Module 4: The “Analysis” of Medical Error, and Implementation

Patient Safety and Quality Improvement

Modules

Module 4: The “Analysis” of Medical Error, and Implementation

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

Core Processes in Root Cause Analyses & Failure Mode and Effects Analyses

What happened or what usually happens?
Why did something go wrong or how could it go wrong?
What do we do about it?
Intervention
How do we know we made a difference?
Intervention effectiveness

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