Patient Safety and Quality Improvement
 Modules  Module 9: Environmental Safety in the Healthcare Setting
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

Myths and Facts About TB

Myth:
Three negative sputum smears for Acid-fast bacilli exclude active pulmonary TB.
Facts:
- If a patient is a TB suspect, TB is not excluded until sputum cultures are negative and/or another diagnosis is made which explains all the findings.
- Half of all active pulmonary TB in New Mexico is smear-negative.
- Smear-negative patients are potentially infectious.

Myth:
A negative PPD and positive control rule out TB.
Fact:
Patients with active TB may have selective anergy to tuberculin.

Myth:
Positive PPDs in individuals with a history of BCG vaccine can be ascribed to BCG. Fact:
Assessment of a positive skin test is the same whether or not a history of BCG is obtained.

 
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