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

A Non-Medical Example

Modern “soaring aircraft” (gliders) (compared to those in use 30 years ago) are sleek and lightweight – designed to be fast, maneuverable, and able to go greater distances – they are not designed to be safe (thus, greater risk of damage to aircraft, injury to pilot if there is an accident).

Courtesy of Joseph C. Kambe, MD 2003

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