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Culture of Safety

Across
Event that does not reach the patient
The fundamental reason for failure
An event or condition that could have resulted in harm or death to a patient
Event that reaches the patient but causes not harm
Down
A method to analyze errors and how they cause adverse events
Errors that are obvious in the system
Non-obvious weaknesses in the system.
An event that causes harm
An event unrelated to patient sickness that reaches patient and causes death