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Frederick S. Southwick, MD

Isn’t it time to end the loss of life from preventable medical errors?

Each year 100,000 patients die from preventable errors in the U.S. How can you help to change this intractable problem? Knowledge is power, and this course will provide you with a deep understanding of the problems and the solutions. You can become part of the solution.

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Syllabus

Introduction: Who is Caring for Mary?
100,000 patients die annually as a consequence of preventable medical errors, and over 1 million patients suffer life-changing injuries. Despite the calls to action medical errors continue at the rate of 1 out of 10 patients. How can those of us who help to deliver care and those of us that receive care help to prevent harm? There are 5 fundamental areas each of us needs to understand and use to fix healthcare delivery: 1. Apply the principles of high performing manufacturers and athletic teams to continually improve our processes. 2.We all need to learn how lead and be part of multidisciplinary teams that include patients and coordinate the care they receive. 3.The human brain continually makes errors. Certain conditions increase the likelihood of errors, and these need to be avoided. Systems can be designed that force the right behavior, and second checks can help caregivers provide the right care at the right time and in the right place. 4.We all need to become effective leaders. Most importantly we must practice adaptive leadership, that is, leadership that promotes a true change in the way things are done. 5.Finally we all can utilize the campaign methods of successful politicians and advocacy groups to change the attitudes of our fellow caregivers and patients, and thereby change the culture of our healthcare systems. During this 8-module course you will be provided with the tools to accomplish all 5 of these goals, and as an individual you can truly make a difference. Why do we need to understand about systems? How do we evaluate a system and as a patient or provider what characteristics do you think are important? How does quality relate to safety? These are important questions that we all need to have answers to as we learn how to improve how we deliver and receive healthcare. The personal consequences of distracted physicians and defective systems are illustrated in Mary's frightening hospital experience.
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Develops a deep understanding of the problems and solutions to medical errors, empowering learners to be part of the solution
Taught by Frederick S. Southwick, MD, a renowned expert in preventing medical errors
Examines the consequences of medical errors, focusing on the human toll they take and the need for understanding and reducing them
Introduces the Toyota Production System and its principles for improving healthcare, promoting efficiency and waste reduction
Emphasizes the importance of teamwork in modern healthcare, exploring strategies and techniques for effective collaboration
Provides tools for understanding and preventing human error, including root cause analysis, driver diagrams, and PDSA cycles

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Reviews summary

Understanding and improving healthcare delivery

According to students, this course offers a comprehensive overview of healthcare quality and safety. Learners praise the instructor's expertise and ability to present complex topics clearly, making the material highly relevant for those working in or interested in healthcare. The course covers key areas like understanding systems, preventing human error, and adaptive leadership. While many find it provides a solid foundation, some more experienced learners note it can feel introductory and occasionally suggest some examples feel dated. Overall, it's considered a valuable resource for gaining practical insights into fixing healthcare delivery issues.
Offers a strong foundation but may lack depth for experts.
"This course provides an excellent high-level introduction to healthcare quality improvement."
"As someone new to this field, I found it gave me a solid understanding of the core principles."
"While good for beginners, I felt it didn't go into enough detail on certain advanced topics for experienced professionals."
Modules are well-organized and easy to follow.
"The syllabus is logically structured, guiding me through the different aspects of healthcare improvement effectively."
"I found the explanations clear and the concepts were presented in an easy-to-understand manner."
"The course flows well from one module to the next, building knowledge progressively."
Instructor is knowledgeable and passionate about the topic.
"The instructor is clearly an expert and conveys the material with passion and deep understanding."
"His insights and real-world experience made the lectures engaging and highly informative."
"The instructor's delivery is excellent, making complex topics accessible and interesting."
Provides practical knowledge applicable to healthcare.
"I learned valuable concepts that I could immediately apply to my work in healthcare administration."
"The course provided excellent examples and actionable insights relevant to improving patient safety."
"This course directly addresses real-world problems in healthcare delivery, making it incredibly useful."
Some examples or assignments could be updated or clarified.
"Some of the examples used felt a bit outdated and could benefit from being refreshed."
"I sometimes found the assignments a little ambiguous in their requirements."
"While the concepts were clear, a few examples didn't quite resonate with current healthcare practices."

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 Fixing Healthcare Delivery with these activities:
Organize a team launch and simulate a clinical case
Practice team-based approaches through role-playing and case simulations.
Browse courses on Teamwork
Show steps
  • Assemble a study group
  • Select a clinical case
  • Assign roles and responsibilities within the team
  • Conduct a team launch meeting
  • Simulate the clinical case
Run the Toyota Production System through the paces
Review the Toyota Production System and apply it to different healthcare scenarios
Browse courses on Toyota Production System
Show steps
  • Read 'The Toyota Production System'
  • Create a value stream map of your favorite fast food
  • Identify areas where healthcare can improve efficiency
Review 'Getting to Yes: Negotiating Agreement Without Giving In'
Learn negotiation techniques to facilitate change in healthcare
Show steps
  • Read chapters 1-3
  • Identify negotiation principles
  • Analyze case studies
Three other activities
Expand to see all activities and additional details
Show all six activities
Conduct a root cause analysis and corrective action plan
Apply root cause analysis methods to identify and address medical errors
Browse courses on Root Cause Analysis
Show steps
  • Select a medical error case
  • Conduct a root cause analysis using the 5 Whys method
  • Develop a corrective action plan
Calculate the reliability and failure rate of different healthcare systems
Quantify and compare the reliability of healthcare systems
Browse courses on Reliability
Show steps
  • Gather data on healthcare system performance
  • Calculate the reliability using different metrics
  • Compare the failure rates of different systems
Form an improvement group and tackle a quality improvement project
Collaborate with peers to implement a healthcare improvement initiative
Browse courses on Quality Improvement
Show steps
  • Identify a quality improvement need
  • Form an improvement group
  • Develop an improvement plan
  • Implement the plan
  • Evaluate the results

Career center

Learners who complete Fixing Healthcare Delivery will develop knowledge and skills that may be useful to these careers:
Risk Manager
Risk managers are responsible for identifying and mitigating risks to an organization. They work with healthcare providers to develop and implement policies and procedures to reduce the likelihood of patient safety incidents. This course can help individuals who want to become risk managers by providing them with a deep understanding of the challenges facing healthcare providers and the strategies that can be used to improve the quality and safety of healthcare services. Additionally, this course has a strong focus on understanding and preventing human error, which is a major cause of patient safety incidents.
Patient Safety Officer
Patient safety officers are responsible for developing and implementing programs and policies to prevent and reduce patient errors. They work with healthcare providers to identify and mitigate risks to patient safety. This course can help individuals who want to become patient safety officers by providing them with a deep understanding of the challenges facing healthcare providers and the strategies that can be used to improve the quality and safety of healthcare services. Additionally, this course has a strong focus on understanding and preventing human error, which is a major cause of patient safety incidents.
Quality Improvement Manager
Quality improvement managers are responsible for developing and implementing programs and policies to improve the quality of healthcare services. They work with healthcare providers to identify and mitigate risks to patient safety. This course can help individuals who want to become quality improvement managers by providing them with a deep understanding of the challenges facing healthcare providers and the strategies that can be used to improve the quality and safety of healthcare services.
Healthcare Consultant
Healthcare consultants provide advice to healthcare organizations on how to improve their operations and performance. They work with healthcare providers to identify and mitigate risks, improve the quality of care, and reduce costs. This course can help individuals who want to become healthcare consultants by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services.
Health Policy Analyst
Health policy analysts analyze and evaluate health policies and programs. They make recommendations to policymakers on how to improve the quality and efficiency of healthcare services. This course can help individuals who want to become health policy analysts by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services. This course also discusses how health systems and providers should be treating patients and families who have been inadvertently harmed.
Healthcare Project Manager
Healthcare project managers plan and manage projects to improve healthcare services. They work with healthcare providers to identify and mitigate risks, improve the quality of care, and reduce costs. This course can help individuals who want to become healthcare project managers by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services. This course also discusses how to launch and coach a team; both key skills for project managers.
Healthcare Researcher
Healthcare researchers conduct research to improve the quality and efficiency of healthcare services. They work with healthcare providers to identify and mitigate risks, improve the quality of care, and reduce costs. This course can help individuals who want to become healthcare researchers by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services.
Healthcare Educator
Healthcare educators develop and deliver educational programs to healthcare professionals. They work with healthcare providers to identify and mitigate risks, improve the quality of care, and reduce costs. This course can help individuals who want to become healthcare educators by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services.
Healthcare Administrator
Healthcare administrators are individuals who manage the operations of healthcare facilities such as hospitals, clinics, and nursing homes. They are responsible for overseeing the day-to-day operations of these facilities, including patient care, staffing, and financial management. This course can help individuals who want to become healthcare administrators by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services. This course may also be useful for healthcare administrators who wish to advance their careers.
Medical Director
Medical directors are physicians who oversee the medical care provided by a healthcare facility. They are responsible for developing and implementing policies and procedures to ensure the quality and safety of patient care. This course can help individuals who want to become medical directors by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services. This course may also be useful for medical directors who wish to advance their careers.
Compliance Officer
Compliance officers ensure that healthcare organizations comply with all applicable laws and regulations. They work with healthcare providers to identify and mitigate risks, improve the quality of care, and reduce costs. This course can help individuals who want to become compliance officers by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services.
Health Informatics Specialist
Health informatics specialists use technology to improve the quality and efficiency of healthcare services. They work with healthcare providers to design and implement information systems, manage data, and conduct research. This course can help individuals who want to become health informatics specialists by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services. This course also provides an introduction to how data can be used to increase reliability in health care.
Medical Writer
Medical writers develop and deliver educational programs to healthcare professionals. They work with healthcare providers to identify and mitigate risks, improve the quality of care, and reduce costs. This course can help individuals who want to become healthcare educators by providing them with a deep understanding of the healthcare system, the challenges facing healthcare providers, and the strategies that can be used to improve the quality and safety of healthcare services.
Physical Therapist
Physical therapists help people who have been injured or disabled to regain function and independence. They work with patients to develop and implement treatment plans that may include exercises, activities, and assistive devices. This course may be useful for physical therapists who want to improve their understanding of the healthcare system and the challenges facing healthcare providers.
Occupational Therapist
Occupational therapists help people who have been injured or disabled to regain function and independence. They work with patients to develop and implement treatment plans that may include exercises, activities, and assistive devices. This course may be useful for occupational therapists who want to improve their understanding of the healthcare system and the challenges facing healthcare providers.

Reading list

We've selected seven 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 Fixing Healthcare Delivery.
Provides a practical guide to implementing the Toyota Production System in healthcare. It valuable resource for anyone who wants to improve the quality and efficiency of healthcare delivery.
Provides a practical guide to adaptive leadership. It covers the principles of adaptive leadership, the challenges to adaptive leadership, and strategies for becoming an adaptive leader.
Provides a practical guide to overcoming immunity to change. It covers the principles of immunity to change, the challenges to overcoming immunity to change, and strategies for overcoming immunity to change.
Provides a framework for understanding why successful companies often fail to innovate. It covers the principles of the innovator's dilemma, the challenges to overcoming the innovator's dilemma, and strategies for overcoming the innovator's dilemma.
Provides a practical guide to the lean startup methodology. It covers the principles of the lean startup methodology, the challenges to the lean startup methodology, and strategies for implementing the lean startup methodology.
Provides a comprehensive overview of the performance of health systems around the world. It covers the indicators of health system performance, the challenges to improving health system performance, and strategies for improving health system performance.
Provides a comprehensive overview of healthcare reform. It covers the history of healthcare reform, the different approaches to healthcare reform, and the challenges to healthcare reform.

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