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

JCAHO Standard LD.5.2, Effective July 2001

Leaders ensure that an ongoing, proactive program for identifying risks to patient safety and reducing medical/health care errors is defined and implemented.
  • Identify and prioritize high-risk processes
  • Annually, select at least one high-risk process
  • Identify potential “failure modes”
  • For each “failure mode,” identify the possible effects
  • For the most critical effects, conduct a root cause analysis
 
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