Presented by:
Lisa Pryse Terry, CHPA, CPP
Tony York, CPP, CHPA, MBA

Sponsored by:
Briefings on Hospital Safety: ...

High-reliability markers to assess checklist design and implementation

A blank Report Out Form, with rooms for your project's name, date, objectives, metrics, and analysis. 

Example of what a Report Out Sheet should look like.

A blank word doc is included in the tools section as well.

List the name, date, objective, and metrics of success of a project on this sheet. 

Documents on this list will be reviewed on the first morning of the surveys and should include information from the last 12 months prior to the surveys, if applicable.

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