LESSON 3: ERROR SCENE INVESTIGATOR
Essential Question: What is the anatomy of a patient safety event analysis?
Learning Outcome(s): Medical residents will be able to analyze patient safety events and complete and investigation report.
Learning Objectives: Apply evidence-based practices to develop and support effective multidisciplinary teams that work in partnership with patients and their families to improve patient safety outcomes
READING AND ASSIGNMENTS
CAUSE ANALYSIS HANDOUT
CAUSE ANALYSIS INVESTIGATION PPT
Review the attached PowerPoint.
You will complete a fishbone diagram on Google Docs. Please watch the Case Study video below and then complete the diagram of how this error occurred. We will review them at the Zoom session.
Case Study - Watch Your Step
Watch this brief video a couple of times. Pay attention to all the details. Keep in mind the lessons provided about what you should be looking for as an investigator. Once you watched the video complete your fish bone chart in google docs.