On April 22 we had a pipe elbow failure in our Emergency Department (ED) causing a significant water leak. Crews are assessing the impact and we are in the process of water abatement. Our ED is open, but several rooms are currently offline which could increase wait times. Some surgeries are also being rescheduled.

Debriefs of Safety Events - July 2023

7/14/2023
Author: Jamie Leviton, Director High Reliability Initiatives

 

A Safety Event Debrief is a summary of a root cause analysis and actions put into place after a safety event at VMC. Sharing these lessons learned from safety events and the plan for improving our processes at a system level, rather than focusing on individual failures is an important part of being a high reliability organization and of reaching our goal of Zero Harm.

Click the links below to read our latest Safety Event Debriefs:

Warm Handoffs and the Hotlist

Hot List and Clinical Escalation

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