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
Example of "Better" Weaker Actions
Must specifically address the root cause/contributing factor
Need to be specific, concrete, and clear; understood by a cold reader
Reality checked (with the process owners)
Tested or simulated prior to full systemwide implementation
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