The Wrong Shot: Error Disclosure (AHRQ)2297446A 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 PMCase 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_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities416063020http://www.ihi.org4/8/2014 8:55:23 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Code Blue - Where To? (AHRQ)2297493A 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 PMLearning 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_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities628962100http://www.ihi.org4/8/2014 8:55:12 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
The Patient and the Anesthesiologist2297569Linda Kenney went into the hospital for an ankle replacement. She came out with a host of complications resulting from a mistake that no one was willing to admit. Until Rick van Pelt, MD, her anesthesiologist, stepped forward. In this three-part video case study, you’ll find out what happened in the immediate aftermath of the surgery, watch Kenney and van Pelt describe their first meeting after the surgery, and watch Kathy Duncan, RN, and Don Berwick, MD, analyze the case.10/30/2018 4:00:05 PMDonald Berwick, MD, MPP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement; Kathy Duncan, RN, Faculty, Institute for Healthcare Improvement; Linda Kenney STS_ListItem_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities404323240http://www.ihi.org10/30/2018 4:00:05 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
One Dose, Fifty Pills (AHRQ)2297498Told to give a patient one gram of steroids, an intern mistakenly orders fifty 20-mg pills. Although a pharmacist questions the order, the intern insists that the medication be given as ordered.4/7/2014 6:56:59 PMLearning Objectives: At the end of this activity, you will be able to Identify the risks involved with improper supervision in a health care setting She suggested to the intern that STS_ListItem_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities261062700http://www.ihi.org4/7/2014 6:56:59 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Noah’s Story: Are You Listening?2297566Our 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 PMNotice:  The IHI website will be undergoing maintenance and inaccessible on Friday, May 20th from 9PM - 3AM ET Learning Objectives: At the end of this activity, you will be able to STS_ListItem_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities813854410http://www.ihi.org5/26/2017 2:11:10 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Jill's Medication Crisis2297427A 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 PMNotice:  The IHI website will be undergoing maintenance and inaccessible on Friday, May 20th from 9PM - 3AM ET Learning Objectives: At the end of this activity, you will be able to STS_ListItem_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities13776470http://www.ihi.org4/11/2014 7:59:00 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
How Do You Apologize After a Medical Error?2297449When 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_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities241411490http://www.ihi.org5/24/2017 5:32:38 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
What Is Teach-Back?2297932Connie Davis, Co-Director at Centre for Collaboration, Motivation, and Innovation, explains how teach-back can improve health outcomes.5/24/2017 4:49:11 PMHow 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_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo239101720http://www.ihi.org5/24/2017 4:49:11 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
A Wild (and Costly) Goose Chase2297582In a new patient story, you’ll hear from Rani, a patient who visits several different health care providers in search of a diagnosis. As you follow Rani’s story, you’ll be prompted to stop along the way to consider a number of questions about miscommunication, cost, and the patient perspective. When you get to the end of the story, you’ll hear from Rani as she looks back on the experience seven years later.5/26/2017 2:28:43 PM Objectives: At the end of this activity, you will be able to Recognize how a lack of communication among providers can disrupt the continuum of care and lead to frustration for STS_ListItem_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities186403450http://www.ihi.org5/26/2017 2:28:43 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
'Sue, Can You Smile?'2297543In a new patient story, you’ll meet Sue, a nurse who undergoes several operations to remove a mass behind her ear, resulting in an adverse event. As you follow Sue’s story, you’ll be prompted to stop along the way to consider a number of questions about making mistakes, communication after adverse events, and the patient, family, and caregiver perspectives. When you get to the end of the story, you’ll hear from Sue and her surgeon, Dr. Rae, as they look back on the experience nearly seven years later.5/26/2017 2:39:58 PMLearning Objectives: At the end of this activity, you will be able to Explain the importance of keeping patients’ families informed about the care experience When you get to the end STS_ListItem_PublishingPageshttp://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities12159300http://www.ihi.org5/26/2017 2:39:58 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js

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