PS 101: Fundamentals of Patient Safety
This course provides an overview of the key concepts in the field of patient safety. You’ll learn the relationship between error and harm, and how unsafe conditions and human error lead to harm — through something called the Swiss cheese model. You’ll learn how to classify different types of unsafe acts that humans commit, including error, and how the types of unsafe acts relate to harm.

Finally, you’ll learn about how the field of patient safety has expanded its focus from reducing error to also encompass efforts to reduce harm.

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Estimated Time of Completion: 1 hour
Type of Activity: Knowledge
Release Date: 6/1/2009
Last Update Date: 10/22/2015
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Course Objectives
After completing this course, you will be able to:
1. Explain the Swiss cheese model of error.
2. Define active failures and latent error and discuss their roles in causing harm.
3. List the main types of unsafe acts utilizing James Reason’s classification system.
4. Identify at least one example of how health care has reduced harm.
Doug Bonacum, MBA, CSP, Vice President for Safety Management, Kaiser Permanente View Profile
Fran Griffin, RRT, MPA, Owner, Fran Griffin & Associates LLC View Profile
Laura Fink, Senior Managing Editor, Institute for Healthcare Improvement View Profile
Stephanie Garry Garfunkel, MA, Managing Editor, Institute for Healthcare Improvement View Profile
Kathleen Vega, BA, Freelance Writer, Kathleen B. Vega, Inc View Profile
Barbara Edson, RN, MBA, MHA, VP, Clinical Quality, Health Research & Educational Trust (HRET) View Profile
Lucian Leape, MD, Adjunct Professor of Health Policy, Harvard School of Public Health View Profile
Continuing Education
Certified Professionals in Healthcare Quality 1.00 Credit hours
General Attendance 1.00 Credit hours
International General 1.00 Credit hours
Nursing Contact Hours 1.00 Credit hours
Pharmacist CPE 1.00 Credit hours UPN# 0822-0000-13-098-H05-P
US Physician CME 1.00 Credit hours

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

This activity has been approved by the National Association for Healthcare Quality for CPHQ CE credit.
You must be a registered user to take this course.
You must complete all the lessons within this course and achieve a minimum score of 75% in order to receive credit for the course.