Mistake Proofing (all modules)

Mistakes are part of everyday life in the emergency department. The problem is that very few EDs are actually stopping to solve problems and accepting them as part of the everyday life in the ED and they are the “art of medicine,” or “the way the system works.”

By better understanding the basic principles behind mistake proofing, we can improve, and in some cases, perfect the care we deliver to our patients, even under the extreme circumstances present in the ED.

About The Course

 

Armed with the knowledge of how mistakes happen in the world of healthcare, we can begin to design an approach to mistake-proofing in healthcare and emergency medicine. We will delineate an approach below which most organizations will find helpful in approaching this crucial aspect of healthcare.

  1. Clearly delineate the intention of the process.
  2. Clearly define the problem as it relates to the intention.
  3. Brainstorm all of the possible defects contributing to the problem and classify them into subgroups and types of human error.
  4. Develop a system to collect information on the process and outcomes defects of most interest to the team represent them in a frequency distribution or Pareto format.
  5. Determine the root cause of the most frequent defects.
  6. Design the appropriate countermeasure based on the information above.

Your Instructor

Joseph T. Crane, MD, MBA

Joseph T. Crane, MD, MBA

Dr. Crane is currently the chief clinical officer for emergency medicine for TeamHealth where he supports clinical quality and safety for the company’s emergency medicine service line, performance improvement and innovation initiatives, leadership development programs, performance analytics and workforce development.

He received his undergraduate degree from the University of Virginia and medical degree from Medical College of Virginia. He is currently a board-certified practicing emergency physician. Considered one of the leading experts in emergency department operations in the U.S., Dr. Crane has taught and led healthcare and emergency department improvement efforts with hundreds of organizations in a wide variety of settings on six continents.

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