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Quality and Safety Agenda Date: Attendees: Agenda Item Data Review (if applicable) Discussion/conclusion Action Person Responsible Target Date Patient Story Policy/Procedure Review Patient Safety Culture (HSOPS, Just culture, TeamSTEPPS, etc.) HCAHPS Healthcare alerts (JC Sentinel event, etc.) Proactive Risk Assessments Root Cause Analyses Falls reported Pressure Ulcers Other Incidents Medication errors reported Adverse Drug Events (ADE) OP-27 Influenza coverage among HCP Imm-2: Influenza Immunization AMI Care (OP 1, 2, 3, 5) OP-20 Door to diagnostic OP-21 Median time to pain management for LBF OP-22 Patient left without being seen EDTC Perinatal Safety Adverse Drug Events (ADE) Surgical Safety Healthcare Acquired Infections (HAI) Other Other Other Other Other.