Checklists are a powerful tool to prevent accidents; but they're not the final solution. Education and training are also important to implement and evolve safety practices, but an effective intervention solution must approach the problem systematically.
The Hierarchy of Intervention Effectiveness, first introduced in 1999 by the Institute for Safe Medication Practices, presents a risk management theory that ranks intervention methods from least to most effective. Human-focused interventions such as education, training, rules, policies, and checklists are rated toward the bottom of its scale. While not without value, these interventions are less reliable than system-focused interventions such as standardization and computerization. The most highly ranked intervention measures are forcing functions and constraints as they directly prevent the user from making a mistake, thus making them the most powerful and effective error prevention tools. Classic examples of forcing functions include a user being prevented from starting a car while it is in gear; or a user being prevented from starting a microwave with the door open.
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Use the best tools to prevent wrong site surgery with the StartBox System.
A study was conducted at a single site over a twelve-month period. Similarly to the experience reported in a peer-reviewed publication, patient harm was prevented and errors were captured. Additionally, a downward trend in near misses was observed, with zero reported during the last five months of the period. This suggests that the StartBox System can help healthcare facilities and providers improve their patient safety and risk profiles over time.
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Kim Kramer will lead StartBox in capitalizing on its goals of mitigating risk, reducing medical liability costs and increasing healthcare operational efficiencies.
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Innovative Technology System to Prevent Wrong Site Surgery and Capture Near Misses: A Multi-Center Review of 487 Cases
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Prevent Harm & Reduce CostsStart using the StartBox System in your clinic, surgery center or hospital operating room to track errors and reduce costs today. |