582 / 879
CHECK
: Result is not yet satisfying:
- Patients in bed don’t bring their card
- Patient forgets his/her card
- Scanner often fails
> Management decided to end this “solution”
ADJUST:
Next solution in Method:
- Stopping rules applied (as SOP)
> check DOB, and other topics
- Involve (instruct) patients
- Both visualized!
CHECK
: Since 2014 4 near-incidents,
no more patient exchanges.
PDCA-cycle
Continuous Improvement
Methods
Incident Registration Discussion