Slide 11. The Seven Pillars: A Comprehensive Approach to the Prevention and Response to Patient Events

The "Seven Pillars" Approach: Crossing the Patient Safety—Medical Liability Chasm

Slide 11. The Seven Pillars: A Comprehensive Approach to the Prevention and Response to Patient Events.

Image: The Seven Pillars is depicted as a decision flow chart with the following steps:

  • Unexpected Event reported to Safety/Risk Management. →
  • Patient Harm?
    • No →
      • Data Base...→
      • "Near Misses"...→
      • Process Improvement.
    • Yes →
      • Consider "Second Patient" Error Investigation. Hold bills →
        • Patient Communication Consult Service 24/7 Immediately Available.
        • [A red star highlights this step] Activation of Crisis Management Team
        • Process Improvement.
      • Inappropriate Care?
        • No →
          • Patient Communication Consult Service 24/7 Immediately Available.
        • Yes →
          • Full Disclosure with Rapid Apology and Remedy
          • Patient Communication Consult Service 24/7 Immediately Available.
          • Activation of Crisis Management Team
          • Process Improvement.

Contents

Current as of May 2012
Internet Citation: Slide 11. The Seven Pillars: A Comprehensive Approach to the Prevention and Response to Patient Events: The "Seven Pillars" Approach: Crossing the Patient Safety—Medical Liability Chasm. May 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/nac/2012-04-nac/mcdonald/mcdonald11.html