Delivering Patient Safety

DELIVERING PATIENT SAFETYQuotes

HOW DO I USE THE SERIES?

WHAT DOES THE SERIES COVER?
LINKS

Online

Programmes Available 24/7

Global Access

Self-Assessment

Overview - Prof James Reason

Series overview

Preview series overview

Facing the facts

1. Facing The Facts

  • 1 Million preventable injuries and 98,000 deaths a year in US hospitals. Studies in the UK, Australia, New Zealand and Denmark show a startling similarity, with 10% of hospital patients being harmed.
  • Why do such things happen to good people trying to do a good job?
  • Healthcare professionals fear catastrophic human failure, so why do many organisations have no systemic measures to manage error?

Brochure

DVD

Broadcast Quality

Cultural Change

Raise Awareness

Changing the culture

2. Changing The Culture

  • Creating a Just Culture.
  • Changing relationships - identifying hazards ahead of time.
  • Which teams have the best outcomes?
  • Why self criticism is vital - a 6 Point Cultural Health Check.

Executive Summary

Why things go wrong

3. Why Things Go Wrong

  • We can't eliminate error but we can manage it.
  • Why relying on a good safety record can be dangerous.
  • The Person Model vs The System Approach.
  • Good outcomes, like bad outcomes, are a team effort.

Support Material Example

Print

Large Format

Training

Reference

Building resistance to error

4. Building Resistance To Error

  • Why do different kinds of people make the same kinds of error?
  • Removing error traps.
  • Making Medication Safer - the Trigger Tool - Barcodes.
  • Stopping errors from hurting people.

Self Assessment Introduction

A Safer System

5. A Safer System

  • Sick patients in sick systems - Why blame doesn't work.
  • The danger of learned helplessness - Crude data - crude outcomes.
  • Error management at every level: individual - team - institution.
  • Investing in Safety - A Lifelong Commitment.

Report Facility Demonstration

Contact Us

Patient Safety TV YouTube ChannelFollow us on Twitter

21 Day Free Access

Last modified: Thursday, 13 October 2016, 5:57 PM