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Each month, the IHI Open School’s On Call audio conference series puts you in touch with world-renowned experts in patient safety and quality improvement. Each hour-long call is moderated by a student, ends with a question-and-answer period, and focuses on an issue that affects you — whether it’s dealing with a colleague who’s about to make a mistake or deciphering trends in national health policy.

View the Calendar tab for registration information.

 

Check out our archive of past calls below. You can download them as free podcasts and listen on the go, using your iPod or any other mp3 player. Here’s how:

  • Open Apple iTunes or download it
  • Type “Institute for Healthcare Improvement ” in the search field
  • Click the “Subscribe” button

 

 

Featured On Call Audio Conference

June 16, 2008: On Call with Donald Berwick, MD, MPP  

 

What Is It Like to Be Trapped in an Error?

Donald Berwick, MD, MPP, FRCP

 


 

“I then realized that I had infused almost the entire bag of heparin … I thought that I was probably going to throw up.”

 

 

 

 

Even the most competent people make mistakes. That’s human nature. But many hospitals don’t design their systems to account for human error, treating mistakes — and the people who commit them — as if they’re individual failures. 

 

In the first conference call sponsored by the IHI Open School for Health Professions, IHI CEO Don Berwick and nursing student Meghan McCann confess awful mistakes they made early in their careers. A system that recognizes humans are fallible, they say, is a system that can prevent tragic errors.

 

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Audio

Audio How to Write Titles and Abstracts
 
A good abstract is like an ad for your work.  David Stevens, editor-in-chief of the journal Quality and Safety in Health Care, shows you how to write one.
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Audio On Call: Channeling Grief Into Action
 

February 24, 2009: Sorrel King, Founder, Josie King Foundation - Sorrel King, after her 18-month-old daughter Josie was killed by medical errors at Johns Hopkins Hospital, turned grief into action, launching a foundation and working with Johns Hopkins and many other hospitals to improve patient safety.

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Audio On Call: Does Pay for Performance Work?
 

June 24, 2009: Donald Berwick, MD, MPP, president and CEO, IHI - Would you do a better job if your pay were linked to patient outcomes?  Don Berwick explores pay for performance.

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Audio On Call: Gazing into the Crystal Ball: US Health Care in 2013
 

September 15, 2008: Stuart Altman, PhD, Professor of National Health Policy, Brandeis University - With a public beset by health care woes — the number of uninsured Americans is rising, primary care doctors are few and far between — a change is coming in US health care policy. But what will that change look like within the next five years? And what will it mean for you as you embark on a career in health care?

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Audio On Call: Get Your Work Published
 
July 22nd, 2009: Frank Davidoff, IHI's executive editor, and David Stevens, editor-in-chief of Quality and Safety in Health Care - Mystified by the publication process?  Frank Davidoff and David Stevens explain it all for you.
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Audio On Call: Getting Quality Improvement into the Curriculum
 

April 27, 2009: David B. Nash, MD, MBA, Founding Dean, Jefferson School of Population Health, Thomas Jefferson University - Interested in having quality improvement and patient safety in the curriculum at your school?  Wish you knew how you could help make it happen? Listen in.

 

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Audio On Call: Health Care Reform in Massachusetts
 
October 22, 2008: Nancy Turnbull, Associate Dean for Educational Programs, Harvard School of Public Health - In 2006, Massachusetts passed a law requiring almost all adults to have health insurance. Two years later, 439,000 residents are newly insured.  But not all the news is good — there’s a shortage of doctors to meet the high demand for primary care services, and some question whether the program is financially sustainable.  The nation is watching. What can other states learn from the big experiment in Massachusetts?
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Audio On Call: How a Simple Checklist Can Dramatically Reduce Medical Errors
 

November 3, 2008: Peter Pronovost, MD, researcher and physician - Peter Pronovost helped Michigan hospitals adopt checklists — simple lists of all the steps involved in routine tasks. Within 18 months, the intervention saved an estimated 1,500 lives.

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Audio On Call: How Do I Communicate with My Team Effectively?
 
July 10, 2008: Allan Frankel, MD, Director of Patient Safety, Partners HealthCare System - When you spot a mistake in a patient’s care, the logical thing to do is tell someone. But that’s not always a simple matter. How do you structure your ideas so the listener understands your reasoning? And how do you couch your concerns so she doesn’t get defensive?
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Audio On Call: Human Factors: Your Brain on Autopilot
 

August 6, 2008: Carol Haraden, PhD, Vice President, Institute for Healthcare Improvement - Have you ever been spared a dead car battery by a beeping noise that reminded you to turn your car lights off? A nurse administers a wrong dose because medication labels look similar. A doctor is interrupted by a page and then gives the nurse incomplete patient orders...

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Audio On Call: Improvement Work in Developing Countries
 

January 27, 2009: Patrick Lee, MD, Volunteer Clinical Mentor, Partners In Health, Hospitalist Physician, Newton-Wellesley Hospital, Clinical Instructor in Medicine, Harvard Medical School - Interested in improving the quality of care in a developing country but not sure how to get started?  Curious about how effective, lasting improvements are made in rural, resource-poor settings?  Then listen to this call and hear the story of how Dr. Patrick Lee and his teammates helped make dramatic improvements at a hospital in Kirehe, Rwanda.

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Audio On Call: Leading from the Bottom Up
 

March 9, 2009: James L. Reinertsen, MD, The Reinertsen Group - Sure, you want to improve the quality of health care. But you’re just a student – who’s going to listen to you?

 

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Audio On Call: Speaking Up When Things Go Wrong
 

May 15, 2009: Parker Palmer, sociologist, Paul Batalden, Dartmouth Medical School professor, David Leach, former CEO of the Accreditation Council for Graduate Medical Education - When you spot a patient who’s not getting the best possible care, what do you do?  How do you speak up?  Join the discussion.

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Audio On Call: What Is It Like to Be Trapped in an Error?
 

June 16, 2008: Donald Berwick, MD, MPP, FRCP
President and CEO, Institute for Healthcare Improvement
- “I then realized that I had infused almost the entire bag of heparin … I thought that I was probably going to throw up.”

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Audio Why Do Errors Happen? How Can We Prevent Them?
 

Lucian Leape, MD, Adjunct Professor of Health Policy, Harvard School of Public Health - Millions of people suffer every year from mistakes in health care.  Lucian Leape, MD, explains why those mistakes happen — and how to prevent them.

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