Patient Safety and Quality Improvement: Developing a Systems View (Patient Safety I)
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Patient Safety and Quality Improvement: Developing a Systems View (Patient Safety I)
This course is part of Patient Safety Specialization
Instructor: Melinda Sawyer
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What you'll learn
Describe a minimum of four key events in the history of patient safety and quality improvement.
Define the key characteristics of high reliability organizations.
Explain the benefits of having strategies for both proactive and reactive systems thinking.
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4 assignments
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There are 4 modules in this course
In this course, you will be able develop a systems view for patient safety and quality improvement in healthcare. By then end of this course, you will be able to: 1) Describe a minimum of four key events in the history of patient safety and quality improvement, 2) define the key characteristics of high reliability organizations, and 3) explain the benefits of having strategies for both proactive and reactive systems thinking.
In this module, you will review the history of patient safety and quality improvement in healthcare. You will start with defining the scope of the problem of preventable harm in healthcare which leads into the history of the work that has been done to date that has helped to define, measure and improve preventable harm. You review three landmark reports to ensure you have a deep understanding of this work. At the end of this module, you will be able to: 1) identify a minimum of four key events in the history of patient safety an quality improvement, 2) describe the key characteristics of each of the three landmark patient safety publications and 3) summarize the impact of preventable harm on patients, communities and society.
What's included
7 videos5 readings1 assignment
7 videosβ’Total 36 minutes
- The Scope of the Problemβ’2 minutes
- History of Quality Improvement and Patient Safety: 1854 - 1966β’5 minutes
- History of Quality Improvement and Patient Safety: 1966 - Presentβ’4 minutes
- Mitigable or Preventable Harm: Crimean War, 1854-1856β’4 minutes
- "To Err is Human": Building a Safer Health Systemβ’5 minutes
- "Crossing the Quality Chasm": A New Health System for the 21st Centuryβ’8 minutes
- "Free From Harm": Accelerating Patient Safety Improvement Fifteen Years After "To Err is Human"β’7 minutes
5 readingsβ’Total 115 minutes
- Institute of Medicine Report: To Err is Humanβ’30 minutes
- Institute of Medicine Report: Crossing the Quality Chasm: A New Health System for the 21st Centuryβ’30 minutes
- National Patient Safety Foundation Report: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err is Humanβ’30 minutes
- Error in Medicineβ’10 minutes
- An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICUβ’15 minutes
1 assignmentβ’Total 15 minutes
- Lesson 1 Quizβ’15 minutes
In this module, you will be reviewing several key terms and tools that are used in patient safety and quality improvement. This will allow you to begin to develop the common language used among patient safety and quality improvement experts and practitioners. By the end of this module you will be able to: 1) differentiate between the terms harm, hazard, error and risk within a patient safety and quality improvement framework, 2) describe how quality and safety overlap and how they are different and 3) differentiate between root cause analysis and a failure mode and effects analysis.
What's included
11 videos1 assignment
11 videosβ’Total 46 minutes
- Definitions and Intersection of Quality and Safetyβ’4 minutes
- Harmβ’3 minutes
- Sentinel Eventβ’2 minutes
- Errorβ’4 minutes
- Hazardβ’2 minutes
- Riskβ’5 minutes
- Root Cause Analysis (RCA)β’5 minutes
- Failure Mode and Effects Analysis (FMEA)β’8 minutes
- Qualityβ’4 minutes
- Safetyβ’6 minutes
- Cultureβ’3 minutes
1 assignmentβ’Total 15 minutes
- Lesson 2 Quizβ’15 minutes
In this module, you will learn the fundamental principles of high reliability organizing. At the end of this lesson, you will also be able to: 1) describe the socio-cultural characteristics of high reliability organizations (HROs), 2) compare and contrast healthcare with high reliability organizations and 3) identify three improvement tools for high reliability organizing.
What's included
7 videos1 assignment
7 videosβ’Total 25 minutes
- Overview of High Reliabilityβ’3 minutes
- A Model for Understanding High Reliabilityβ’2 minutes
- Analyzing Healthcare as a High Reliability Organizationβ’6 minutes
- High Reliability Organization Sociocultural Normsβ’3 minutes
- Five Principles for High Reliability and Mindful Organizingβ’4 minutes
- High Reliability Organization Behaviors and Habitsβ’3 minutes
- Patient Safety Tools of Mindful Organizingβ’5 minutes
1 assignmentβ’Total 15 minutes
- Lesson 3 Quizβ’15 minutes
In this module, you will learn the basics of systems thinking and then apply these to a healthcare setting. At the end of this module, you will be able to 1) explain the basic components of a system, 2) differentiate first order problem solving and second order problem solving, 3) explain the benefits of having strategies for both proactive and reactive systems thinking.
What's included
9 videos1 assignment
9 videosβ’Total 38 minutes
- Definition of a Systemβ’2 minutes
- Definition of Systems Thinkingβ’3 minutes
- Reductionistic Thinking vs. Holistic Thinkingβ’6 minutes
- Swiss Cheese Modelβ’7 minutes
- First Order and Second Order Problem Solvingβ’3 minutes
- Whose Problem Is It?β’2 minutes
- Oncology Infusion Clinic: Case Studyβ’5 minutes
- Proactive and Reactive Systems Thinking Strategiesβ’8 minutes
- Conclusionsβ’2 minutes
1 assignmentβ’Total 30 minutes
- Lesson 4 Quizβ’30 minutes
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