In a move to improve healthcare performance, the State of Illinois has passed a new law requiring the reporting of adverse healthcare events.

The amazing part of the law (to me) is that it doesn’t fully take effect until the end of the decade.

To read an article about the law, click on the link below:

http://www. abanet.org/journal/ereport/j6medical.html

If you are interested in reducing medical errors, I would suggest a three step plan:

1. Apply Best Practices to Improve Performance.

As Sam Levenson said:

You must learn from the mistakes of others. You can’t possibly live long enough to make them all yourself.

So don’t reinvent the wheel… Network and find best practices from performance improvement leaders. Look outside the medical industry. Look everywhere that excellence is achieved. Apply the lessons learned where they will have the most impact.

2. Use Root Cause Analysis to Fix the Causes of Accidents and Incidents.

Accidents and incidents (sentinel events) are telling you where performance needs to be improved. LEARN from your mistakes – especially human errors – by applying advanced, effective, repeatable root cause analysis.

3. Become Proactive.

Even though you must learn from your mistakes, DON’T WAIT to learn. Once you understand how to use root cause analysis, learn to apply it proactively.

Don’t wait until you have adverse events to report. This three-step-plan is concise and extremely effective. Apply it today!

Here are three hints that will get you started even faster:

1. Attend the TapRooT® Summit. This is probably the best performance improvement benchmarking opportunity in the world. And there is a special track for reducing medical errors. Don’t miss it and the valuable best practices that you can take home. See: www.taproot.com/summit.

2. Apply TapRooT®. TapRooT® is the most advanced root cause analysis system with advanced human performance and equipment troubleshooting techniques built in. Users rave about TapRooT®’s effectiveness and repeatability.

3. Attend the 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Course. You will learn new information about applying root cause analysis proactively. And you will learn how to shift your facility’s focus from reactive improvement to proactive improvement.

That’s it. Get started implementing your medical error reduction and quality of care improvement program.

Don’t wait, get signed up for the Summit and a 5-Day class and prevent sentinel events and medical errors at your healthcare facility.

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