[Article] How to apply the Prioritization Matrix in Incident Management
How to apply the Prioritization Matrix in Incident Management The prioritization matrix is an essential tool in the context of root cause analysis (RCA) and, specifically, in the Root Cause Analysis and Action (RCA2) method. RCA2 was created by the Institute for
[Article] Using the 5W3H tool to structure action plans for managing incidents and adverse events: a practical guide
What is the 5W3H tool? The 5W3H tool is a simple and effective technique, widely used to plan and organize actions in a clear and objective manner. With a structured approach, the tool helps to precisely define each stage of the
[Article]How to use the bow-tie diagram in risk analysis and management
The bow-tie diagram is a graphical method used to analyze and manage risks in various areas such as safety, occupational health, environment, engineering, and health. The name comes from the bow-tie format that the diagram takes when drawn. It is
How integration between systems benefits hospital processes
1 – What is data integration between systems in healthcare? In the same healthcare institution, using different systems to provide patient care is common. However, these tools are often not integrated with each other, strongly impacting the process and flow of
Interoperability: what it is and how it is applicable to health
1 – What is interoperability? In the context of Information and Communications Technology (ICT), interoperability is the capability of two or more applications to exchange data and information securely and automatically. It is of paramount importance for ensuring that systems, applications,
[Article] Safety Huddle: Optimize the risk management process
We know that the Safety Culture is an important pillar in the structural component of the services, which encourages the implementation of safe practices and decreases incidents and adverse events. The term “safety culture” was first used by the International
[Article] Disclosure: what is the role of top management in reporting adverse events?
When developing and implementing a disclosure policy or process, it must be understood that each patient and each patient's safety incident are unique. Thus, the disclosure process requires flexibility to ensure it is effective and meets the information needs of
Disclosure: How to report incidents and adverse events to patients and family members
In aiming to achieve a culture of safety, clear, effective, open communication is necessary between healthcare services and patients. Patients have the right to access information on the state of their health and the risks inherent to the care provided. When
Find out more about the WHO Global Patient Safety | Action Plan 2021-2030
1. Background of the WHO’s approach to the topic of “patient safety” In May 2002, the 55th World Health Assembly encouraged member states to be aware of the problem of patient safety, establishing and strengthening the evidence-based systems necessary for improving
How to select tools for investigating adverse events
Much has been said on the topic of the most suitable tools for investigating adverse events in healthcare organizations. A study published in the journal of the School of Nursing of Universidade de São Paulo indicated some pointers that will
Bruno Stefan
Lucas Garcia