| Misread Label (AHRQ) | 2157520 | | An infant born with sluggish breathing is given Lanoxin instead of naloxone, and dies of digoxin toxicity. | 4/7/2014 6:57:09 PM | Case Study from AHRQ
WebM&M; Discussion questions submitted
by Andrew
Carson-Stevens, Medical Student, Cardiff
University, Cardiff, United Kingdom;
Jennifer Boehne, PharmD | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 21728 | 448 | | | | | | 0 | http://www.ihi.org | 4/7/2014 6:57:09 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| What Happened to Josie? | 2157552 | | 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 | 185931 | 2080 | | | | | | 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 |
| What Is “Ask, Tell, Ask”? | 2157469 | | Connie Davis, Co-Director at Centre for Collaboration, Motivation, and Innovation, explains how “Ask, Tell, Ask” can improve health outcomes. | 5/24/2017 5:05:00 PM | How Long Does It Take to Use Patient-Centered Communication Connie Davis, RN, MN, ARNP; Co-Director of the Centre for Collaboration, Motivation, and Innovation | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo | 18589 | 186 | | | | | | 0 | http://www.ihi.org | 5/24/2017 5:05:00 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| The Crowded Clinic | 2157542 | | 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 | 43458 | 187 | | | | | | 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 |
| How Can Self-Care Dialysis Improve Outcomes? | 2157440 | | Health care providers often talk about the need for patients to be more engaged in their care. Training patients to perform their own dialysis gives them more control over their health and their time, says Dr. Richard Gibney. | 11/11/2016 5:33:58 PM | IHI Forum 2021
December 5–8, 2021 | Hybrid Conference
The IHI Forum is a four-day conference that has been the home of quality improvement (QI) in | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo | 15165 | 231 | | | | | | 0 | http://www.ihi.org | 11/11/2016 5:33:58 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| How Do You Apologize After a Medical Error? | 2157526 | | 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 | 21000 | 206 | | | | | | 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 |
| Jill's Medication Crisis | 2157424 | | A patient story activity – The Medication – that describes a patient’s journey to get her anticonvulsant medications. The breakdown in continuity of care and communication is an ideal learning opportunity for students and professionals. | 4/11/2014 7:59:00 PM | Learning Objectives: At the end of this activity, you will be able to Identify two instances when communication broke down in the continuum of care As you read Jill’s story, take | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 12883 | 95 | | | | | | 0 | http://www.ihi.org | 4/11/2014 7:59:00 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Code Blue - Where To? (AHRQ) | 2157516 | | 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 | 58315 | 230 | | | | | | 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 |
| Noah’s Story: Are You Listening? | 2157577 | | 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 | 70550 | 843 | | | | | | 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 |
| What Is Motivational Interviewing? | 2157470 | | Connie Davis, Co-Director at Centre for Collaboration, Motivation, and Innovation, explains how motivational interviewing can help guide patients to make decisions that matter to them. | 5/24/2017 4:49:01 PM | How Long Does It Take to Use Patient-Centered Communication Connie Davis, RN, MN, ARNP; Co-Director of the Centre for Collaboration, Motivation, and Innovation | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo | 28554 | 161 | | | | | | 0 | http://www.ihi.org | 5/24/2017 4:49:01 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
