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

Why Are Many Interventions “Off Base”?

  • Safety is not always common sense
  • Root cause analyses are unintentionally superficial
  • Body of knowledge is thin
    • What are the “real” problems (need)
    • Which solutions work in the real world (the need being addressed)
 
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