| On Being Transparent | 57539 | | You are the CEO and a patient in your hospital dies from a medication error. What do you do next? The University of Rochester’s Dr. Paul Griner presents the fourth in a series of case studies. | 4/11/2014 7:22:33 PM | Click here to view all of Dr. Paul Griner's case studies . Paul Griner, Professor Emeritus of Medicine at the University of Rochester, presents the fourth in a series of case studies | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 7728 | 587 | | | | | | 0 | https://www.ihi.org | 4/11/2014 7:22:33 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Low on the Totem Pole (AHRQ) | 57453 | | A medical student notices that, prior to surgery, a urinary catheter is inserted into a child without sterile prep. Being new to the OR setting, he says nothing until a few days later on rounds when the patient shows signs of infection. | 4/7/2014 6:57:41 PM | Learning Objectives: After reading this case, students will be able to Explain the concept of authority gradient List steps that can be taken to increase communication across an | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 2904 | 124 | | | | | | 0 | https://www.ihi.org | 4/7/2014 6:57:41 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Advanced Case Study | 57449 | | 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 | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 8821 | 221 | | | | | | 0 | https://www.ihi.org | 6/8/2017 6:09:00 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| What Happened to Alex? | 57437 | | Alex James was a runner, like his dad. One day, he collapsed during a run and was hospitalized for five days. He went through lots of tests, but was given a clean bill of health. Then, a month later, he collapsed again, fell into a deep coma, and died. His father wanted to know — what had gone wrong? Dr. John James, a retired toxicologist at NASA, tells the story of how he uncovered the cause of his son’s death and became a patient safety advocate. | 7/17/2017 1:55:06 PM | Certified Professional in Patient Safety (CPPS) Review Course
August 2 – 3, 2023
The Certified Professional in Patient Safety credential (CPPS | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/CaseStudies | 8017 | 364 | | | | | | 0 | https://www.ihi.org | 7/17/2017 1:55:06 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| An Extended Stay | 57485 | | 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 | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 11906 | 440 | | | | | | 0 | https://www.ihi.org | 6/13/2017 1:33:07 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Locked In | 57523 | | A cancer diagnosis leads to tears and heartache. But is it correct? Dr. Paul Griner, Professor Emeritus of Medicine at the University of Rochester, presents the third in a series of case studies for the IHI Open School. | 4/8/2014 8:55:50 PM | Click here to view all of Dr. Paul Griner's case studies . Paul Griner, Professor Emeritus of Medicine at the University of Rochester Learning Objectives: At the end of this | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 3075 | 191 | | | | | | 0 | https://www.ihi.org | 4/8/2014 8:55:50 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| An Insulin Overdose | 57459 | | In the midst of a high-risk surgery, the senior resident injects 100 times the correct dosage of insulin. | 6/13/2017 2:02:17 PM | Lasic, MD, Clinical Instructor in Anesthesia, Harvard Medical School, Brigham and Women’s Hospital
Learning Objectives: At the end of this activity, you will be able to | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 2932 | 208 | | | | | | 0 | https://www.ihi.org | 6/13/2017 2:02:17 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| X-ray Flip (AHRQ) | 57458 | | A patient comes to the emergency department with a pneumothorax on his left side. His radiograph is mistakenly labeled backwards, and the resident assigned to the patient wrongly places a chest tube on the right side. | 4/7/2014 6:56:41 PM | Case Study from AHRQ
WebM&M
Learning Objectives: At the end of this activity, you will be able to Explain why certain wrong-site errors occur in health care settings | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 2151 | 82 | | | | | | 0 | https://www.ihi.org | 4/7/2014 6:56:41 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| What Happened to Josie? | 57579 | | 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 | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 29598 | 987 | | | | | | 0 | https://www.ihi.org | 5/26/2017 2:45:47 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| The Patient and the Anesthesiologist | 57541 | | 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. | 10/30/2018 4:00:05 PM | Donald Berwick, MD, MPP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement; Kathy Duncan, RN, Faculty, Institute for Healthcare Improvement; Linda Kenney | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 4382 | 250 | | | | | | 0 | https://www.ihi.org | 10/30/2018 4:00:05 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
