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Learning from errors

Long-Term Care Nursing Advisor, June 1, 2007

Study and learn from incidents and injuries. Instead of automatically blaming individuals, evaluate the system to determine whether it promoted the problem. Determine whether a voluntary reporting system will enhance facility data collection and risk reduction. This type of system focuses on errors that do no or minimal harm. A quality assurance program will help identify and correct system weaknesses before serious injury occurs. The Institute of Medicine also recommends implementing safety systems and promoting a "culture of safety" that focuses on improving reliability and safe care.

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