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

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

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).

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