Patient Safety and the "Just Culture"
Patient Safety and the "Just Culture"
Patient Safety and the "Just Culture"
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Managing System ReliabilityDesign forSystem Reliability…100%SystemFailureSystem ReliabilitySuccessfulOperation• Human factors design toreduce <strong>the</strong> rate of error• Barriers to prevent failure• Recovery to capturefailures before <strong>the</strong>ybecome critical• Redundancy to limit <strong>the</strong>effects of failure0%PoorGoodFactors Affecting System Performance… knowing that systems will never be perfectCopyright 2007, Outcome Engineering, LLC. All rights reserved.
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