Quality Improvement is a dynamic system of continually evaluating and improving care and reducing errors.

The hurdle of creating quality feedback loops that improve the efficacy of treatment is one of our most urgent health care challenges.

There are 3 types of errors:

1. Skill-based failure - Failures of action, or unintentional actions, are classified as skill-based errors. This error type is categorized into slips of action and lapses of memory.
2. Rule-based failure - actions that match intentions but do not achieve their intended outcome due to incorrect application of a rule or inadequacy of the plan.
3. Knowledge-based failure - actions that are intended but do not achieve the intended outcome due to knowledge deficits.

Effective methods of reducing your own errors include

• debriefing calls,
• questioning your own assumptions,
• using decision aids such as algorithms, and
• asking for help.