Identify Defects Through Sensemaking

The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.

This module includes--

• Facilitator Notes (Word® file; 3.2 MB; Plugin Software Help) Accessible Version
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  Presentation Slides (PowerPoint® file; 3.0 MB; Plugin Software Help) Accessible Version
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  Tools
  • Staff Safety Assessment (Word® file; 200 KB; Plugin Software Help) Accessible Version
  • Safety Issues Worksheet for Senior Executive Partnership (Word® file; 208 KB; Plugin Software Help) Accessible Version
  • Learn From Defects Tool and Form (Word® file; 217 KB; Plugin Software Help) Accessible Version
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  Video (Flash® file)
  • Identify Your Unit’s Safety Issues (Full video, 3 min., 17 sec.)
  • Develop a Plan of Action (Full video, 5 min., 15 sec.)
  
  
• Video Segments (Flash® file)
  • What Happened? (43 sec.)
  • Why Did It Happen? (34 sec.)
    What Will You Do to Reduce the Risk of Recurrence? (40 sec.)
  • How Will You Know the Risk is Reduced? (40 sec.)
    Identifying Contributing Factors (Bonus video, 1 min.)
    Identifying and Ranking Defects (Bonus video, 1 min., 41 sec.)
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  ZIP files Download the entire CUSP Toolkit