Using Systems Theory to Prevent Errors and Injuries in Health Care

Using Systems Theory to Prevent Errors and Injuries in Health Care 

This course focuses on using systems theory to prevent errors and injuries in healthcare. This course is targeted to physicians, both on staff and in private practice, registered nurses, risk managers, quality assurance directors, and C-level administrators focused on ensuring patient safety and health care quality.

$20.00

Hours: 2.00
REL-AC-APSG-0-USTP

Certificates

Certificates provided by accrediting body (2 Match)

Accreditation Council for Continuing Medical Education

2.0 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 2.00 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

2.0 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 2.00 contact hours for participating in this course.

Course Details

Course Code: REL-AC-APSG-0-USTP
Hours: 2
Type: Online Course
Content Expiration Date: 9/30/2020
Learning Objectives:
Compare and contrast the person and system approaches to human error.
Explain how human factors scientists analyze system failures.
Apply human factors principles to the redesign of healthcare systems.
Identify characteristics of highly resilient systems.

Outline:

Contrasting Approaches to Human Error



 



Intro




  1. Overview



Core Concept: Latent Errors




  1. Concept: Latent Errors



Core Concept: System Characteristics




  1. Concept: System Characteristics



Core Concept: Adverse Drug Prevention Study




  1. Concept: Adverse Drug Prevention Study



Explore: Contrasting Approaches to Human Error




  1. Case: Adverse Event



Explore: Latent Errors




  1. Case: Task Factors

  2. Case: Patient Factors

  3. Case: Staffing



Application: Analyze Approaches to Human Error




  1. Case: Adverse Event

  2. Explore: Error Algorithm



 



Diagnosing and Analyzing System Failures



 



Intro




  1. Overview



Core Concepts: Diagnosing and Analyzing System Failures




  1. Concept: Human Factors Overview

  2. Concept: Human Factors and Latent Errors

  3. Concept: Human Factors and Latent Errors: Tasks

  4. Concept: Human Factors and Latent Errors: Equipment

  5. Concept: Human Factors and Latent Errors: Organization

  6. Concept: Human Factors and Latent Errors: Culture



Explore: Diagnosing and Analyzing System Failures




  1. Explore: Prescribing Drugs Process

  2. Explore: Medication Recording Process

  3. Explore: Lifting Sling Task Redesign

  4. Explore: Organizational Failures



Application: Diagnosing and Analyzing System Failures




  1. Practice: Task Redesign

  2. Explore: Process Steps

  3. Explore: System Failure



 



Applying Human Factors Principles to System Redesign



 



Intro




  1. Overview



Core Concepts: Applying Human Factors Principles to System Redesign




  1. Concept: Human Factors Principles

  2. Explore: Applying Human Factors Principles to System Redesign



Explore: Changes in Practice Process



Application: Applying Human Factors Principles to System Redesign




  1. Explore: Human Factors Principles



Tools: Applying Human Factors Principles to System Redesign




  1. Tools



 



Building Institutional Resilience in Patient Safety



 



Intro




  1. Overview



Core Concepts: Building Institutional Resilience in Patient Safety




  1. Concept: The Complex Organization

  2. Concept: The Safety Space

  3. Concept: Navigating Complexity and Organizational Hazards

  4. Concept: Foster Psychological Safety

  5. Concept: Learn by Doing, Then Teaching

  6. Concept: Find Long-Term Solutions

  7. Concept: Resist the Normalizing of Dysfunction

  8. Concept: Build "Error Wisdom" on the Front Line

  9. Concept: Select the Right Metrics



Exploration: Building Institutional Resilience in Patient Safety




  1. Explore: Patient Care Plan Pilot

  2. Explore: IV Heparin Pilot


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.