It all Began with a 
                   Sentinel Event
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           Questions We Asked
       How can we prepare our students to 
        become safe practitioners with the skills 
        they are going to need?
       How can we make sure our faculty have 
        the knowledge and skills they need for 
        safe, quality practice?
       How can we address errors that will occur?
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      Quality and Safety Committee
       Key Objectives
        Promote a culture of safety among faculty and 
          students
        Analyze errors, close calls/near misses, 
          hazards, adverse events and “good catches” 
          that occur in our clinical practice
       Evolution of the Committee
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           Faculty as Students
      How do faculty learn 
       about Quality and 
       Safety?
      Error prone practices
      Workarounds
      How do faculty view 
       errors?
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    Do we have a Culture of Safety?
       “Stop the bullying.”
       “…times when I felt belittled…”
       “Fear of failure keeps us silent.”
       “We have to agree about things we knew 
        were wrong.”
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