A mistake-proofing webinar presented by John. Grout in early 2024:

A Poka-Yoke Primer: Mistake-Proofing and Error Reduction

View slides and more (registration required)

Click the numbered links below to view the PowerPoint slides used in John Grout’s presentations at the Workshop on Best Practices for Reducing Transfusion Errors Sponsored by CBER and AHRQ held February 14-15, 2002.

Use Powerpoint Normal View: a transcript of the presentation is included in the “notes” window.

  1. Mistake-Proofing Your System
  2. Probabilistic Risk Assessment (using fault trees to design benign failures)
  3. NPSA Patient Safety 2004