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amp;gt; amp;gt; Thereamp;#39;s a wealth of theory and ideas of how to improve patient safety. But as busy clinicians, we need to recognize some basic principles of designing safe systems. We will cover three main principles, which are: standardize care, whenever you can, create independent checks for things that are important, and learn, donamp;#39;t just recover when things go wrong. Weamp;#39;re really good at recovering from mistakes. Itamp;#39;s what we do most of our day as clinicians. Weamp;#39;re not so good at learning from them, that is reducing the risk that future patients will be harmed. amp;gt; amp;gt; The CDC has recommendations to reduce the risk of an infection when placing a central line. Part of those recommendations require the use of about eight pieces of equipment: a cap, a mask, a hat. Well when I looked, I had to go to eight different places to get all that equipment. And half the time, they werenamp;#39;t stocked. And when they werenamp;#39;t stocked,