Quality Management 2017

Criteria for immediate action

▪ Event with total risk score of > 300

▪

Event frequency >50

▪

If Quality Committee decides so (fe. score is below action level, but occurence is worrying)

Actions came top-down: Actions for improvement, escalated to manager - often invented from behind desks - who is going to do what? - no multi-professional implementation (although Quality Committee is multi-professional) - yet well analysed (Prisma)

Continuous Improvement: Methods

Incident Registration

Discussion