| The Wrong Shot: Error Disclosure (AHRQ) | 1435386 | | A child is mistakenly vaccinated for hepatitis A, rather than B. Despite forthright disclosure and no evident harm to the child, the father becomes incredibly angry at the providers. | 4/8/2014 8:55:23 PM | Case Study from AHRQ
WebM&M
Learning Objectives: At the end of this acticity, you will be able to Describe the rationale for disclosing harmful errors to patients | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 26709 | 423 | | | | | | 0 | http://www.ihi.org | 4/8/2014 8:55:23 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| The Crowded Clinic | 1435499 | | Patients aren't showing up for their appointments at the community health center. The results? Delays, overcrowding, and mounting frustration for everyone. Can this clinic be saved? | 6/10/2019 3:01:26 PM | Kate Ellis, MD, Family Physician, Charles River Medical Associates; Morana Lasic, MD, Clinical Instructor in Anesthesia, Harvard Medical School and Brigham and Women’s Hospital | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 34117 | 367 | | | | | | 0 | http://www.ihi.org | 6/10/2019 3:01:26 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Noah’s Story: Are You Listening? | 1435468 | | Our newest patient story follows the care experience of four-year-old Noah and his mom, Tanya. A surgery, a series of miscommunications, and an early discharge from the hospital contribute to an adverse event that changes the family’s life forever. | 5/26/2017 2:11:10 PM | Learning Objectives: At the end of this activity, you will be able to Recognize the importance of clear communication with patients and their families during a care experience | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 41008 | 538 | | | | | | 0 | http://www.ihi.org | 5/26/2017 2:11:10 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| An Extended Stay | 1435414 | | A 64-year-old man with a number of health issues comes to the hospital because he is having trouble breathing. The care team helps resolve the issue, but forgets a standard treatment that causes unnecessary harm to the patient. A subsequent medication error makes the situation worse, leading a stay that is much longer than anticipated. | 6/13/2017 1:33:07 PM | Ross Hilliard, MD, IHI Open School Northeast Regional Chapter Leader Learning Objectives: At the end of this activity, you will be able to Explain how system failures can lead to | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 51034 | 656 | | | | | | 0 | http://www.ihi.org | 6/13/2017 1:33:07 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Reconciling Doses (AHRQ) | 1435385 | | Faced with a patient who's too confused to remember his medication regimen, a care team administers an overdose of the anticoagulant Warfarin. | 4/7/2014 6:56:50 PM | Learning Objectives: At the end of this activity, you will be able to List the steps involved in medication reconciliation Describe the role of each of the stakeholders in | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 19515 | 252 | | | | | | 0 | http://www.ihi.org | 4/7/2014 6:56:50 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Code Blue - Where To? (AHRQ) | 1435379 | | A code blue is called on an elderly man with a history of coronary artery disease, hypertension, and schizophrenia hospitalized on the inpatient psychiatry service. Housestaff covering the code team do not know where the service is located, and when the team arrives, they find their equipment to be incompatible with the leads on the patient. | 4/8/2014 8:55:12 PM | Learning Objectives: After reading this case, students will be able to List several ways to improve the effectiveness of code teams Description: A code blue is called on an elderly | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 44661 | 342 | | | | | | 0 | http://www.ihi.org | 4/8/2014 8:55:12 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| How Can the Teach-Back Method Improve Outcomes? | 1435372 | | Dr. Calvin Chou demonstrates how to use teach-back, a simple method to confirm and reinforce the patient’s understanding of important information. | 5/24/2017 5:33:07 PM | How Can You Build Quick Rapport with Patients How Do You Build a Shared Agenda with Patients How Can Providers Elicit Patient Perspectives and Respond with Empathy | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 14451 | 129 | | | | | | 0 | http://www.ihi.org | 5/24/2017 5:33:07 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| What Happened to Josie? | 1435509 | | In 2001, 18-month-old Josie King died of dehydration and a wrongly-administered narcotic at Johns Hopkins Hospital. How did this happen? Her mother, Sorrel King, tells the story and explains how Josie’s death spurred her to work on improving patient safety in hospitals everywhere. | 5/26/2017 2:45:47 PM | Learning Objectives: At the end of this activity, you will be able to Discuss factors that contribute to avoidable patient harm, even at renowned facilities If you plan to be a | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 122847 | 1495 | | | | | | 0 | http://www.ihi.org | 5/26/2017 2:45:47 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| 'Enjoy What You Have Left of Your Life' | 1435417 | | In a new patient story, you’ll hear the story of a nurse named Christiane who becomes a patient after she is diagnosed with an inoperable brain tumor in the midst of her career. As you follow Christiane’s story, you’ll be prompted to stop along the way to consider a number of questions about her care and challenging transition from provider to patient. When you get to the end of the story, you’ll hear from Christiane and get her perspective on the experience. | 5/26/2017 1:50:23 PM | Objectives: At the end of this activity, you will be able to Discuss why it can be challenging for health care providers to care for themselves List at least two examples of unsafe | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 21650 | 271 | | | | | | 0 | http://www.ihi.org | 5/26/2017 1:50:23 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| How Do You Apologize After a Medical Error? | 1435389 | | When you make a mistake that affects a patient, what should you say? Should you apologize, or will that put you at greater risk of being sued? Lucian Leape, MD, Adjunct Professor of Health Policy at the Harvard School of Public Health, describes how to talk with patients and families after a mistake has occurred. | 5/24/2017 5:32:38 PM | Leape, MD, Adjunct Professor of Health Policy at the Harvard School of Public Health
Learning Objectives: At the end of this activity, you will be able to | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 12924 | 228 | | | | | | 0 | http://www.ihi.org | 5/24/2017 5:32:38 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
