PubMed2002
In order to do no harm, ask yourself and your colleagues the following questions: Is our environment safe? Does staff follow all safety measures? Do physicians and visitors follow safety rules? Is every staff member aware of their role in safety for all? Is there an effective staff/leader safety inspection team in place and functioning effectively? Are all reasonable recommendations implemented? Have the errors been reviewed in detail? If so, what were the results and what changes were made? Is self-reporting encouraged without repercussions? Do you know what your error rates are, what the root causes were, which systems were lacking, and how they have been modified? Needless to say we have a great deal of work to do and many challenges to overcome if we are to decrease our risk of error. But where to start? Do a critical analysis of the current system and, on a daily basis, focus on improving some small piece of the safety network that will have a lasting impact. The commitment and participation of staff, strong visible leadership, and accountable, well-trained individuals and teams will all be major contributors to a safe environment.