Reference no: EM133645294

Question 

Comment on " patient safety, and how to use models and create and implement safety improvements. I chose these because they seem the most important. According to Vattipalli Sameera, an error is "an unintentional deviation from safe practice. " (2021). There are several types of errors. Latent error is an error that occurs in the upper levels. Usually a combination of events leads to the latent error to become an adverse event. Active errors are ones caused by frontline workers. An adverse event is an event that occurs due to the medical management, and not from the condition of the patient. A violation is when safe practices, procedures, or standards are ignored, and are usually done on purpose. A near miss is a close call with the chance to possibly cause an adverse event, but is caught. The Swiss Cheese Model is slices of cheese with holes, and show how the holes can align to cause an unwanted outcome. In order to prevent any unwanted outcomes, it is important to figure out what caused the event, and not blame just one person. Having patients and their families fill out the AHRQ patient safety survey.