Slide Presentation from the AHRQ 2007 Annual Conference

Lessons Learned

• ED Patient Safety can be improved
  • The D2D SPF design reduces LWOTS 
• Collaboration is key
  • ASU Industrial Engineering
  • Physicians, Staff
• Implementation is the hardest part
  • Changing minds along with process
• Leadership matters
  • High level organizational commitment
• Keep measuring and monitoring
  • Ongoing improvement should occur