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

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READING AND ASSIGNMENTS

Complete All

CAUSE ANALYSIS HANDOUT

      

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CAUSE ANALYSIS INVESTIGATION PPT

Review the attached PowerPoint.

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FISHBONE DIAGRAM

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.

LESSON 3: DISCUSSION BOARD

This is your File description. Concisely describe the content of your file and make sure to highlight your contact details for further questions and remarks.

TEST YOUR KNOWLEDGE

This is your File description. Concisely describe the content of your file and make sure to highlight your contact details for further questions and remarks.

 

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.

 

ADDITIONAL RESOURCES

PATIENT SAFETY ESSENTIALS TOOLKIT: FAILURE MODES AND EFFECTS ANALYSIS (FMEA)

AN ILLUSTRATED LOOK AT IMPROVEMENT