PS 101 Lesson 3: Your Role in Building Safer, More Reliable Systems
So what can you do to improve patient safety where you work? If an organization is to avoid catastrophic failure, staff members need to call out small problems as they arise in daily work. In this lesson, you’ll learn that organizations that successfully manage complexity have a deliberate approach to escalating the small concerns and suggestions of employees. Staff members know how to recognize problems, whom to contact, and how to get that person’s attention immediately. The leaders, in turn, avoid blame and provide the resources necessary to solve problems.
Estimated Time of Completion: 20 minutes
Learning Objectives
After completing this lesson, you will be able to:
1. Explain why system complexity requires us to take a methodical approach to system design, operation, and improvement.
2. Explain why systematic learning from error and unintended events is the best response to ensure patient safety.
3. Describe the connection between the effective escalation of staff members’ concerns and the prevention of catastrophic events.
Contributors
Author(s):
Michael Leonard, M.D., Principal, Clinical Group, Pascal Metrics Inc. View Profile
Steven Spear, DBA, MS, MS, Senior Lecturer, Massachusetts Institute Of Technology View Profile
Editor(s):
Laura Fink, Director, Editorial and Online Learning, Institute for Healthcare Improvement View Profile
Reviewer(s):
Frank Federico, RPh, Vice President, Senior Patient Safety Expert, Institute for Healthcare Improvement View Profile
Requirements
You must be a registered IHI.org user to take this lesson.
You must achieve a minimum score of 75% to successfully complete this lesson.