Download slides of the presentation - National Patient Safety ...
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Declining D<br />
Revenue,<br />
Competition…<br />
Why did that happen?<br />
Loss <strong>of</strong> resilience.<br />
C<br />
New facility planned<br />
Cost cutting<br />
Focus on efficiency<br />
Normalized<br />
risk; unsafe<br />
behavior<br />
B<br />
Time pressure,<br />
> interruption,<br />
unworkable<br />
procedure,<br />
inadequate #<br />
scanners..<br />
Heightened<br />
A<br />
potential for an<br />
adverse event<br />
Clinical Space<br />
70<br />
NPSF Pr<strong>of</strong>essional Learning Series<br />
May 31, 2012