À propos de ce cours : In this culminating course in the Patient Safety and Quality Improvement Specialization, you will apply the skills you have acquired across the previous six courses to address a realistic patient safety issue confronting Mercy Grace, a 500-bed urban hospital that is part of a larger hospital system. Based on the scenario provided, you will assess the situation and work through the problem using a variety of tools and strategies. You will have the opportunity to identify defects, root causes, and potential mitigation strategies; you will create a project implementation plan for addressing the issue in the form of an A3; you will identify risks of project failure and design a change management plan; you will identify means of converting the project from local to system-wide; and you will identify quality and safety measurements that will be used in evaluating the success of the project’s implementation.
Créé par : Johns Hopkins University
Enseigné par : David Schwartz, Instructional Design Technology Manager
Armstrong Institute for Patient Safety and Quality
| Informations de base | Cours 7 de 7 dans Patient Safety Specialization |
| Langue | English |
| Comment réussir | Réussissez tous les devoirs notés pour terminer le cours. |
| Notes des utilisateurs |
Programme de cours
SEMAINE 1
Deepening Our Understanding of a Patient Safety Defect
In this module, you will be introduced to a patient safety issue that will provide the basis for all of the work you will complete in this capstone course. After reviewing the incident, you will review content from the second course in the specialization regarding the use of the Learning from Defects Tool, and you will complete a first draft of a similar Learning from Defects template. Please note that each of the assessments in the first four weeks of this course are optional - this gives you the opportunity to develop first drafts of all of the documents you will submit for your capstone project, and receive valuable feedback on the work you have completed. In the last module of this course, you will resubmit final versions of the documents you have completed throughout the course. This final package of documents will comprise your entire grade for this capstone project course.
6 vidéos, 4 lectures
- Vidéo: Interview with the Patient and His Wife
- Vidéo: Interview with the Nurse
- Vidéo: Interview with the Attending Physician
- Vidéo: Interview with the Resident
- Reading: Transcript of the Meeting with the Senior Executive
- Reading: Joint Commission - Sentinel Event Alert 55: Preventing Falls and Fall-Related Injuries in Health Care Facilities
- Reading: ECRI Institute: Falls
- Reading: Veterans' Affairs National Center for Patient Safety: Falls Toolkit
- Vidéo: Introduction to the Learning from Defects Tool
- Peer Review: Learning from Defects
SEMAINE 2
Problem-solving and Proposing Interventions
In this module, you will build upon what you learned in the previous module by continuing your investigation of patient falls and clarifying your project goals. You will review content from previous courses in the specialization that discussed problem identification, scoping your project, building an A3, and specifying performance measures. You will then initiate a first draft of an A3, and complete a first draft of a 5-Whys Table.
6 vidéos, 1 lecture
- Vidéo: So, What Is Your Problem?
- Vidéo: Key Metric
- Vidéo: Building Your A3
- Vidéo: Scope
- Vidéo: Specifying Performance Measure and Common Data Sources for Measurement
- Reading: Agency for Healthcare Research and Quality: Preventing Falls in Hospitals
- Peer Review: Patient Fall A3 and 5-Whys
SEMAINE 3
Project Implementation and Stakeholder Engagement
In this module, you will begin the process of implementation and stakeholder engagement for your proposed interventions. You will begin by reviewing content from previous courses on Translating Evidence into Practice, the 4 Es model, and project implementation, as well as several readings on these topics. At the end of the module, you will have the opportunity to complete and receive feedback on a first draft of your Premortem and 4E table.
3 vidéos, 2 lectures
- Vidéo: TRIP + 2
- Reading: Translating Evidence Into Practice: A Model for Large Scale Knowledge Translation
- Reading: An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU
- Vidéo: Implementation
- Peer Review: Patient Fall Premortem and 4-E
SEMAINE 4
Embedding and Expanding the Project
In this module, your focus will turn to embedding and expanding your project across additional units. You will review content on change management, sustainability, and the process of embedding and expanding your interventions. Finally, you will expand your work from Module 2 to create a first draft of a full, formal A3.
5 vidéos, 2 lectures
- Vidéo: Change Management Introduction
- Vidéo: 2 More Es: Endure & Embed
- Reading: High Reliability Healthcare: Getting There From Here
- Vidéo: A Model for Sustainability
- Vidéo: Two More Es: Expand
- Reading: A3 Reports: Tool for Process Improvement
- Peer Review: Patient Fall with Injury - Embed and Expand
SEMAINE 5
Conclusion
In this final module, you have the opportunity to review and reflect upon the documents you completed in the first four modules of the course. After revising and finalizing these documents, you should submit all of them as your final project submission for this course.
1 vidéo
Noté: Final Project Submission
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