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3Ws Clinical Safety Challenge

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Yes/No: 3Ws in safety

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Saudi Arabia

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3Ws Clinical Safety Challenge
 

3Ws Clinical Safety ChallengeOnline version

Yes/No: 3Ws in safety

by SWEENY BERMEJO
1

The Now What? step is optional in clinical communication.

2

The observation that 'The patient’s respiratory rate is 28' alone explains why this observation matters.

3

The statement 'The doses do not match. This could create a medication-safety risk. Can we pause and verify the order?' uses all three Ws.

4

The Final Challenge asks staff to shout the 3Ws together: WHAT? SO WHAT? NOW WHAT?

5

When communicating a clinical concern, the Now What? should include a clear next step or request.

6

The nurse reported: 'The patient's respiratory rate increased from 18 to 28 breaths/min'.

7

The observation that 'The patient’s respiratory rate is 28, so this change may indicate clinical deterioration' explains why the observation matters.

8

The staff member's comment 'The patient looks worse' provides a clear Now What action.

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