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

UNMH Root Cause Analysis 2002 to 2004

Event Type # Harm NM
Equipment Malfunction 1 1  
Wrong Site Surgery 2 1 1
Treatment Delay / Inadequate Rx 6 3 2
Treatment Complication 1   1
Medication Error 5 4 1
Patient Identification Error 3   3
Attempted Abduction 1   1
Inappropriate Discharge 1   1
AMA/AWOL of Suicidal Patient 1   1
Total 21 9 12
 
Copyright © University of New Mexico
Health Sciences Library and Informatics Center
Learning Design Center