| Mutiny | 57537 | | The behavior of a superior starts to put your patients at risk. What would you do? The University of Rochester’s Dr. Paul Griner presents the final installment in a series of case studies for the IHI Open School. | 4/11/2014 7:51:52 PM | Click here to view all of Dr. Paul Griner's case studies Dr. 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 | 5624 | 238 | | | | | | 0 | https://www.ihi.org | 4/11/2014 7:51:52 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Three Ways to Create Psychological Safety in Health Care | 57659 | | 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. | 8/29/2017 8:37:30 PM | Certified Professional in Patient Safety (CPPS) Review Course
February 7-8, 2023 | IHI Forum 2022 Online
The Certified Professional in Patient Safety | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo | 2515 | 265 | | | | | | 0 | https://www.ihi.org | 8/29/2017 8:37:30 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Glucose Roller Coaster (AHRQ) | 57452 | | A woman hospitalized for congestive heart failure (with no history of diabetes) is given several rounds of insulin and D50, after repeated blood tests show her glucose to be dangerously high, then dangerously low. Turns out, the blood samples were drawn incorrectly and the signouts were incomplete. | 4/7/2014 6:57:49 PM | Learning Objectives: At the end of this activity, you will be able to Explain why good communication is critical to patient safety Description: A woman hospitalized for congestive | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 774 | 97 | | | | | | 0 | https://www.ihi.org | 4/7/2014 6:57:49 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Learning from Medical Errors (Part 2) | 57547 | | A baby falls gravely ill after a botched blood transfusion. A student nearly commits a medication error. A patient dies after a clumsy surgery. In this video, current and former clinicians (including IHI’s Former CEO Don Berwick) describe the errors that still haunt them today — and point out ways those errors could have been prevented. | 5/26/2017 2:13:03 PM | Frankel, MD, Director of Patient Safety, Partners Healthcare; Kevin Knoblock, Student, MSN/Nurse Practitioner Program, MGH Institute of Health Professions; Donald Berwick, MD, MPP | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 1098 | 87 | | | | | | 0 | https://www.ihi.org | 5/26/2017 2:13:03 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| 'Enjoy What You Have Left of Your Life' | 57487 | | In a new patient story, you’ll hear the story of a nurse named Christiane who becomes a patient after she is diagnosed with an inoperable brain tumor in the midst of her career. As you follow Christiane’s story, you’ll be prompted to stop along the way to consider a number of questions about her care and challenging transition from provider to patient. When you get to the end of the story, you’ll hear from Christiane and get her perspective on the experience. | 5/26/2017 1:50:23 PM | Objectives: At the end of this activity, you will be able to Discuss why it can be challenging for health care providers to care for themselves List at least two examples of unsafe | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 1074 | 116 | | | | | | 0 | https://www.ihi.org | 5/26/2017 1:50:23 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Why Is Psychological Safety So Important in Health Care? | 57660 | | 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. | 8/29/2017 8:37:33 PM | Certified Professional in Patient Safety (CPPS) Review Course
February 7-8, 2023 | IHI Forum 2022 Online
The Certified Professional in Patient Safety | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo | 4335 | 401 | | | | | | 0 | https://www.ihi.org | 8/29/2017 8:37:33 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| 'Sue, Can You Smile?' | 57563 | | In 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 PM | Learning 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_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 672 | 36 | | | | | | 0 | https://www.ihi.org | 5/26/2017 2:39:58 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Disruptive Behavior: The Arterial Stick | 57493 | | A resident tells a medical student to do a blood gas on a patient. The student says, “I don’t know how.” The resident is annoyed – and he says something that he’ll regret for years. Physician Ron Wyatt reflects on what he said (and wishes he had said) to the student. | 5/26/2017 1:50:37 PM | Wyatt, MD, MHA, Staff Physician, Huntsville Hospital, AL; George W. Merck Fellow, Institute for Healthcare Improvement
Learning Objectives: At the end of this activity, you | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 249 | 29 | | | | | | 0 | https://www.ihi.org | 5/26/2017 1:50:37 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| The Wrong Shot: Error Disclosure (AHRQ) | 57457 | | A 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 PM | Case 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_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 1744 | 171 | | | | | | 0 | https://www.ihi.org | 4/8/2014 8:55:23 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Misread Label (AHRQ) | 57454 | | 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 | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 2375 | 132 | | | | | | 0 | https://www.ihi.org | 4/7/2014 6:57:09 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
