Triage cards

National Center for Patient Safety (NCPS). 2001b. Safety assessment code and triage card training CD-ROM. Strategies for Leadership A Toolkit for Improving Patient Safety. Washington, DC Department of Veterans Affairs, National Center for Patient Safety... 

Concept to Action Using Human Factors Science and the VA Triage Cards to Analyze Medical Accidents and Near Misses... 

To get a sense of how the Triage Cards can be used, suppose that a fifty-five-year-old man undergoes an outpatient lung biopsy and is recovering in a short-stay unit (SSU). After a delayed assessment, a nurse discovers the patient in acute discomfort the pulse oximeter alarm has been turned off, and the patient s lung has partially collapsed. An emergency chest tube is inserted, and the patient recovers. But how is it possible to discover what happened ... 

FIGURE 3.4. NCPS TRIAGE CARDS FOR ROOT CAUSE ANALYSIS... 

Other portions of the Triage Cards can also be explored ... 

Next, the team can construct a causation summary for root cause analysis. The Triage Cards can guide participants in constructing statements about root causes if the following guidelines are observed ... 

A comprehensive flip card root cause analysis guide is also available from NCPS (see Web site as listed above). This card set walks the pharmacist through every step of a comprehensive root cause evaluation of a quality problem. For example, the cards begin with triage questions such as... 

Allernatively a green Most triage tags have initial medical record card with the corners folded to show red underneath may be used, areas for the recording of clinical information and may be used as the ... 

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