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Journey to zero harm

Kaplan, Sarah MSN, RN-BC, CPHQ; Maydick-Youngberg, Diane EdD, APRN, ACNS-BC, CWOCN; Liao, Julieann MSN, ANP-BC, CWON; Francis, Kathleen DNP, FNP-BC, CWOCN

doi: 10.1097/01.NUMA.0000602812.42313.f2
Feature: Safety Solutions: Wound care
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Using apparent and systemic cause analysis to reduce HAPIs

Discover how one hospital used the processes of apparent cause analysis and systemic cause analysis to increase interdisciplinary team ownership and engagement and decrease hospital-acquired pressure injuries.

At NYU Langone Brooklyn (N.Y.), Sarah Kaplan is a nursing quality specialist; Diane Maydick-Youngberg is the program director of wound, ostomy, and continence nursing; Julieann Liao is a wound and ostomy NP; and Kathleen Francis is a wound, ostomy, and continence NP.

The authors have disclosed no financial relationships related to this article.

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