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TeamSTEPPS™ is an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and other teamwork skills among healthcare professionals. Developed by the Department of Defense Patient Safety Program, in collaboration with the Agency for Healthcare Research and Quality, the program is based on “crew resources management” techniques and includes a comprehensive suite for ready to use materials and training curricula necessary to successfully integrate teamwork principles into all areas of your healthcare system.
Root Cause Analysis (RCA) is a structured method used to analyze serious adverse events with the intent to identify underlying processes that increase the likelihood of errors while avoiding the trap of focusing on the mistakes of individuals. Program participants will learn about opportunities to use root cause analysis in their patient safety efforts and will engage in the process of conducting a root cause analysis, in order that they may effectively conduct, plan or lead a root cause analysis in their organization.
Failure Modes and Effects Analysis (FMEA) is a formal and systematic approach for analysis of potential failure modes within a system and for classifiers by severity and likelihood of failure. The goal of FMEA is to anticipate the most important design problems early in the development of process to either prevent problems or minimize their consequences. Participants will learn how to apply the tool to enhance the quality and safety of healthcare processes and operations.
This introductory class on Appreciative Inquiry (AI) will present an approach to a methodology that may be used to enhance the culture of patient safety. The class will provide a foundational knowledge on AI, introduce the methodology as a tool to enhance the culture of patient safety at the unit and organizational levels, and demonstrate the principles of AI and its application. The four phases of AI and application of AI techniques will be presented in a hands-on learning environment.
Patient Safety Foundations is an all-day foundational program in patient safety for individuals interested in learning more about patient safety to improve care and quality in their organizations. This program will cover the history of patient safety, creating a “Just Culture”, tools basic to patient safety and quality improvement and how to use them, developing a unit-based patient safety program, and including the patient and family in patient safety. This program is designed for any healthcare workers interested in learning about patient safety, new patient safety officers, new quality improvement professionals, and anyone with a desire to improve patient safety in their organization.
To survive in today’s healthcare environment, organizations must deliver high quality patient care while reducing costs and dealing with staffing shortages. Financial constraints must not be allowed to affect quality. Derived from the Toyota Production System, Lean Healthcare provides tools that enable hospitals to focus on the elimination of waste, thus achieving a balance between quality and costs. The Lean Healthcare series was created to assist healthcare professionals to develop and understand the fundamentals of Lean Healthcare and use of lean tools.
This program prepares participants for Six Sigma Greenbelt Certification. Participants will develop a sound technical foundation in Six Sigma tools, and will learn and apply the DMAIC (Define, Measure, Analyze, Improve and Control) improvement method. Each participant will develop an improvement project that demonstrates understanding of the Six Sigma tools. Participants will complete the coursework, project, and exam necessary for Green Belt certification.
This one day course will provide an introduction to the concept of Human Factors in Healthcare and provide suggestions for how its elements can be applied by individuals and teams working to improve patient safety. It aims to build awareness of the importance of Human Factors in making changes to improve patient safety. A selection of tools for education, measurement and training will be presented.
Despite considerable investment and advances in patient safety, there are still hundreds of thousands of patients being harmed by medical error each year. A different way of thinking is required to ‘move the needle’ on patient safety. Human factors approaches underpin current patient safety and quality improvement science, offering an integrated, evidenced, and coherent approach to patient safety, quality improvement, and clinical excellence. Human factors rests on a systems approach — one must examine the human, interactions, and inter-dependencies within a larger system in order to optimize performance. The system-wide adoption of these concepts offers a unique opportunity to support cultural change and empower clinicians to put patient safety and clinical excellence at the center of their work. Human factors and systems safety focus on re-designing work as opposed to re-designing the human who does the work. Incorporating a human factors and systems safety approach allows for the development and integration of knowledge, skills and attitudes that facilitate successful performance at the front lines of care. This approach will help identify safe, sustainable and resilient solutions.