PATIENT SAFETY: LATENT RISK FACTORS
Session Description: Adverse events and untoward outcomes in healthcare are almost always the result of a cascade of errors rather than a single error. Since the factors that promote errors are not directly visible in the working environment, they are described as latent risk factors. In this session, we will understand how these latent factors affect safety and can enable us to design more effective control measures that will impact both individual performance and patient outcomes.
Speaker: Marc Napp, MD – Senior Vice President, Medical Affairs & Deputy Chief Medical Officer at Mount Sinai Health System
Location: Annenberg 13-01 (Teirstein Auditorium)
Learning Objectives: At the end of this session, the student learners will:
- Appreciate that healthcare delivery involved human element and multiple systems
- Define latent and active failure
- Apply Reason's Swiss Cheese Model of Defense to understand an adverse event
- List types of human error
Pre-Session Assignment: NONE
Required Readings: NONE