Safety Differently

3. Under the construct of "safety differently" BLANK influences behavior, it is important to understand the environment people were in that contributed to their decisions.
4. BLANK as imagined describes how people think things should be done but is not always accurate.
6. Policies, procedures, resources and constraints in a system surrounding a safety event.
7. This many MILLION adverse drug reactions are reported in a year in the US.
9. This system exists in TCH to share system-level concerns that may lead to patient harm with leaders.
12. This must occur for an event to be considered a "safety event."
13. Concept that describes the ability to succeed under varying conditions by understanding everyday functioning and troubleshooting.

1. A review of a safety event by content experts to learn the conditions that led to the event and develop action items to prevent future events.
2. A bias where one finds reasons for other's behaviors by linking it to their character.
5. There are "hot," immediately after an event, and "cold," feedback a few days-weeks after an event that are designed to learn more information and understand opportunities for improvement.
8. This type of "failure" is defined as an unsafe act committed by a caregiver, such as coming to work inebriated
10. Aviation and Energy Industries are examples of this.
11. An event that had a clear deviation from standard of care but did not reach the patient is a "Near BLANK"