Separate high-risk failures from annoying failures
Classify dialysis failure modes by practical risk priority using severity and detectability.
Sort each failure mode into the practical risk bucket it best represents. High severity / hard to detect High severity / visible quickly Medium operational risk Low severity / visible Water-treatment check is documented without an independent second verification. Medication reconciliation after hospitalization is missing for a patient with multiple changes. Blood leak alarm occurs and the machine alarms immediately during treatment. Patient develops symptomatic hypotension with staff at chairside. Monthly inventory count is one day late but no supplies are below trigger. A care-plan action is missing a due date but has an owner. A lobby education poster is…
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