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 Report an Illness or Health IncidentKDHE, KS 2022

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in this video we're going to talk about something important to many of us cheese but instead of focusing on all the good things cheese does nachos pizza pizza nachos we're going to talk about what's wrong with cheese swiss cheese in particular because there are holes in swiss cheese those holes could have been delicious swiss cheese and instead they're just air now to better understand how errors occur we are going to use swiss cheese as the steps processes and barriers that are in place in our organization when we carry out tasks do projects and take care of patients we don't create these systems to intentionally have holes we create our systems intending for them to be cheddar cheese with lots of defenses to catch and trap errors in the process the unfortunate reality for everyone but our mouse friends is that our systems have flaws that we don't even realize those are the holes but the first most important takeaway is safety and failure events rarely happen b

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