Patient Safety Teaching Case - Wrong Patient Procedure
Leslie W. Hall
Associate Professor of Clinical Internal Medicine
Kathryn J. Nelson, MHA; Director of Quality and Patient Safety; SSM St. Mary’s Health Care
University of Missouri - Columbia
Pre-Licensure ADN/Diploma, Pre-Licensure BSN
Online or Web-based Modules
Examine human factors and basic safety design principles as well as commonly used unsafe practices as they relate to an adverse event in health care. Describe the benefits and limitations of information systems in the improvement of health care quality. Discuss effective strategies to improve reliability of patient identification in delivery of health care.
Value the balance between professional autonomy and standardization or reliability. Appreciate the cognitive and physical limits of human performance. Recognize the value of engaging in root cause analysis rather than blaming when error or near misses occur. Value relationship between national patients safety campaigns and implementation in local practices settings.
Use appropriate strategies to reduce reliance on memory. Demonstrate an effective use of strategies to reduce risk of harm to others. Participate appropriately in analyzing errors and designing systems improvements.