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Patient Safety Quality Monthly  
Patient Safety Quality Monthly Archive
 
Ken Rohde, Senior Consultant for The Greeley Company with over 25 years of experience in quality management. His roles in performance improvement and project management make him uniquely qualified to assist medical staffs and hospital leaders develop solutions to their toughest challenges. He instructs, speaks, and consults in the areas of error reduction strategies, root cause analysis, improving performance through process simplification, error reduction through effective procedure writing, apparent cause analysis, engineering effectiveness and error reduction, failure modes and effects analysis, effective data collection, analysis and trending, patient safety evaluation and improvement, change management, corrective action program evaluation and redesign, human performance evaluations, and procedure error reduction. Mr. Rohde also specializes in technology-based approaches to preventing human errors.

August 25, 2010   ( Volume 9, Issue 8)
 
What’s that barrier protecting? Click here to read full article

In patient safety and quality, we regularly talk about barriers. Sometimes they are the bad barriers such as a barrier to acceptance of a safer way to work, and sometimes they are positive barriers that are there to protect us, such as a double-check or an equipment guard or a locked door. We often think the more positive barriers the better. But is that really so? We need to carefully think about what harm the barriers are protecting us from and ensure that there are no unintended consequences.
 

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