Description

The action plan that addresses the cause or finding and is designed to prevent occurrence of similar events. A system-level action plan focuses on processes, practices, and procedures, rather than individuals, and has the greatest likelihood of preventing future occurrences.

On-Screen Instructions

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When assessing if your action plan is truly system-level, first determine if your plan will positively impact other patients or providers in a similar situation. If the answer is yes, you’re on the right track! For assistance developing system-level action plans, please contact your Oregon Patient Safety Commission (OPSC) Patient Safety System Analyst.

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When responding to adverse events, it is essential to develop plans that result in system-wide patient safety impact, as opposed to simply addressing each individual situation. A treatment plan focuses on the needs of a single patient, and often does not result in system-wide patient safety impact. A system-level action plan focuses on processes, practices, and procedures, rather than individuals, and has a greater likelihood of preventing future occurrences.

See the table below for examples of typical treatment and action plans:

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History