Mistake-proofing the Design of Health Care Processes. Figures 3.20 and 3.21

Skip Navigation

U.S. Department of Health and Human Services

www.hhs.gov

Agency for Healthcare Research Quality

Search www.ahrq.gov

AHRQ Home | Questions? | Contact Us | Site Map | What's New | Browse | Información en español |

E-mail Updates

www.ahrq.gov

You Are Here: AHRQ Home > Medical Errors & Patient Safety > Mistake-Proofing the Design of Health Care Processes

Figure 3.20. A wheelchair with footplates

Photograph of wheelchair footplates.

Return to Document

Figure 3.21. Benign failure: footplate is absent or unavailable

Fault tree of benign failure: footplate is absent or unavailable. The top element, 'Footplate is absent or unavailable,' splits at an OR symbol into two elements: 'Removed' and 'Broken off'. The 'Removed' element splits at an AND symbol into two terminal elements: 'Disassembled' and 'Forgot/failed to reassemble'. 'Broken off' splits at and OR symbol into two terminal elements: 'Impact' or 'Other excessive force.'

Return to Document

AHRQ

AHRQ Home | Questions? | Contact AHRQ | Site Map | Accessibility | Privacy Policy | Freedom of Information Act | Disclaimers
U.S. Department of Health & Human Services | The White House | USA.gov: The U.S. Government's Official Web Portal

Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 Telephone: (301) 427-1364