Patient Safety and Quality Improvement
 Modules  Module 3: The “Science” of Human Error
1. Introduction to Course
2. History of Patient Safety
3. The Science of Human Error
4. The Analysis of Medical Error
5. Evidence-Based Medical Practice
6. Communication and Information Transfer
7. Adverse Patient Outcomes
8. The Role of the Patient and Family
9. Environmental Safety in the Medical Setting
10. Safe Medical Practice In Ambulatory Settings

Stimuli to Study of Errors

  • Major industrial accidents (3 Mile Island, Chernobyl, Bhopal)
  • “Challenger” disaster (O-ring)
  • Harvard studies of Medication Errors
  • Libby Zion incident
  • IOM Report – “To Err is Human”
 
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