Course: POLHN 042 Patient Safety

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Welcome To The Course
Week 1A: Introduction
Week 1B: Teamworking
Week 2: Learning From Error
Week 3: Patient Engagement
Week 4: Patient Safety Culture
Week 5: Medication Safety
Week 6: Infection Control

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An unexpected occurrence involving death or serious physical or psychological injury, or a present risk that could cause such injuries to occur.

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1	Welcome To The Course Welcome Welcome to the patient safety Course. This course aims to help you improve patient safety and suggest recommendations to improve your own work environment. The course covers the following areas: Patient Safety Introduction Teamworking Learning from Errors Patient Engagement Creating a Safety Culture Medication Safety Infection Control Using This Course Resource

2	Week 1A: Introduction To Patient Safety In This Topic This Introduction topic provides an overview of patient safety and why it is critical. You will learn about: Medical error Harmful effects of the blame and shame model How improving systems can significantly improve patient safety for low cost. Minister's Briefing Welcome To The Team: Email From Mana Tulesi file Your First Case: Email From Mana Tulesi file Fila Health Care Investigation Speak To The Key Staff Members At Fila Health Care file Background – What Is Patient Safety file Background - What Is The Impact & Your Role file Background – Errors, Violations and Systems Failures file Background – Blame Culture file Fila Health Care Recommendations Report File Your Report - Patient Safety Quiz Follow-Up Activities Self Assessment Questions Questionnaire

3	Week 1B: Teamworking In This Topic The Teamwork topic will help you to understand why teamwork is an essential part of patient safety. You will learn about: How effective health care teams operate How you can contribute as a team player Good team leader qualities. Minister's Briefing Your Next Case: Email From Mana Tulesi file Fila Health Care Investigation Speak To The Key Staff Members At Fila Health Care file Background – What Is A Team file Background - Why Are Teams Important To Patient Safety? file Background - Encouraging Good Team Communication file Background – What makes a good team leader? file Fila Health Care Recommendations Report File Your Report - Teamworking Quiz Follow-Up Activities Activity 1B: Patient Safety Basics file Joint Commission For Patient Safety Website file World Alliance For Patient Safety Website file WHO Programme On Patient Safety Solutions Website file Institute for Healthcare Improvement Website file

4	Week 2: Learning From Error In This Topic In this topic, you will find out about systems that help health care learn from errors. You will learn about: Systems forreporting and review incidents or adverse events Root CauseAnalysis (RCA) How RCA isused to identify actions for improving patient safety. Minister's Briefing Your Next Case: Email From Mana Tulesi file Fila Health Care Investigation Speak To The Key Staff Members At Fila Health Care file Email From Janet Singh To All Staff file Background –What Is An Incident Reporting System file Background – Situations Increasing Error Risk file Background – Using Root Cause Analysis (RCA) file Fila Health Care Recommendations Report File Your Report - Learning from Error Quiz Follow-Up Activities Follow Up Activity 2: Learning From Error file Veterans Health Administration National Center for Patient Safety website file Culture Change: Prevention, Not Punishment website file

5	Week 3: Patient Engagement In This Topic In this topic you will find out about why patient engagement is important, and what can happen when communication between health care and patients fails. Minister's Briefing Your Next Case: Email From Mana Tulesi file Fila Health Care Investigation Speak To The Key Staff Members At Fila Health Care file Background – Involving The Patient file Fila Health Care Recommendations Report File Your Report - Patient Engagement Quiz Follow-Up Activities Activity Week 3: Patient Engagement file Patients for Patient Safety Website file Consumers Advancing Patient Safety Website file Transitions Toolkit - Taking Charge Of Your Health care file

6	Week 4: Creating A Safety Culture In This Topic In this topic, you will find learn about how to create a safety culture in health care. You will learn practical actions to take to bring constant and active awareness of patient safety issues to all staff members. Minister's Briefing Your Next Case: Email From Mana Tulesi file Fila Health Care Investigation Speak To The Key Staff Members At Fila Health Care file Fila Survey Results file Background – Changing The Culture Of Patient Safety file Fila Health Care Recommendations Report File Your Report - Safety Culture Quiz Follow-Up Activities Follow Up Activity 4: Safety Culture file Harvard Medical’s CRICO/RMF website file

7	Week 5: Medication Safety In This Topic In this topic, learn about why why medication safety is important and how incorrect medication use can put patients at risk. Find out about thinking of medication as a process and some medication best practices for improving patient safety. Minister's Briefing Your Next Case: Email From Mana Tulesi file Fila Health Care Investigation Speak To The Key Staff Members At Fila Health Care file Background – Medication Risks file Background – Medication And Adverse Events file Fila Health Care Recommendations Report File Your Report - Medication Safety Quiz Follow-Up Activities Follow Up Activity 5: Medication Safety file WHO Patient Safety Website file Centers For Disease Control And Prevention Website file University Of Michigan Health System Patient Safety Toolkit file

8	Week 6: Infection Control In This Topic In this topic, you will learn more about the impact of health care acquired infections and the four types of infection causing the majority of problems. Find out about practical steps to limit or avoid the spread of infections, especially hand hygiene and personal protective equipment (PPE). Minister's Briefing Your Next Case: Email From Mana Tulesi file Fila Health Care Investigation Speak To The Key Staff At Fila Health Care file Background – The Impact of Infection On Patient Safety file Background – Infections file Background - Health Care Associated Infections file Background - Your Role In Controlling Infection file Background - Hand Hygiene Best Practice file Background - PPE, Sharps & Environment Best Practice file Background - Protecting Yourself & Educating Others file Background - Clostridium Difficile Fact Sheet file Fila Health Care Recommendations Report File Your Report - Infection Control Quiz Your Final Test Your Final Test: Email from Mana Tulesi file Patient Safety - Final Test Quiz Print Your Certificate Course Evaluation Complete The Course Evaluation Questionnaire Follow-Up Activities Follow Up Activity 6: Infection Control file Self Assessment Questions WHO Hand Hygiene Campaign PDF document CDC Preventing Antimicrobial Resistance Campaign file Institute For Healthcare Improvement 5 million lives campaign file Bibliography The readings attached provide further detailed material to extend your knowledge. Human Error in Medicine. Contributors: Marilyn Sue Bogner - editor. Publisher: Lawrence Erlbaum Associates. Place of Publication: Hillsdale, NJ. Publication Year: 1994. The Patient's Guide to Preventing Medical Errors. Contributors: Karin Janine Berntsen - author. Publisher: Praeger. Place of Publication: Westport, CT. Publication Year: 2004. WHO Patient Safety Curriculum Guide file Patient Safety glossary