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So medical professionals have a lot at stake in making sure patients get the right medicine, in the right amount, at the right time.
Your data includes counts of the number of patients treated each week, and the number of medication errors that occur.
To get better insight into the situation, you gather more comprehensive data on a random sample of 100 medication errors, including the type of error and the time it occurred. Based on this knowledge, you and your team devise and implement process changes designed to help hospital staff give patients the proper dosage of medications and adhere strictly to the treatment times specified by their physicians. After the changes have been implemented, you gather additional data over several weeks to see whether errors have been reduced.
Because you have attribute data, and since each patient could be associated with more than one medication error, the Assistant's decision tree guides you to the U Chart.
Even if you’re not a statistician, you can benefit from using statistical tools to look at your data.
With the Assistant, it's very easy to create a Pareto Chart to identify and focus your efforts on the most frequent medication errors. To keep a spotlight on safety, more than 68 employees appeared in a Safety Culture Training video.

Every employee, contractor and volunteer at Memorial is required to watch the video and participate in a facilitated conversation after seeing the video. The problem is so pervasive in the United States that more people die from preventable medical errors than diabetes or Alzheimera€™s disease. Memorial has been working with Healthcare Performance Improvement: Innovative Solutions in Healthcare Performance to improve safety and reduce harm. Every time a medical error occurs at Memorial, a full review is completed so the organization can learn whether the error was knowledge-based, skill-based; or rule-based. Skill-based errors occur when there is a slip or lapse, and the action made is not what was intended. Rule-based errors occur when a rule isna€™t followed or an employee was taught the wrong rule in the first place.
Your data set includes counts of the number of patients treated each week, and the number of medication errors that occurred.
It is why safety, and the prevention of medical errors, has been a keen focus at Memorial for at least two years.
For instance, an employee has never been trained, has no experience and does not know how to perform a task, but takes a guess at how to complete the task.

Our overarching goal is to live our mission by eliminating serious safety events and reducing harm. Take a one-second a€?time outa€™a€™ before any task is completed to verify that what you are about to do is right. Everyone who works at Memorial has the responsibility to keep patients safe, whether they work in a clinical or non-clinical role. Implementing the five safety habits is just a step in this journey,a€™a€™ said Jennifer Tatro, Memoriala€™s patient safety officer.
Do not be afraid to question how a task is performed if you believe there is potential for patient harm.
Employees should cross-check each other and look out for mistakes that could harm patients.

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