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/Activities88822270https://www.ihi.org6/8/2017 6:09:00 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Reconciling Doses (AHRQ)57456Faced with a patient who's too confused to remember his medication regimen, a care team administers an overdose of the anticoagulant Warfarin.4/7/2014 6:56:50 PMLearning Objectives: At the end of this activity, you will be able to List the steps involved in medication reconciliation Describe the role of each of the stakeholders in STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities1415510https://www.ihi.org4/7/2014 6:56:50 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/Activities54752640https://www.ihi.org5/26/2017 1:50:47 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Noah’s Story: Are You Listening?57538Our newest patient story follows the care experience of four-year-old Noah and his mom, Tanya. A surgery, a series of miscommunications, and an early discharge from the hospital contribute to an adverse event that changes the family’s life forever.5/26/2017 2:11:10 PMLearning Objectives: At the end of this activity, you will be able to Recognize the importance of clear communication with patients and their families during a care experience STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities102473920https://www.ihi.org5/26/2017 2:11:10 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
A Wild (and Costly) Goose Chase57554In a new patient story, you’ll hear from Rani, a patient who visits several different health care providers in search of a diagnosis. As you follow Rani’s story, you’ll be prompted to stop along the way to consider a number of questions about miscommunication, cost, and the patient perspective. When you get to the end of the story, you’ll hear from Rani as she looks back on the experience seven years later.5/26/2017 2:28:43 PM Objectives: At the end of this activity, you will be able to Recognize how a lack of communication among providers can disrupt the continuum of care and lead to frustration for STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities16932430https://www.ihi.org5/26/2017 2:28:43 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
The Crowded Clinic57569Patients aren't showing up for their appointments at the community health center. The results? Delays, overcrowding, and mounting frustration for everyone. Can this clinic be saved?6/10/2019 3:01:26 PMKate Ellis, MD, Family Physician, Charles River Medical Associates; Morana Lasic, MD, Clinical Instructor in Anesthesia, Harvard Medical School and Brigham and Women’s Hospital STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities39181910https://www.ihi.org6/10/2019 3:01:26 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/CaseStudies1813890https://www.ihi.org5/24/2017 1:50:08 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/Activities1468400https://www.ihi.org4/7/2014 6:57:49 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
Why Do You Need a Back-Up Plan? (Part 4 of 5)57503IHI Executive Director Frank Federico discusses why and when to create a back-up plan for a reliable process. 5/26/2017 1:57:04 PMHow Can You Make Processes Reliable What Is the Goal of Reliable Design Bonus: IHI's Whitepaper on Improving the Reliability of Health Care This is the fourth video in a 5-part STS_ListItem_PublishingPageshttps://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities689300https://www.ihi.org5/26/2017 1:57:04 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js
What Is Reliability? (Part 1 of 5)57500IHI Executive Director Frank Federico provides an introduction to reliability, including a definition, some examples, and components of IHI’s proven methodology. 8/16/2021 2:16:07 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/Activities2158940https://www.ihi.org8/16/2021 2:16:07 PMhtmlFalseaspx1616~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_WebPage.js

~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js

© 2023 Institute for Healthcare Improvement. All rights reserved.