Respectful Management of Serious Adverse Events + Daily Safety Check-in

Combine the thinking of: 

• the paradigm proposed by Jim Conway, Frank Federico, Kevin Stewart, and Mark Campbell of the Institute for Healthcare Improvement about a framework for respectful management of serious adverse events in this article from HealthLeaders Media 

with: 

• the concepts proposed in this article from Patient Safety and Quality Healthcare by Carole Stockmeier and Craig Clapper about instituting a "daily safety check-in" 

and you start to get the makings of a powerful real-time and retrospective risk mitigation and patient safety system, which incorporates the following elements:

• Proactive, immediate, and retrospective responsiveness
• Heightened awareness of risk
• Early resolution of problems
• Accountability
• Leadership presence at the frontline
• Involvement of the frontline staff in safety
• Furthering the culture of safety
• Team-based approach to improving safety
• Development of a structured plan for dealing with safety issues
• Structured risk assessment and mitigation

Thanks to the vision and insights shared by the authors above and for their leading the charge to develop a patient safety system we can all be more proud of.