QI & Safety

Coming Soon

Measures, incidents, and PDSA

Measures Tracked

18

UDS + custom

Open Incidents

4

2 serious

PDSA Cycles

6

This quarter

Measure Performance

HbA1c control52% / ≥50%

BP control58% / ≥60%

Colorectal screening48% / ≥45%

Cervical screening68% / ≥70%

PDSA Tracker

Reduce no-show rateStudy
Improve BP documentationAct
Lab follow-up timelinessDo

Incidents

ID	Date	Type	Severity	Status
INC-001	2025-02-20	Patient safety	Moderate	Open
INC-002	2025-02-18	Medication	Low	Closed
INC-003	2025-02-15	Documentation	Low	Open
INC-004	2025-02-10	Patient grievance	Moderate	In review
INC-005	2025-02-08	Fall	Serious	Open

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