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Culture of Safety Part Three: Why Do Thinks Go Wrong?

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Location: Go to Material
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Material Type: Tutorial
Technical Format: Flash
Date Added to MERLOT: December 29, 2008
Date Modified in MERLOT: October 11, 2012
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Author:
 Send email to prebrigh@iupui.edu
Indiana University School of Nursing
Submitter : Jeanne Sewell

Description:
This interactive tutorial explores sources of error in healthcare. The stated learning objectives are:
  • Explain the significance of complex adaptive systems to a healthcare culture of safety.
  • Summarize the factors that make nursing work complex.
  • Explain the influence of human performance factors on nursing work.
  • use the Swiss Cheese Model to demonstrate how errors occur.
  • Demonstrate how the complexity of healthare organizations and nursing work can interact with human performance factors to produce errors.

The learning resource includes a printable handout with references and a short self-test. The content author was Patricia Ebright, faculty at the Indiana University School of Nursing. The project is a component of NEAT (Nursing Education and Technology).


Keywords:
Medical error, Culture of safety, Error prevention, healthcare

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More information about this material:
Primary Audience: College General Ed, College Lower Division, College Upper Division, Graduate School, Professional
Mobile Compatibility: Not specified at this time
Technical Requirements: The user will need a computer with an Internet connection, Macromedia Flash, and Adobe Reader to use the learning resource.

Language: English
Cost Involved: unsure
Source Code Available: unsure
Accessiblity Information Available: unsure
Copyright: unsure
Creative Commons: unsure

About this material:

Peer Reviews (not reviewed)
Workflow status (accepted for review)
Comments (none)
Learning Exercises (none)
Personal Collections (4)
Accessibility Info (none)
 

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