Advanced Case Study57449Between 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 PMKaryn 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_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities58895200https://www.ihi.org6/8/2017 6:09:00 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
An Extended Stay57485A 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 PMRoss 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_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities67586110https://www.ihi.org6/13/2017 1:33:07 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Glucose Roller Coaster (AHRQ)57452A 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 PMLearning 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_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities774970https://www.ihi.org4/7/2014 6:57:49 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
What Happened to Josie?57579In 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 PMLearning 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_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities1814921070https://www.ihi.org5/26/2017 2:45:47 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
How Can You Make Processes Reliable? (Part 2 of 5)57501IHI Executive Director Frank Federico discusses steps you can take to make your processes more reliable. 8/16/2021 2:16:34 PMWhat 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 Frank Federico, RPh, IHI Executive Director STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities537380https://www.ihi.org8/16/2021 2:16:34 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Knowing Is Not Enough57438A healthy 57 year old man underwent a liver donation procedure. He began to manifest some tachycardia late on the second postoperative day. Early on the third post-operative day, he began to hiccup, complained of being nauseated and was pronounced dead later that day.5/24/2017 1:50:08 PMSubmitted by Dr. Paul Batalden, Professor of Pediatrics and of Community & Family Medicine, Dartmouth Medical School Learning Objectives: At the end of this activity, you will be STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/CaseStudies1167940https://www.ihi.org5/24/2017 1:50:08 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
How Can Data Drive Reliability? (Part 5 of 5)57504IHI Executive Director Frank Federico discusses the role of measurement and the role of leadership in achieving reliable designs.5/26/2017 1:57:28 PMHow 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_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities364380https://www.ihi.org5/26/2017 1:57:28 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
What’s Your Working Style?57496Kathy Duncan walks viewers through the traits and behaviors associated with four different working styles.5/26/2017 1:50:47 PMKathy Duncan, RN, Institute for Healthcare Improvement Faculty Learning Objectives: At the end of this activity, you will be able to Recognize the value of knowing your working STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities28972060https://www.ihi.org5/26/2017 1:50:47 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
How Can You Apply Clinical Skills to QI?57561MIT senior lecturer and IHI Senior Fellow Steve Spear explains why he thinks seven steps needed to care for patients are essentially the same as those needed to fix systems of care. He also shares common trouble areas and gives an example of a successful improvement.5/26/2017 5:23:32 PMPerfecting Emergency Department Operations March 7-8, 2023 | Boston, MA This two-day in-person seminar provides participants with a set of tools to STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities14011490https://www.ihi.org5/26/2017 5:23:32 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
What Is the Goal of Reliable Design? (Part 3 of 5)57502IHI Executive Director Frank Federico explains the goal behind reliable design — and why capability is just as important as reliability. 8/16/2021 2:18:20 PMHow Can You Make Processes Reliable Why Do You Need a Back-Up Plan Bonus: IHI's Whitepaper on Improving the Reliability of Health Care Frank Federico, RPh, IHI Executive Director STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities455380https://www.ihi.org8/16/2021 2:18:20 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js

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