Blueprint for Healthcare Safety Excellence

Consider once again the case from chapter 1 in which an anesthesiologist injected glutaraldehyde into a patient s spinal canal from an unlabeled container. One might think that the nurse was to blame for this terrible accident. After all, she placed the poisonous substance on the sterile field. Or perhaps the anesthesiologist was to blame why didn t he ask instead of assuming But the analysis of the event from the point of view of the Blueprint for Healthcare Safety Excellence enables us to ask the questions that need to be asked to develop a comprehensive understanding of the event. 

How effectively a person fulfills the safety leader s role—leading the effort to improve his or her organization in all aspects of the Blueprint for Healthcare Safety Excellence—is a function of the leader s skills, knowledge, and abilities, but also, and especially, of the value the leader places on patient safety. And of course, people vary. This is as true for the CEO as for the nurse at the... 

Step 3 Perform a current state analysis using the Blueprint for Healthcare Safety Excellence. 

What exactly is the objective of phase II What is its scope The objective and scope, which will vary depending on the current state and the leaders vision, can best be spelled out in the terms of the elements in the Blueprint for Healthcare Safety Excellence. In most situations, there will be improvement objectives and intervention scopes for each element. 

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