by SASGOG | Mar 10, 2025 | Project Elements
Published: 02/2023 Root cause analysis (RCA) is process used to learn how and why an error occurred. It is a retrospective, structured, resource-intensive, and systems-focused analysis of an event. This comprehensive event review modality is usually dedicated to...
by SASGOG | Mar 10, 2025 | Project Elements
Published: 04/2023 SBAR (Situation, Background, Assessment, Recommendation) is an instrument that complies with the Joint Commission’s National Patient Safety Goal 2 (effective January 1, 2006)1, requiring organizations to improve effectiveness of communication among...
by Joe Sapp | Aug 22, 2025 | Project Elements
Published: 08/2025 When emergent medical situations occur, there can be several sources of error. These are often categorized as technical, environmental, and team-based. Technical errors stem from the incorrect performance of a skill. Environmental errors include...
by SASGOG | Mar 10, 2025 | Project Elements
Published: 02/2023 After identifying a problem, the next step in any quality improvement process is to set a goal. Appropriate goals in quality improvement should conform to the acronym “SMART”: Specific, Measurable, Attainable, Relevant, and Time-bound. Remember that...
by SASGOG | Mar 10, 2025 | Project Elements
Published: 05/2024 The Health and Human Services (HHS) Healthy People 2030 Campaign recognizes that Social Determinants of Health (SDOH) have a major impact on quality of life.1 These domains encompass nonmedical factors that influence the health of individuals and...
by SASGOG | Mar 10, 2025 | Project Elements
Published: 02/2025 When crafting an improvement plan, either proactively or in response to a safety event, the goal is to prevent future, similar systems errors. When evaluating potential solutions, it is important to consider the strength of the proposed...
