Contribute to a Culture of Patient Safety

Teaching methodologies:

Suggested lesson plans for academic half day interactive sessions: (see Attachments for teaching material)

• Domain 1 presentation "Introduction to Patient Safety" (PowerPoint)
• Discussion of "Marx Just Culture" primer (PDF)
• Defibrillator Misadventure Case Study 
• Defibrillator Misadventure Facilitator Guide (PDF)

Two Hour Session:

• Discussion of "Patient Safety and the Just Culture - Marx" (PDF)
• The Defibrillator Misadventure Case Study 
• The Defibrillator Misadventure Facilitator Guide
  

Two Hour Session:

• "Reporting Adverse Events" (PowerPoint)
• "Journal Club Incident Report & Trigger Tool"  (PowerPoint)
  

Selection of 1 hour Sessions (choose one of the following):

• Methods of detecting error and adverse event "Reporting Adverse Events" (PowerPoint)
• "Journal Club Incident Report &Trigger Tool" (PowerPoint)
• "Epidemiology of Error" (PowerPoint)
• "Patient Safety Systems Approach" (PowerPoint)
• "High Reliability Organizations" (PowerPoint)
• Defibrillator Misadventure case study and facilitator guide
• Patient safety and the Just Culture - Marx  (Discussion of PDF)
  

Selection of Short-Snappers (may combine as required):

• Methods of detecting error and adverse event "Reporting Adverse Events Primer" (PowerPoint)
• "Epidemiology of Error Primer" (PowerPoint)
• "Patient Safety Systems Approach Primer" (PowerPoint)
• "High Reliability Organizations Primer" (PowerPoint)
• Discussion of "Marx Just Culture" primer (PDF)

Other Resources

• David Marx - Just Culture Slide Deck
• An Introduction to Patient Safety Nomenclature
• CPSI Root Cause Analysis Framework
• Albert Wu: 2nd Victim - BMJ Article available for download
• Rick van Pelt: Peer Support - Article available for download
• Beyond Blame DVD available for purchase from the ISMP Online Store ($45.00)