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

Common Themes for Patient Safety Interventions

  • If it deals with medical devices or software:
    • Interventions have to address one of the previous themes
    • Training will not help (palliative care)
    • If you rely on warning labels or “heads-up” meetings to address these design flaws…
    • Watch out, you will see the event again
 
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