This course focuses on 2 continuous quality improvement strategies that can be used to change complex systems—the plan-do-study-act (PDSA) method and Six Sigma’s define, measure, analyze, improve, and control (DMAIC) method. These simple, but effective, methods of making minor changes in systems can transform ambiguous and error-prone processes into tested, clear processes designed to reduce errors.

This course will address the importance of reporting errors for prevention of future adverse events and improved patient safety, as well as the role of root cause analysis (RCA) as an investigation tool for identifying the underlying systems failures that may have led to the error. It will also examine the benefits and barriers to reporting and the role of healthcare culture in reporting. Finally, it will explain the basic process of reporting that is common in most healthcare organizations.  

Antibiotic stewardship is a movement to improve antibiotic use through evidence-based practice. Team members become the stewards of antibiotics. This helps these medications continue to effectively fight infections. Antibiotic stewardship follows core elements to improve the use of antibiotics and their outcomes. This course discusses the core elements and benefits of an antibiotic stewardship program.
 

Medical errors and unanticipated outcomes not only have the potential for devastating consequences, but they are a relatively common occurrence in healthcare. Accordingly, providers must be well-versed in understanding the basic steps of disclosing these events to patients and their families, as well as the legal ramifications of such action. Fortunately, there are models and ethical frameworks that help guide these decisions and conversations, but every provider must determine the approach that is best for their practice.