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Safety Issues Worksheet for Senior Executive Partnership
Who should use this tool? Health care providers and the senior leader.
Date of safety rounds:___________
Unit:______________________
Attendees:
1.
2.
3.
4.
5.
6.
7.
8.
9.
| Identified Issues | Potential/Recommended Solutions |
Resources Needed |
|---|---|---|
| 1. | ||
| 2. | ||
| 3. | ||
| 4. | ||
| 5. | ||
| 6. | ||
| 7. | ||
| 8. | ||
| 9. |
Current as of August 2012
Internet Citation:
Safety Issues Worksheet for Senior Executive Partnership. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/cusptoolkit/8cusptoolssafetysnrchklst.htm
Agency for Healthcare Research and Quality 
540 Gaither Road Rockville, MD 20850 Telephone: (301) 427-1364
