CQI Action Plan Medical Injuries and Medical Errors Identification TEAM MEMBERS: FACILITY: CONTACT: Medical Director Nurse manager Facility nurses GOAL: Minimize the number of occurrences & persons affected by such occurrences Patient care technicians PROBLEM STATEMENT: Dietitian (Example) Adverse Events monitoring not consistently reviewed by QAPI team Social worker ROOT CAUSE(S): Nephrologists (Example) Lack of communication between interdisciplinary team (Example) Lack of proper instruction on policies/procedures (Example) Lack of consistent enforcement of policies/procedures RESPONSIBLE ESTIMATED ACTUAL START COMMENTS ACTION PLAN TEAM COMPLETION COMPLETION DATE (STATUS, OUTCOMES, DISPOSITION, ETC.) MEMBER DATE DATE Assemble inter-disciplinary team monthly. Establish goals! QAPI team must review all reports related to patient/staff injuries Trend any injuries or errors to identify prevalence of occurrences, commonalities and causes. Identify barriers to meeting goals Create plan to address identified barriers. Document actions taken to prevent reoccurrences. Educate staff
CQI Action Plan Medical Injuries and Medical Errors Identification FACILITY: CONTACT: TEAM MEMBERS: Medical Director Nurse manager Facility nurses Patient care technicians Dietitian Social worker Nephrologists GOAL: Minimize the number of occurrences & persons affected by such occurrences PROBLEM STATEMENT: (Example) Adverse Events monitoring not consistently reviewed by QAPI team ROOT CAUSE(S): (Example) Lack of communication between interdisciplinary team (Example) Lack of proper instruction on policies/procedures (Example) Lack of consistent enforcement of policies/procedures ACTION PLAN RESPONSIBLE TEAM MEMBER START DATE ESTIMATED COMPLETION DATE ACTUAL COMPLETION DATE COMMENTS (STATUS, OUTCOMES, DISPOSITION, ETC.) Assemble inter-disciplinary team monthly. Establish goals! QAPI team must review all reports related to patient/staff injuries Trend any injuries or errors to identify prevalence of occurrences, commonalities and causes. Identify barriers to meeting goals Create plan to address identified barriers. Document actions taken to prevent reoccurrences. Educate staff
QAPI_AdverseActionPlan.docx