Implement the system gradually
MERS-TM requires commitment, staffing, and skill. Starting slowly will ease the transition into new habits and processes.For example, rather than attempting to learn the MERS process and encourage reporting at the same time, begin by applying the MERS-TM process to the events that are already being reported, or to a subset of events being reported (for example, all events involving autologous products).
After mastering entry, coding, and causal analyses, then move on to include more categories/types of errors and finally begin to encourage the staff to report more information into the system. This gradual approach helps make the implementation process more manageable.
Train at least two individuals to carry out the MERS-TM processIf only one person is dedicated to MERS-TM, implementation is at risk if that person has a leave of absence, becomes distracted by an additional job duty, or leaves the organization. Having two people learn the systemone as a primary person, one as a back-uphelps ensure the system s continuity.
In addition, the two individuals can help one another when it comes to coding by first coding independently and then checking on one anothers results for reliability.
When more than one person assists with implementation, an organization benefits from both confirmation of findings and back-up.
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