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What Is the Goal of Reliable Design? (Part 3 of 5)
IHI Executive Director Frank Federico explains the goal behind reliable design — and why capability is just as important as reliability.
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How Can You Make Processes Reliable? (Part 2 of 5)
IHI Executive Director Frank Federico discusses steps you can take to make your processes more reliable.
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What Is Reliability? (Part 1 of 5)
IHI Executive Director Frank Federico provides an introduction to reliability, including a definition, some examples, and components of IHI’s proven methodology.
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The Patient and the Anesthesiologist
Linda 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.
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Why Is Reducing Harm — Not Just Error — Important to Patient Safety?
Dr. David Bates, a world renowned patient safety expert, explains why the field of patient safety has shifted from reducing error to also encompass efforts to reduce harm.
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Why Is Psychological Safety So Important in Health Care?
Why is psychological safety in health care so important? In a short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes four specific outcomes associated with a psychologically safe work environment.
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Three Ways to Create Psychological Safety in Health Care
How can leaders ― with or without formal authority ― create psychological safety in health care? In a short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes three key actions to foster a psychologically safe work environment.
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What Happened to Josie?
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.
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Why Do Errors Happen? How Can We Prevent Them?
Millions of people suffer every year from mistakes in health care. Lucian Leape explains why those mistakes happen — and how to prevent them.
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How Can Data Drive Reliability? (Part 5 of 5)
IHI Executive Director Frank Federico discusses the role of measurement and the role of leadership in achieving reliable designs.
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