|
Strong
|
Architectural / physical plant changes
|
1
|
0%
|
|
New devices with usability testing before purchasing
|
1
|
0%
|
|
Engineering control, interlock, forcing functions
|
2
|
0%
|
|
Simplify the process and remove unnecessary steps
|
3
|
0%
|
|
Standardize on equipment or process or care maps
|
10
|
1%
|
|
Tangible involvement and action by leadership
|
1
|
0%
|
|
Subtotal
|
18
|
2%
|
|
Medium
|
Redundancy/back-up systems
|
3
|
0%
|
|
Increase in staffing/decrease in workload
|
1
|
0%
|
|
Software enhancements/modifications
|
15
|
2%
|
|
Eliminate/reduce distractions
|
3
|
0%
|
|
Checklist/cognitive aid
|
8
|
1%
|
|
Eliminate look- and sound-alikes
|
1
|
0%
|
|
Enhanced communication
|
4
|
1%
|
|
Simulation training with refresher
|
6
|
1%
|
|
Review/enhancement of policy/guideline/documentation/workflow
|
39
|
5%
|
|
Review/re-evaluate use/appropriateness of equipment
|
5
|
1%
|
|
Audit undertaken
|
25
|
3%
|
|
Enhanced supervision
|
6
|
1%
|
|
Implement a new team (frontline)
|
0
|
0%
|
|
Subtotal
|
116
|
15%
|
|
Weak
|
Double checks
|
7
|
1%
|
|
Warnings and labels
|
20
|
3%
|
|
New procedure/memorandum/policy
|
29
|
4%
|
|
Training and education (include counselling)
|
466
|
61%
|
|
Additional study/analysis
|
104
|
14%
|
|
Subtotal
|
626
|
82%
|
|
Total (Strong + Medium + Weak)
|
760
|
100%
|
