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Adverse Events and Medical Errors: Response and Analysis
This course will address the importance of reporting errors for prevention of future adverse events and improved patient safety, as well as the role of root cause analysis (RCA) as an investigation tool for identifying the underlying systems failures that may have led to the error. It will also examine the benefits and barriers to reporting and the role of healthcare culture in reporting. Finally, it will explain the basic process of reporting that is common in most healthcare organizations.
Describe the systems approach to medical errors and how it increases the likelihood that errors are reported.
Understand the benefits of reporting errors, especially the importance of reporting errors for patient safety improvements.
Identify the barriers to reporting errors and the role that healthcare culture plays.
Explain the basic process of reporting errors in a healthcare organization.
Explain the purpose of RCA, and describe the guidelines for the use of this investigation tool.
HCAHPS: Transitions of Care and Discharge
Improving hospital processes surrounding discharge and transitions of care can reduce adverse events and readmissions. Process improvements may also lead to better patient adherence to the treatment plan and their overall experience with care. Healthcare professionals must understand care coordination and transitions of care and how they impact HCAHPS survey results.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a national standardized survey required for hospitals participating in Centers for Medicare & Medicaid Services (CMS) programs. Survey results are linked to hospital reimbursement from CMS.
Identify the impacts of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Hospital Value-Based Purchasing (HVBP) programs on healthcare organizations.
Categorize transitions of care, care coordination, and discharge planning.
Select strategies to improve interprofessional teamwork.
Implementing Systems Theory to Prevent Errors in Healthcare
This course focuses on implementing systems theory to prevent errors and injuries in healthcare. This course targets physicians, nurses, risk managers, quality assurance directors, and C-level administrators focused on ensuring patient safety and healthcare quality.
Explain how HF/SE analyze systems failures.
Describe the SEIPS model of work system and patient safety.
Apply human factors engineering principles to healthcare systems to increase efficiency and improve patient safety and quality of care.
Identify the characteristics of resilient systems.
Implementing Systems Theory to Understand Errors in Injuries in Healthcare
Medical errors have been conceptualized more recently as systems failures rather than individual errors. This lends itself to a more constructive focus where errors are reported and analyzed in the hope of preventing future errors through system modifications. This course reviews the characteristics of these complex systems and their role in medical errors.
Describe the characteristics of systems theory.
Identify the systems failures that allow errors to occur.
Identify types of medical errors and outcomes.
Explain the prevalent models of accident causation and how they apply to healthcare.
Describe how systems improvements can prevent errors and help providers respond appropriately to errors that do occur.
Be able to analyze clinical scenarios and identify individual and systems errors.
Prevention of Adverse Events and Medical Errors
The prevalence of medical errors correlates with increased risk of patient harm in the healthcare setting. Since most errors are related to systems issues/failures and not to inadequate care by providers, it is critical to understand the breadth of the problem and the best ways to prevent adverse events and medical errors to improve patient safety.
Examine the relationship between adverse events, medical errors, and patient safety.
Identify the barriers to improving patient safety through reducing errors.
The Role of Risk Management: A Quality Perspective
The role of risk management has a significant impact on the quality outcomes of acute care organizations. It includes systems and validated processes aimed at assessing and developing interventions to mitigate risk factors and optimize quality outcomes. HCPs are stakeholders in the risk management process and can benefit from understanding risk management strategies and objectives. In this course, you will learn about risk management in the acute care setting.
The goal of this course is to provide healthcare professionals in acute care settings with information to enhance their understanding of the role they play in risk management along with proven strategies for ensuring quality outcomes in their professional practice in acute care settings.
Identify the importance of risk management, the processes, and tools used in risk management in the acute care setting.
Identify at least two concrete strategies for enhancing quality outcomes.