Welcome and Introduction |
Ball Toss Activity |
Small group activity |
Patient Safety: The Reality
Why it's important
What it means
How we're doing
Scenario illustrating errors that occur during the care of a pregnant woman |
Large group interactive lecture and video |
Patient Safety activity 1: Review of video scenario |
Small group discussion with faculty facilitators |
Patient Safety: Error Causation and Contributing Factors
Dangers inherent in health care
Factors contributing to errors
Organizational systems and processes
Complicated technology
The clinical environment
Complex human behavior
|
Large group interactive lecture |
Swiss cheese error model (Slices of swiss cheese are successive layers of defense, with holes being opportunities for a process to fail) |
|
Introduction to case scenarios |
|
Patient Safety activity 2: Review of multiple case scenarios, including contributing factors and prevention strategies |
Small group discussion with faculty facilitators |
Patient Safety: A Team Sport
Create Situational Awareness |
Large group interactive lecture |
Closing, Evaluation, and Lunch |