Patient Safety and Quality Improvement: Developing a Systems View (Patient Safety I)

The History of Patient Safety and Quality Improvement

In this module, you will review the history of patient safety and quality improvement in healthcare You will start with defining the scope of the problem of preventable harm in healthcare which leads into the history of the work that has been done to date that has helped to define, measure and improve preventable harm You review three landmark reports to ensure you have a deep understanding of this work At the end of this module, you will be able to:

1) identify a minimum of four key events in the history of patient safety an quality improvement,

2) describe the key characteristics of each of the three landmark patient safety publications and

3) summarize the impact of preventable harm on patients, communities and society

Definitions in Patient Safety and Quality Improvement: An Overview

In this module, you will be reviewing several key terms and tools that are used in patient safety and quality improvement This will allow you to begin to develop the common language used among patient safety and quality improvement experts and practitioners By the end of this module you will be able to:

1) differentiate between the terms harm, hazard, error and risk within a patient safety and quality improvement framework,

2) describe how quality and safety overlap and how they are different and

3) differentiate between root cause analysis and a failure mode and effects analysis

High Reliability Organizing and Why it Matters

In this module, you will learn the fundamental principles of high reliability organizing At the end of this lesson, you will also be able to:

1) describe the socio-cultural characteristics of high reliability organizations (HROs),

2) compare and contrast healthcare with high reliability organizations and

3) identify three improvement tools for high reliability organizing

Applying a Systems Lens to Healthcare

In this module, you will learn the basics of systems thinking and then apply these to a healthcare setting At the end of this module, you will be able to

1) explain the basic components of a system,

2) differentiate first order problem solving and second order problem solving,

3) explain the benefits of having strategies for both proactive and reactive systems thinking