Step 1: Planning group identifies changes (objectives) in each category | Step 2: Rank according to impact/risk | Step 3: Build scenarios incorporating identified changes (objectives) |
---|---|---|
Example: | Example: | Example: |
New neurology clinic | Impact: frequent event =high impact, intermittent frequency= medium impact, rare event= low impact | Scenario A: Routine patient visit for seizures. Patient sees neurologist, gets EEG, has seizure, requires emergency response and transfer |
Risk: If fails, risk for significant patient harm= high risk. If fails, possibility of minor patient harm/delays in care that is likely to be detected = medium risk. If fails, unlikely to result in harm/delays and likely to be caught= low risk. | Scenario B: Routine visit for chronic headaches. | |
Objectives | Impact, risk | Scenario |
People (roles/responsibilities): | ||
New medical assistant role | High impact, low risk | A +B |
Adjacent clinic nursing staff will respond to emergencies in neurology clinic | Low impact, high risk | A |
Processes: | ||
New process for rooming patients | High impact, low risk | A + B |
New process for communicating EEG reviews | High impact, medium risk | A |
New response team/process for emergency response | Low impact, high risk | A |
Tools/technology: | ||
New phones | High impact, medium risk | A + B |
New alarm system | Low impact, high risk | A |
Environment: | ||
New waiting area to be shared with other clinics | High impact, low risk | A + B |
New emergency equipment layout | High impact, high risk | A |
New EEG room, distant from clinic/team | Medium impact, high risk | A |
New transport route to emergency department | Low impact, high risk | A |