How Could This Happen?
By Cary D. Gutbezahl, MD, President, Compass Clinical Consulting. Although many factors may contribute to an avoidable injury, investigations often reveal that the policy and procedures were in place, the staff was trained on and understood the policy and procedures, staffing was adequate to do the work, but people didn’t follow the policy.
Case studies to learn more about ways in which Compass Clinical has worked to create better American hospitals.