Scribd
Upload
111 views

NCPS Patient Safety Intervention Hierarchy

The document outlines an intervention hierarchy for patient safety with three levels - stronger actions focused on system changes rather than individual vigilance, intermediate actions such as double checks and warnings, and weaker actions reliant on memory and vigilance like training and additional analysis. Stronger actions include architectural changes, new devices with usability testing, engineering controls, simplifying processes, standardizing equipment, leadership involvement, redundancy, adjusting staffing levels, and software modifications.

Uploaded by

carmo-neto
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
111 views

NCPS Patient Safety Intervention Hierarchy

The document outlines an intervention hierarchy for patient safety with three levels - stronger actions focused on system changes rather than individual vigilance, intermediate actions such as double checks and warnings, and weaker actions reliant on memory and vigilance like training and additional analysis. Stronger actions include architectural changes, new devices with usability testing, engineering controls, simplifying processes, standardizing equipment, leadership involvement, redundancy, adjusting staffing levels, and software modifications.

Uploaded by

carmo-neto
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

NCPS Patient Safety Intervention Hierarchy

Stronger Actions (focused on system change, not reliant on individual memory/vigilance)


Architectural/physical plant changes New devices with usability testing before purchasing Engineering control or interlock (forcing functions) Simplify the process and remove unnecessary steps Standardize equipment on process or caremaps Tangible involvement and action by leadership in support of patient safety Redundancy Increase in staffing/decrease in workload Software enhancements/modifications Eliminate/reduce distractions Checklist/cognitive aid Eliminate look and sound-alikes Readback Enhanced documentation/communication

Intermediate Actions

Weaker Actions (reliant on memory/vigilance)

Double checks Warnings and labels New procedure/memorandum/policy Training Additional study/analysis

20

You might also like