The Safety Dance: Going from Near Misses to Good Catches
Imagine the following scenario: A temporary dental assistant loads a sterilizer before lunch, and despite pressing the start button, the sterilizer fails to begin the reprocessing cycle. Another assistant returns later to unload the pouches. In a rush because one of their appointments ran long, they fail to confirm the status of the indicators, incorrectly marking the instruments as passed (i.e. sterilized), and subsequently store and distribute the instruments.