| Human Factors | 57498 | | Maybe the floor’s wet and slippery. Maybe the cash register is confusingly labeled. Maybe medications are hard to tell apart. Everywhere you look — both in health care and in ordinary retail settings — you can spot circumstances that make it easy for regular people to make mistakes. In this exercise, you’ll go out and analyze everyday situations to determine what human factors issues are at play. You’ll also decide what interventions should be introduced to minimize the opportunities for mistakes. | 9/18/2015 8:40:55 PM | Federico, Content Director, Institute for Healthcare Improvement
Learning Objectives: At the end of this activity, you will be able to Description: Maybe the floor’s wet and | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 7603 | 298 | | | | | | 0 | https://www.ihi.org | 9/18/2015 8:40:55 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 | 12485 | 641 | | | | | | 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 |
| How Does HealthPartners Reduce Health Disparities? | 57462 | | Dr. Beth Averbeck explains HealthPartners’ strategy for reducing ethnic, racial, and socioeconomic disparities in care. | 5/24/2017 5:31:54 PM | Become a change agent with the IHI Open School and learn more about how you can improve the health of your community today IHI Forum 2023
December 10–13, 2023 | Orlando, FL, USA | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 3476 | 153 | | | | | | 0 | https://www.ihi.org | 5/24/2017 5:31:54 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Improving Care in Rural Rwanda | 57513 | | When Dr. Patrick Lee and his teammates began their quality improvement work in Kirehe, Rwanda, last year, the staff at the local hospital was taking vital signs properly less than half the time. Today, the staff does that task properly 95% of the time. Substantial resource and infrastructure inputs, combined with dedicated Rwandan partners and simple quality improvement tools, have dramatically improved staff morale and the quality of care in Kirehe. | 5/26/2017 1:59:20 PM | Patrick Lee, MD, Partners In Health, Volunteer Clinical Mentor, Newton-Wellesley Hospital, Hospitalist Physician, Harvard Medical School, Clinical Instructor in Medicine | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 6127 | 253 | | | | | | 0 | https://www.ihi.org | 5/26/2017 1:59:20 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| What’s the Secret to Change Implementation? | 57552 | | Lloyd Provost, co-author of the Improvement Guide, discusses the secrets to implementing change. | 5/26/2017 2:14:14 PM | IHI Forum 2023
December 10–13, 2023 | Orlando, FL, USA
The IHI Forum is a four-day conference that has been the home of quality improvement (QI) in | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 1743 | 137 | | | | | | 0 | https://www.ihi.org | 5/26/2017 2:14:14 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 | 5510 | 258 | | | | | | 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 |
| How Long Should a PDSA Cycle Last? | 57551 | | You know PDSAs are rapid tests of change. But what, exactly, is a good length of time for a Plan-Do-Study-Act test cycle? Learn from Lloyd Provost, co-author of the Improvement Guide. | 5/26/2017 2:14:06 PM | IHI Forum 2023
December 10–13, 2023 | Orlando, FL, USA
The IHI Forum is a four-day conference that has been the home of quality improvement (QI) in | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 2181 | 106 | | | | | | 0 | https://www.ihi.org | 5/26/2017 2:14:06 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| Learning from Medical Errors (Part 1) | 57546 | | A patient suffers horrible burns. An operation takes twice as long as it should. A child dies from internal bleeding. All because a doctor, a nurse, or another care provider made a mistake. In this video, prominent clinicians describe the errors that still haunt them today — and point out ways those errors could have been prevented. | 5/26/2017 2:12:52 PM | Leape, MD, Adjunct Professor of Health Policy at the Harvard School of Public Health; Kathy Duncan, RN, 5 Million Lives Campaign Faculty, Institute for Healthcare Improvement | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 5838 | 165 | | | | | | 0 | https://www.ihi.org | 5/26/2017 2:12:52 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| How Can You Identify and Confront Workarounds? | 57562 | | What are workarounds? Why are they bad? How do we avoid them? MIT senior lecturer and IHI Senior Fellow Steve Spear explains. | 5/26/2017 2:39:47 PM | Steven Spear, DBA, MS, Senior Lecturer, Massachusetts Institute Of Technology, Senior Fellow, Institute for Healthcare Improvement Learning Objectives: After watching this video | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 7447 | 392 | | | | | | 0 | https://www.ihi.org | 5/26/2017 2:39:47 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
| What Are the Dangers of Alert Fatigue? | 57577 | | In a new IHI Open School short, patient safety expert Dr. Bob Wachter talks about the dangers of alert fatigue in health care. | 10/10/2017 3:44:42 PM | IHI Forum 2023
December 10–13, 2023 | Orlando, FL, USA
The IHI Forum is a four-day conference that has been the home of quality improvement (QI) in | STS_ListItem_PublishingPages | | | https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities | 2371 | 113 | | | | | | 0 | https://www.ihi.org | 10/10/2017 3:44:42 PM | html | False | | aspx | | 16 | 16 | ~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js |
