| Human Factors | 1435428 | | Maybe the floor’s wet and slippery. Maybe the cash register is confusingly labeled. Maybe medications are hard to tell apart. Everywhere you look — both in health care and in ordinary retail settings — you can spot circumstances that make it easy for regular people to make mistakes. In this exercise, you’ll go out and analyze everyday situations to determine what human factors issues are at play. You’ll also decide what interventions should be introduced to minimize the opportunities for mistakes. | 9/18/2015 8:40:55 PM | Federico, Content Director, Institute for Healthcare Improvement
Learning Objectives: At the end of this activity, you will be able to Description: Maybe the floor’s wet and | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 35515 | 397 | | | | | | 0 | http://www.ihi.org | 9/18/2015 8:40:55 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Advanced Case Study | 1435378 | | Between Sept. 30th and Oct. 14th, 2010, students and residents all over the world gathered in interprofessional teams and analyzed a complex incident that resulted in patient harm. Selected teams presented their work to IHI faculty during a series of live webinars in October. | 6/8/2017 6:09:00 PM | Karyn Baum, MD, MSEd, Associate Professor of Medicine, University of Minnesota Reviewers:
Barbara Balik, RN, EdD, Senior Faculty Member, IHI; Jonathan Finkelstein, MD, MPH | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 52262 | 495 | | | | | | 0 | http://www.ihi.org | 6/8/2017 6:09:00 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Why Does Health Care Need Improvement Science? | 1435514 | | David Williams shares why the will to change, alone, is not enough to create change — and presents the ambulance industry as an example. | 8/8/2017 3:36:35 PM | Patient Safety Executive Development Program
October 24–30, 2019 | Boston, MA
With today’s shrinking health care budgets and growing focus on costs | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 15426 | 178 | | | | | | 0 | http://www.ihi.org | 8/8/2017 3:36:35 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Misread Label (AHRQ) | 1435383 | | 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 | 13669 | 803 | | | | | | 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 |
| 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 | 31124 | 270 | | | | | | 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 |
| What Are the Dangers of Alert Fatigue? | 1435507 | | In a new IHI Open School short, patient safety expert Dr. Bob Wachter talks about the dangers of alert fatigue in health care. | 10/10/2017 3:44:42 PM | Webcast: Making Patients and Families the Center of Rounds
October 29, 2019 | 1-Hour Webcast
This 1-hour IHI Webcast on October 29, 2019 will explan | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 13156 | 309 | | | | | | 0 | http://www.ihi.org | 10/10/2017 3:44:42 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Escape Fire: Two Stories about US Health Care | 1435427 | | In this clip* from Escape Fire A Fight to Rescue American Healthcare, you will hear about two patients trying to navigate the US health care system. | 5/26/2017 1:50:49 PM | Hospital Flow Professional Development Program
November 4–8, 2019 | Boston, MA
IHI's Hospital Flow Professional Development Program provides the | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 14717 | 227 | | | | | | 0 | http://www.ihi.org | 5/26/2017 1:50:49 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Improving Care in Rural Rwanda | 1435443 | | When Dr. Patrick Lee and his teammates began their quality improvement work in Kirehe, Rwanda, last year, the staff at the local hospital was taking vital signs properly less than half the time. Today, the staff does that task properly 95% of the time. Substantial resource and infrastructure inputs, combined with dedicated Rwandan partners and simple quality improvement tools, have dramatically improved staff morale and the quality of care in Kirehe. | 5/26/2017 1:59:20 PM | Patrick Lee, MD, Partners In Health, Volunteer Clinical Mentor, Newton-Wellesley Hospital, Hospitalist Physician, Harvard Medical School, Clinical Instructor in Medicine | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 22553 | 154 | | | | | | 0 | http://www.ihi.org | 5/26/2017 1:59:20 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Why Do Errors Happen? How Can We Prevent Them? | 1435510 | | Millions of people suffer every year from mistakes in health care. Lucian Leape explains why those mistakes happen — and how to prevent them. | 5/26/2017 2:44:16 PM | Leape, MD, Adjunct Professor of Health Policy at the Harvard School of Public Health
Learning Objectives: After viewing this video, students will be able to | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 15448 | 279 | | | | | | 0 | http://www.ihi.org | 5/26/2017 2:44:16 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| How Can Data Drive Reliability? (Part 5 of 5) | 1435434 | | IHI Executive Director Frank Federico discusses the role of measurement and the role of leadership in achieving reliable designs. | 5/26/2017 1:57:28 PM | How Can You Make Processes Reliable What Is the Goal of Reliable Design Why Do You Need a Back-Up Plan Bonus: IHI's Whitepaper on Improving the Reliability of Health Care | STS_ListItem_PublishingPages | | | http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 4739 | 48 | | | | | | 0 | http://www.ihi.org | 5/26/2017 1:57:28 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
