· Briefly summarize the patient safety risk you have selected, and provide a rationale for why it deserves particular attention.
· Analyze the influence of systems errors and human factors errors with regard to this risk.
· Discuss related insights that could be gained from high-reliability organizations and how they might be applied within a health care organization.
· Propose strategies and tools for assessing and reducing risk related to this safety issue.
· Describe how patients and patients' families can be involved in addressing this issue.