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Figure 3-20-21

Mistake-Proofing the Design of Health Care Processes -

Figure 3.20. A wheelchair with footplates

Photograph of wheelchair footplates.

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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.'

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Current as of May 2007
Internet Citation: Figure 3-20-21: Mistake-Proofing the Design of Health Care Processes -. May 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/mistakeproof/mistakefig3-20-21.html