Many organizations invest significant resources and effort into improving safety and quality, yet patients continue to experience harm. Might it be that we do not fully understand the problem we are trying to fix?
Improvement requires the correct diagnosis of the problem and the connection of diagnostic tools with improvement methodology. During the IHI Quick Course: Practical Skills in Patient Safety Tools, participants will learn how to use several tools that will help them diagnose quality and safety in their respective organizations and connect those tools with improvement.
This seminar carries a maximum of 6.0 credits for physicians, nurses, and pharmacists. Enroll today.
What You'll Learn
After this IHI Quick Course, participants will:
- Know the range of tools necessary to support development of a learning system
- Describe the current diagnostic approach of your organization
- Discuss the use of the data gained from diagnostic tools to prevent, detect, and mitigate harm to patients
- Critically appraise the usefulness of the presented diagnostic tools to improve the safety and quality of your organization over time
- Be clear on the practicalities of connecting Root Cause Analysis to improvement
- Have developed a practical skill set for use on return to work
Frank A. Federico, RPh, Vice President, Institute for Healthcare Improvement, works in improving patient safety, applying reliability principles in health care, preventing surgical complications, and improving perinatal care. He serves as faculty for the IHI Patient Safety Executive Development Program and has co-chaired a number of Patient Safety Collaboratives. Prior to joining IHI, Mr. Federico was Program Director of the Office Practice Evaluation Program and a loss prevention and patient safety specialist at the Risk Management Foundation of the Harvard-Affiliated Institutions. He has published numerous patient safety articles and co-authored a chapter in Achieving Safe and Reliable Healthcare: Strategies and Solutions, and he was an executive producer of the film First, Do No Harm, Part 2: Taking the Lead.
Carol R. Haraden, PhD, Vice President, Institute for Healthcare Improvement, is a member of the IHI team responsible for developing innovative designs in patient care. She leads IHI's work with Health Improvement Scotland to transform the safety of every Scottish hospital over a five-year period. She also leads work in Denmark, the South of England, and the US to improve the safety of health care systems in these countries. Dr. Haraden is the Executive Lead for the IHI Patient Safety Executive Development Program. She has been a dean in higher education, as well as a clinician, consultant, and researcher, and she served on the Institute of Medicine Committee on Engineering Approaches to Improve Health Care. Dr. Haraden is a judge for several national quality awards and an associate editor for the journal BMJ Quality and Safety.
Workshop Content (9:00 AM–5:00 PM local time)
Please note: Breakfast and lunch are not provided at the Quick Course. Beverages (coffee, tea, decaf coffee, water) will be provided all day. Light snacks will be served during breaks. A variety of nearby restaurant recommendations will be provided by IHI upon enrollment in the Quick Course. All restaurants will be within walking distance.
Morning Session (9:00 AM–12:00 PM)
- Welcome and orientation to the workshop
- Starting the Safety Tools Journey and overview of the tools
- Introduction to the workshop case study
- Using a Mortality Diagnostic Tool
- Using Root Cause Analysis to understand cause and effect
Afternoon Session (1:45 PM–5:00 PM)
- Using Trigger Tools to identify systems issues
- Refreshment Break
- Using FMEA — a more proactive approach
- Linking diagnostics to improvement — bringing it all together