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Improving Patient Safety

Improving Patient Safety. System Director Experiential Learning. Jason Zigmont, PhD. Core Beliefs.

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Improving Patient Safety

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  1. Improving Patient Safety System Director Experiential Learning Jason Zigmont, PhD

  2. Core Beliefs • We believe that everyone participating in experiential learning activities is intelligent, well-trained, cares about doing their best and wants to improve. Adapted from the Center for Medical Simulation, Cambridge, MA • The goal is to improve outcomes through experiential learning Education does not equal learning

  3. Bloom’s Taxonomy

  4. Learning Outcomes Model Experiences The Individual • Well-Tuned Learning Orientation • Mental Models • Analogical Reasoning • Challenging • Emotionally Charged • Mistakes or Errors Improved Patient Outcomes • Skilled Mentors • Evidence Based Medicine • Products and Protocols Environment

  5. Experiences The Individual • HR – Hiring/Recruitment • Orientation • Licensure/Certs • LMS? • Patient Mix • Simulation • Standardized Patient Improved Patient Outcomes • Practice Updates • Checklists • Six Sigma/Lean • Policies • New Equipment • Standardized work • Purchasing • Research/EBM • Posters/Marketing • Six Sigma • Joint Commission • CMS, ODH, etc. • HCAHPS • SAQ, AOS • RCAs • Data Analysis • Consultants Environment

  6. Examples • Handwashing • OR to ICU Handoff • TeamSTEPPS

  7. Improving OR to ICU Handoff

  8. TeamSTEPPS training • Didactic vs Simulation • Unit Based Training • In-Situ Training • Interdisciplinary Educator Team • Nurse • Physician • Simulation Educator • Scheduling… • Measurement • Process Measures • Outcome Measures

  9. Results of the Safety Attitudes Questionnaire

  10. Steps to Success • Identify Problem • Value/Impact? • Individual/Experience/Environment • Create Buy-In/Assess Readiness • Management • Associates • Identify the Change Team • Define Implementation Plan • Plan for Scheduling • Sustainment…

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