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Joseph Hopkins and Steven Chinn

Overview

Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Department of Quality and Clinical Effectiveness at Stanford Health Care.

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Overview

Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Department of Quality and Clinical Effectiveness at Stanford Health Care.

This CME activity aims to improve the practicing physicians’ and other health care providers’ knowledge about the types of medical errors that can occur and different methods of mitigating and/or preventing these events from occurring by utilizing The Joint Commission guidelines and standards pertaining to the National Patient Safety Goals. The activity is a web-enabled, interactive program that permits the participant to work on medical events by investigating and analyzing root causes and/or contributing factors to comprehend how medical errors can occur. These are the skills that can be utilized on a daily basis by healthcare providers to ensure safe patient care.

Intended Audience

This course is designed to meet the educational needs of physicians and nurses and other interested allied health professionals in all specialties.

Accreditation

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation
American Medical Association (AMA)

The Stanford University School of Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you would like to earn CME credit from Stanford University School of Medicine for participating in this course, please review the information here prior to beginning the activity.

What you'll learn

  • Integrate NPSG requirements in clinical practice in the areas of patient identification, Universal Protocol, labeling and medication reconciliation.
  • Develop practical skills to improve team communication and apply these skills when medical errors occur and to prevent medical errors in the future, i.e. immediate feedback.
  • Evaluate root causes and contributing factors that lead to various medical errors.
  • Develop skills to apply in practice the appropriate procedures or steps to assure that such events are prevented in the future.

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What's inside

Learning objectives

  • Integrate npsg requirements in clinical practice in the areas of patient identification, universal protocol, labeling and medication reconciliation.
  • Develop practical skills to improve team communication and apply these skills when medical errors occur and to prevent medical errors in the future, i.e. immediate feedback.
  • Evaluate root causes and contributing factors that lead to various medical errors.
  • Develop skills to apply in practice the appropriate procedures or steps to assure that such events are prevented in the future.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Develops skills to apply in practice appropriate procedures to prevent events from occurring in the future
Designed to meet the educational needs of physicians, nurses, and other allied health professionals in all specialties
Examines National Patient Safety Goals (NPSG) requirements in clinical practice
Supported by the Stanford University School of Medicine, a recognized leader in medical education
Instructors Joseph Hopkins and Steven Chinn are experienced medical professionals who bring industry knowledge and expertise to the course

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Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in CSI: ME Case Studies in Medical Errors with these activities:
Find a mentor who can provide guidance on medical errors
Finding a mentor who can provide guidance on medical errors will help you to learn more about the topic and develop your skills in preventing them.
Browse courses on Medical Errors
Show steps
  • Identify potential mentors.
  • Contact your potential mentors.
  • Meet with your mentor.
Utilize The Joint Commission guidelines and standards
Familiarizing yourself with The Joint Commission guidelines and standards will help you to understand the best practices for preventing medical errors.
Show steps
  • Review The Joint Commission website.
  • Read The Joint Commission's National Patient Safety Goals.
  • Attend a training on The Joint Commission guidelines and standards.
Discuss and share experiences with other healthcare providers
Discussing and sharing experiences with other healthcare providers can help you to learn from others' mistakes and identify potential hazards in your own practice.
Browse courses on Medical Errors
Show steps
  • Attend a medical error conference or meeting.
  • Join a medical error discussion group or forum.
  • Talk to your colleagues about medical errors.
Five other activities
Expand to see all activities and additional details
Show all eight activities
Analyze and categorize medical errors
Analyzing and categorizing medical errors will improve your understanding of the different types of errors that can occur and the factors that contribute to them.
Browse courses on Medical Errors
Show steps
  • Review the different types of medical errors that can occur.
  • Identify the factors that can contribute to medical errors.
  • Analyze real-world case studies of medical errors.
  • Develop strategies to prevent medical errors from occurring.
Develop a poster or presentation on medical errors
Creating a poster or presentation on medical errors will help you to learn more about the topic and share your knowledge with others.
Browse courses on Medical Errors
Show steps
  • Choose a topic for your poster or presentation.
  • Research your topic.
  • Create your poster or presentation.
Develop a quality improvement plan for reducing medical errors
Developing a quality improvement plan for reducing medical errors will help you to identify areas where your practice can improve and develop strategies to address them.
Browse courses on Medical Errors
Show steps
  • Identify the areas where your practice can improve.
  • Develop strategies to address the areas where your practice can improve.
  • Implement the strategies and monitor their effectiveness.
Simulate a medical error and determine the root cause
Simulating a medical error and determining the root cause will help you to improve your understanding of how medical errors occur and how to prevent them.
Browse courses on Medical Errors
Show steps
  • Create a scenario for a medical error.
  • Simulate the medical error.
  • Analyze the root cause of the medical error.
Participate in a medical error hackathon
Participating in a medical error hackathon will challenge you to think creatively about how to prevent medical errors and improve patient safety.
Browse courses on Medical Errors
Show steps
  • Find a medical error hackathon.
  • Form a team.
  • Develop a solution to a medical error problem.

Career center

Learners who complete CSI: ME Case Studies in Medical Errors will develop knowledge and skills that may be useful to these careers:
Patient Safety Officer
Patient Safety Officers are responsible for developing and implementing policies and procedures to prevent and reduce medical errors. They work with clinicians, nurses, and other healthcare professionals to identify and address potential hazards and to improve the quality of care.
Quality Improvement Manager
Quality Improvement Managers are responsible for planning, implementing, and evaluating quality improvement initiatives in healthcare settings. They work with clinicians and other healthcare professionals to identify areas for improvement and to develop and implement strategies to improve the quality of care.
Clinical Nurse Specialist
Clinical Nurse Specialists, or CNSs, are nurses who have earned a master's degree and board certification in a particular area of nursing practice. They play a vital role in improving patient outcomes and reducing medical errors.
Risk Manager
Risk Managers are responsible for identifying, assessing, and managing risks in healthcare settings. They work with clinicians and other healthcare professionals to develop and implement strategies to reduce the risk of medical errors and other adverse events.
Medical Examiner
Medical Examiners are physicians who are responsible for investigating deaths that are sudden, unexpected, or unexplained. They use their knowledge of medicine and pathology to determine the cause of death and to provide information to law enforcement and the public.
Physician Assistant
Physician Assistants are licensed healthcare professionals who work under the supervision of a physician. They provide a variety of medical services, including diagnosing and treating illnesses, prescribing medications, and performing minor surgeries.
Nurse Practitioner
Nurse Practitioners are registered nurses who have earned a master's degree and board certification in a particular area of nursing practice. They provide a variety of medical services, including diagnosing and treating illnesses, prescribing medications, and performing minor surgeries.
Medical Technologist
Medical Technologists are responsible for performing laboratory tests and analyzing the results. They work in a variety of settings, including hospitals, clinics, and research laboratories.
Pharmacist
Pharmacists are responsible for dispensing medications and providing information about their use. They work in a variety of settings, including retail pharmacies, hospitals, and clinics.
Registered Nurse
Registered Nurses are responsible for providing direct patient care. They work under the supervision of a physician or nurse practitioner and provide a variety of medical services, including taking vital signs, administering medications, and providing wound care.
Health Educator
Health Educators are responsible for promoting health and preventing disease. They work in a variety of settings, including schools, community centers, and workplaces.
Medical Writer
Medical Writers are responsible for writing and editing medical content. They work in a variety of settings, including hospitals, medical journals, and pharmaceutical companies.
Medical Librarian
Medical Librarians are responsible for providing access to and managing medical information. They work in a variety of settings, including hospitals, universities, and research institutions.
Healthcare Consultant
Healthcare Consultants are responsible for providing advice and guidance to healthcare organizations on a variety of topics, including quality improvement, patient safety, and risk management.
Healthcare Administrator
Healthcare Administrators are responsible for managing the day-to-day operations of healthcare organizations. They work in a variety of settings, including hospitals, clinics, and insurance companies.

Reading list

We've selected ten books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in CSI: ME Case Studies in Medical Errors.
Explores the nature of medical errors and provides practical guidance on how to prevent them. It valuable resource for healthcare professionals who want to improve patient safety.
This landmark report from the Institute of Medicine (US) Committee on Quality of Health Care in America examines the causes of medical errors and makes recommendations for improving patient safety.
This article introduces the Swiss Cheese Model of Accident Causation, a widely used framework for understanding the causes of accidents and errors.
This handbook provides a comprehensive overview of patient safety, including the causes of errors and strategies for preventing them.
Explores the role of human factors in medical errors and provides guidance on how to design systems that are more resistant to error.
This toolkit provides healthcare professionals with resources to improve patient safety.
This checklist provides healthcare professionals with a tool to improve patient safety during surgery.

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