The purpose of this group is to review regional critical incidents in 245D settings and evaluate the systemic influences that contribute to them. The group will make recommendations for level 3 change to DHS’s Culture of Safety Action Group to help organizations move from a culture of fear to a culture of safety.
The Culture of Safety Data Action Group includes West Central Regional Quality Council members, West Central Regional Quality Council staff, and DHS Representatives.
- Review data within Otter Tail, Clay and Polk Counties using the ‘systemic critical incidents review model. Critical incidents include elopement, medication error, service termination, staff sleeping, wheelchair safety, COVID, and prone restraint.
- Review top 2 systemic themes within each incident type. Systemic themes include proscribed practice, cognition, procedural drift, service availability, fatigue, etc.
- Develop recommendations and submit to Action Group.
