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所在平台: Coursera |
课程主页: https://www.coursera.org/learn/fixing-healthcare
课程评论：没有评论
课程名称：修复医疗服务 课程概述：每年，美国约有10万人因可避免的医疗错误而失去生命，超过100万人受到终生伤害。如何改变这一顽固问题？知识就是力量，本课程将深入探讨医疗服务中存在的问题及其解决方案，帮助你成为解决方案的一部分。 **课程大纲：** **第一部分：引言：谁在关心玛丽？** 每年有10万名患者因可预防的医疗错误而死，超过100万人遭受重创。尽管采取了行动，医疗错误仍以每10名患者中就有1名的速度持续发生。本模块探讨医疗服务的五个基本领域，包括高效制造商和运动团队的原则，团队协作的重要性，人脑错误的普遍性，适应性领导力，以及如何利用成功的宣传方法改变医疗文化。 **第二部分：将制造原则应用于改善医疗** 讲解丰田生产系统的制造原则，以及如何通过价值流图和80/20原则应用于患者护理，探索医疗中的八大浪费及推医问题。 **第三部分：医疗需要团队合作** 讨论现代医疗中团队合作的重要性、有效团队所需的五大资源，如何运用运动原则来改善团队合作，并管理复杂的团队动态。 **第四部分：理解与预防人类错误（第一部分）** 探讨医疗错误的后果，理解根本原因分析、驱动图和PDSA循环等工具，强调解决小错误的重要性。 **第五部分：理解与预防人类错误（第二部分）** 介绍W. Edwards Deming的红珠实验，讨论医疗可靠性的重要性和减少人为错误的策略。 **第六部分：我们都可以成为领导者：成为适应性领导者** 探讨适应性分散领导在医疗中的必要性，强调有效领导者的特征及策略。 **第七部分：如何组织人力推动医疗交付的变革** 学习历史人物塞缪尔·亚当斯如何通过个人叙述和领导团队来推动变化。 **第八部分：对变革的免疫、成功患者护理示例及最终总结** 回顾变革中的心理障碍，总结前七个模块的关键点，并制定改善医疗系统的个人行动计划。 **第九部分：期末考试** 本部分为期末考试。 通过本课程，参与者将获得必要的工具，以实际操作来改善医疗服务，学习如何成为变革的推动者。
Part: 1
Title:Introduction: Who is Caring for Mary?
Description:100,000 patients die annually as a consequence of preventable medical errors, and over 1 million patients suffer life-changing injuries. Despite the calls to action medical errors continue at the rate of 1 out of 10 patients. How can those of us who help to deliver care and those of us that receive care help to prevent harm? There are 5 fundamental areas each of us needs to understand and use to fix healthcare delivery: 1. Apply the principles of high performing manufacturers and athletic teams to continually improve our processes. 2.We all need to learn how lead and be part of multidisciplinary teams that include patients and coordinate the care they receive. 3.The human brain continually makes errors. Certain conditions increase the likelihood of errors, and these need to be avoided. Systems can be designed that force the right behavior, and second checks can help caregivers provide the right care at the right time and in the right place. 4.We all need to become effective leaders. Most importantly we must practice adaptive leadership, that is, leadership that promotes a true change in the way things are done. 5.Finally we all can utilize the campaign methods of successful politicians and advocacy groups to change the attitudes of our fellow caregivers and patients, and thereby change the culture of our healthcare systems. During this 8-module course you will be provided with the tools to accomplish all 5 of these goals, and as an individual you can truly make a difference.
Part: 2
Title:Applying Manufacturing Principles to Improve Healthcare
Description:In this module we will be discussing the manufacturing principles of the Toyota Production System. The concept of value stream or work flow diagrams will be introduced. The well known 80/20 rule in manufacturing will be applied to patient care. The 8 ways waste can be reduced in health care will be explored, and finally the problem of push medicine and how patients can guard against this all too common problem will be covered.
Part: 3
Title:Healthcare Requires Teamwork
Description:Teamwork is critical in modern healthcare. We will explore the state of healthcare teamwork in most healthcare systems. The 5 resources required for effective teams will be reviewed, and we will discuss how athletic principles can be used to encourage teamwork, improve efficiency and increase the quality of patient care. We will review how to launch and coach a team, and how to manage the complex dynamics of teams. Finally we will discuss how to create a self-improving team.
Part: 4
Title:Understanding and Preventing Human Error Part I
Description:This module will be discussing the consequences of medical errors, and you will learn from Sorrel King's loss of her daughter, Josie, and from my personal experience that preventable injuries not only cause death but also can lead to permanent life changing injuries. Sitting around and doing nothing is not an option. However we all need to understand and use three key tools to determine the causes of medical errors and to fix them, Root cause analysis, Driver Diagrams, and PDSA cycles. Finally we will discuss the issue of small errors and our tendency to ignore and workaround them. Unfortunately this approach to small problems is one of leading causes for the continued high rate of preventable injuries and deaths in our hospitals and clinics. It is time to fix the little things.
Part: 5
Title:Understanding and Preventing Human Error Part II
Description:This module introduces you to the famous W. Edwards Deming red bead experiment that illustrates the tyranny of random variation, and introduce the use of run charts to differentiate random or common cause from specific cause variation. Next we will introduce you the concept of reliability and will illustrate why we need to dramatically improve the reliability in health care. Strategies for reducing human errors are reviewed, and the effectiveness hierarchy of different interventions discussed. We end with a discussion of how health systems and providers should be treating patients and families who they have inadvertently harmed.
Part: 6
Title:We All Can Lead: Becoming an Adaptive Leader
Description:In this module, we will be discussing the need in healthcare for distributive leadership that is adaptive. The complexity of healthcare prevents one leader from micromanaging a healthcare system, and leadership must be encouraged on the front lines of care. Effective leaders are good listeners, empathetic, follow their principles (North Star) and are courageous. Adaptive or innovative leaders are a necessity for improving the quality and safety of healthcare. The strategies for controlling emotional disequilbrium will be addressed, and specific analogies presented to assist students in understanding how to practice leadership that will bring about change.
Part: 7
Title:How Organizing People can Drive Change in Healthcare Delivery
Description:Change requires those on the front lines to embrace new approaches to care and to work across department barriers. This session will use our Founding Father Samuel Adams to exemplify the approaches that have been used for decades to encourage others to come together to bring about change. Samuel Adams campaign led to United States independence from Great Britain and these methods if applied throughout the world can lead to a revolution in healthcare delivery. One-one techniques, personal narrative, creation of leadership teams, and the creation of effective strategies and tactics to bring about action will all be covered. You can make a difference.
Part: 8
Title:Immunity to Change, Examples of Successful Patient Care Initiatives, and Final Summary
Description:In this final module we will review why many of us fail to change our viewpoints and behavior. We will discuss how you can overcome your natural immunity to change. Next we will review the key points from each of the past 7 module, and then outline a general plan of action that will allow you to create your personal plan to fix one component of your healthcare system. Your learning has just begun. Now you will be able to apply what you learned, you will achieve greater and greater understanding by doing.
Part: 9
Title:Final Exam
Description:This is the final exam.
Isn’t it time to end the loss of life from preventable medical errors? Each year 100,000 patients die from preventable errors in the U.S. How can you help to change this intractable problem? Knowledge is power, and this course will provide you with a deep understanding of the problems and the solutions. You can become part of the solution.
