The Human Face of Medical Error Unit 8

Quote of the Week “The only real mistake is the one from which we learn nothing.” John Powell

What is an error? A generic term to encompass all those occasions in which a planned sequences of mental or physical activities fails to achieve its intended outcome, and when these failures cannot be attributed to the intervention of some chance agency. - Intention -Error due to planning process or to execution

Have you or someone you know ever experienced a medical error?

Preventable Medical Errors

What to do about it Mitigate possible effects Identify and implement countermeasures Review near-misses as well as accidents

“Mindful” culture (Reason) A reporting culture A just culture A flexible culture A learning culture

Final Project Unit 9 Rd Case Study 5 (CQI)—p Rex Health Care and Service Line Teams Found at the bottom of the list in Doc Sharing Answer questions 1-9 p 559 Your answer to each question should be at least 100 words in length.

Final Exam Unit 10 Answer 3 out of the 4 essay questions 2 hours to complete No word count minimum, but do make sure to answer each question fully! Study Guide found in Doc Sharing

Final Exam Unit 10 1.)Examine strategic and tactical planning issues relevant to marketing, opportunity assessment, and external environment analysis in a healthcare environment? Discuss the main contributors of the CQI process and their contributions (W. Edwards Deming, Walter Shewhart, and J.M. Juran, Brook, Rosenfeld and Donabedian..ect) Explain the CQI process and how it is used in healthcare How did using the CQI process change healthcare?

Final Exam Unit 10 2.) Explain the historical evolution of health care quality improvement programs. Define strategic planning Discuss the specific issues that limit strategic planning (shortage of personnel, wage and hiring expenses increase, technology, financial limitations, competition...ect) Discuss how the consumer plays a role in the strategic planning

Final Exam Unit 10 3.) You are the new Compliance Manager for a health care organization. Describe the steps you will take to ensure that your compliance plan is legal and effective? Importance of the accuracy and assessment of the data How this data is used (reduction/avoidance of errors, increase quality of care, improvement of employee satisfaction...ect), How this data plays into the CQI process

Final Exam Unit 10 4.) There are many issues addressed in the textbook for the course about the processing of the data, but let's move on to the managerial use of that information. What are the areas in health care facilities where the application this information could be of most benefit and why. Importance of the accuracy and assessment of the data How this data is used (reduction/avoidance of errors, increase quality of care, improvement of employee satisfaction...ect), How this data plays into the CQI process

Final Exam—Example Answer #4 The data that managers have should be accurate and complete and meet their needs. Assessment of the data provided should include being able to track trends and analysis specific data to improve processes that are needed to improve quality management. In the medical field, specifically the nursing department of a given hospital or facility, this information is very important to decrease errors, medical and physical. It also should improve patient quality of care by analyzing what has happened in the past. This data is helpful in any other departments for an increase in the ability of their areas to be free of errors and increase the quality of their services.

Final Exam—Example Answer #4 In marketing, this data is useful to see the trends of the environment or to provide the organization the opportunity to see and analyze their processes and areas for improvement. The processing of the data that is provided from CQI/TQM processes is beneficial to all areas of an organization because each department in a facility is important to meet the needs of the market, provide quality care and services to the people they provide for. If in this economy, a facilty does not stay one step ahead and use the information given to them to the best of their abilities they will not survive in today’s market.

Looking Ahead Assignments due for Unit 8: –Read CQI Units 8 and 9 Assignments due for Unit 9: –Read CQI Chapter 14 –Final Project Assignments due for Unit 10: –Discussion –Final Exam Questions?