QI 101 Lesson 1: Errors Can Happen Anywhere—and to Anyone
Think you’re error-proof? Think again. Mistakes happen even to the most dedicated people. The question isn’t whether, it’s when—and what to do when a mistake does happen. In this lesson, you’ll learn how a serious error occurred at a respected Boston hospital and how the hospital handled it immediately afterward. The lesson will also discuss a range of responses to error, including whether to disclose the mistake and whether to punish the people involved.
Estimated Time of Completion: 15 minutes
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Learning Objectives
After completing this lesson, you will be able to:
1. Identify and analyze the range of possible responses to error, including issues around disclosure and punishment.
2. Describe some methods organizations are using to disclose medical errors, and why other organizations remain reluctant to use the same methods.
3. Develop your own ideas and opinions about how best to respond to errors.
Contributors
Author(s):
Robert Lloyd, PhD, Executive Director Performance Improvement, Institute for Healthcare Improvement View Profile
Sandra Murray, MA, Improvement Advisor, CT Concepts View Profile
Lloyd Provost, MS, Statistician, Associates in Process Improvement View Profile
Editor(s):
Deepa Ranganathan, Content Manager, Institute for Healthcare Improvement View Profile
Jane Roessner, PhD, Writer, 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.