CLINICAL PROCESS IMPROVEMENT (CPI) - TEAM WORKSHOP #3: FISHBONE
Session Description: Practicing and reinforcing safety skills are key elements in effective learning. A longitudinal team-based approach is employed in patient safety education in InFOCUS. It is through practice and reinforcement during the clinical clerkships and these CPI team workshops that medical students begin to appreciate common situations facing patients that can only be learned through experience and discussion.
Speaker: Various. See Individual Schedule
Location: See Individual Schedule
Learning Objectives: At the end of this session, the student learners will:
- Generate a differential diagnosis for patient with a serious adverse event
- Utilize the tools of process mapping to outline the events in the case
- Identify probable causes that may have led to the serious adverse events in the case
- Graphically displays the relationship of these probable causes to effect as well as to each other using Ishikawa (fishbone) diagrams
Pre-Session Assignment: Complete the 2 Institute for Healthcare Improvement (IHI) modules on Blackboard or using the iOS or Android app
- Mount Sinai Hospital Resources
Information about HIPPA, Infection Control (including policies for catheters, ventilators, isolation), Quality Initiatives (handoff, critical lab results, medication reconciliation, patient identification - Institute for Healthcare Improvement (IHI) - Open School
Web based on line curriculum with topics in patient safety, quality improvement and leadership. - Institute for Healthcare Improvement (IHI) - Resources
Website section with improvement stories for health care organizations, patient and provider stories about safety, and opportunities to get involved with IHI. - Agency for Healthcare Quality and Research (AHRQ) - Hospital Compare
Medicare based website which allow users to compare hospitals across publically reported quality improvement and patient safety domains. - Agency for Healthcare Quality and Research (AHRQ) - Patient safety resources
- Agency for Healthcare Quality and Research (AHRQ) - Patient safety resources
Brief monographs on core patient safety topics - Agency for Healthcare Quality and Research (AHRQ) - Quality Improvement resources
- Partnership for Patients
National program that partners patients, providers and hospitals to reduce many common adverse events in health care including hospital acquired infections, adverse drug events, falls, and venous thromoembolism.