Changing Systems

Changing Systems 

Most medical errors and accidental injuries to patients result from systems defects. Simply identifying those system defects is a complicated business: no significant adverse events are caused by a single systems defect. However, unless system defects are identified and the resources applied to change systems, errors will continue to be made.
Too often, health care organizations assume that, by blaming, shaming, and retraining clinicians, they can make systems safer. In fact, the medical errors that contribute to an adverse event are typically preceded by and/or precipitated by system defects. Therefore, simply training or replacing clinicians does not address the underlying system weaknesses that make errors more likely.
So the question becomes, “How do you change complex systems?” This course focuses on one method, called rapid cycle change or Plan-Do-Study-Act (PDSA). This is a simple, but effective, method of making small changes in systems. Added up, these small changes can transform ambiguous and error- prone processes into tested, clear processes designed to reduce errors and, if errors occur, to mitigate those errors as soon as possible.
1
CHANGING SYSTEMS

$20.00

Hours: 1.70
REL-AC-APSG-0-CS

Certificates

Certificates provided by accrediting body (2 Match)

Accreditation Council for Continuing Medical Education

1.5 HOURS


Relias LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Relias LLC designates this enduring material activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center

1.7 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.70 contact hours for participating in this course.

Course Details

Course Code: REL-AC-APSG-0-CS
Hours: 1.7
Type: Online Course
Content Expiration Date: 9/30/2020
Learning Objectives:
Describe methods for identifying and then prioritizing system defects.
Outline the purpose of Plan-Do-Study-Act (PDSA) cycle and list the cycle.
Provide examples of using a change concept, such as standardization, to develop and test a process change.
Explain common hurdles to system changes in healthcare organizations.

Outline:
Identifying Sources of Ideas for Improving Systems Intro A. Overview Core Concept: Identifying Sources of Ideas for Improving Systems A. Concept: PDSA: Identify Opportunities B. Knowledge Check: PDSA: Identify Opportunities C. Concept: PDSA: Prioritize Opportunities D. Knowledge Check: PDSA: Prioritize Opportunities Getting Started with PDSA Core Concepts: Getting Started with PDSA A. Concept: Overview B. Concept: Aim Statements C. Concept: Knowledge Check Explore: Getting Started with PDSA A. Concept: Changes in Practice Process B. Concept: Organizational Barriers PDSA Cycles: Basic Concepts Core Concepts: PDSA Cycles: Basic Concepts A. Concept: Overview B. Concept: Plan C. Concept: Do D. Concept: Knowledge Check E. Concept: Study F. Concept: Act G. Concept: PDSA Ramps Explore: PDSA Cycles: Basic Concepts A. Explore: Hypoglycemic Episodes Application: PDSA Cycles: Basic Concepts A. Application: PDSA Cycles: Basic Concepts Sustaining and Spreading Improvements Core Concepts: Sustaining and Spreading Improvements A. Concept: Sustaining Change B. Concept: Spreading Improvements

Instructor: Saul Weingart, MD, PhD
Disclosure: Saul Weingart, MD, PhD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Lucien Leape, MD
Disclosure: Lucien Leape, MD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; Physicians; in the following settings: Acute Care Facility.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.