Chapter 5, “Commencing the Journey” Read the web article “Safe Practices for Better Healthcare: A Consensus Report” at http://www.ahrq.gov/professionals/quality–patient–safety/patient–safety–resources/resources/advances–in–patient–safety/vol4/kizer1.pdf. View the video “Being Open with Patients and Families about Adverse Events” at https://www.youtube.com/watch?v=DkYm8HFq_Vk. Choose one of the following “roles” in a large hospital system: Hospital administration Patients Professional staff Navigate to the threaded discussion below and respond to the following discussion questions: Define and apply FMEA steps in relation to the PDSA cycle concerning improving patient safety and reducing medical errors in a large hospital system. Be specific and give examples. How does Lean Sigma apply to FMEA and PDSA? Be specific and give examples. For example High numbers of adverse events (medical errors) resulting in mortality for myocardial infarctions (aka MI or heart attack) have been identified in the emergency room from January 2014 to December 2014. How would a proactive risk assessment like FMEA and the application of PDSA be used to reduce these numbers and improve patient safety for patients treated for MI? In this discussion, address questions such as critical time issues from the patient presenting to the ER and timely assessment and developing a working diagnosis; use of EKG; administration of medication; availability of appropriate numbers of ER doctors and staff trained in cardiology; delays in patient getting from home to medical transport to ER; quality of treatment while patient is in medical transport (pre-hospital), etc. Present your ideas for improving and measuring patient safety and reducing medical errors.