Patient Safety Curricula

HOW TO GET STARTED

Step 1: Read our Facilitator’s Guide for each curricula. This will give an overview of the cases and how to facilitate the session.

Step 2: Download materials for your selected case.

Step 3: Review the materials for your case including “Presentation Notes” when PowerPoints are included.

Step 4: Teach and have fun!

Step 5: Complete survey. At the end of each PowerPoint is a short 5 minute online survey. There is one for participants and one for the presenter. This is the only ask we have for using our curriculum. We are studying and improving our materials all the time and ask that you please save time for the survey at the end of the course.

SIMULATED ROOT CAUSE ANALYSIS

What is it: Gamified root cause analysis (RCA) simulation. Walks through an entire RCA from error submission through action plan development. It plays out like a “mystery dinner” with participants becoming characters within the RCA. There are 5 different simulated RCA cases available focusing on different errors, specialties and interdisciplinary team members.

Time: 60-90 minutes

Teaching Modality: In-person or synchronous videoconferencing

Topics covered during this session:

  • Teaming with multidisciplinary colleagues

  • Sequence of events

  • Fishbone diagrams

  • Root causes and root cause statements

  • Introduction to human factors engineering

  • High fidelity corrective actions

 

Morbidity & Mortality To Err Is Human: A Just Culture’s Reframing of the Case of RaDonda Vaught

What is it: This asynchronous M&M webinar can be used to demonstrate how healthcare systems create a Just Culture, frame a Morbidity & Mortality conference, or to understand the case of RaDonda Vaught.

Time: 50 minutes

Teaching modality: Asynchronous Webinar

Topics covered during this session:

  • Morbidity & Mortality conference example

  • Just Culture

  • Review of fishbone diagram

  • Brief review of second victim

  • Error reporting

 

Error Disclosure Simulation

What is it: This combination didactic and simulation explains the tenants of error disclosure, when to disclose and how to disclose. Followed by an interactive practice session of three disclosure cases. The cases are the same cases from the Teamwork module and works as a nice follow up to practice the errors committed during that module.

Time: 50 minutes

Teaching modality: In-person or synchronous videoconferencing

Topics covered during this session:

  • When to Error Disclose

  • How to Error Disclose

  • Simulated Practice Error Disclosure