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OasisLMS
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Patient Safety in Radiology (2025)
Error Prevention Strategies: RCA and the Swiss Che ...
Error Prevention Strategies: RCA and the Swiss Cheese Model
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Video Transcription
Video Summary
Jonathan Criskell discusses error prevention in radiology using the Swiss cheese model, emphasizing managing patients and staff after adverse events. He explains root cause analysis through sequential timelines, repeatedly asking "why" to uncover latent and active contributors to errors. Criskell introduces tools like affinity diagrams, the five whys, Ishikawa diagrams, and causal tree mapping to identify and categorize errors, promoting a culture of safety and continuous improvement. He highlights learning from mistakes without blame, sharing lessons openly to prevent recurrence. This approach aims to improve patient safety and operational efficiency in radiology departments.
Keywords
musculoskeletal radiology
process improvement
standard work
Kaizen
5S methodology
Swiss cheese model
root cause analysis
error prevention in radiology
patient safety
continuous improvement
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