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所在平台: Coursera |
课程主页: https://www.coursera.org/learn/patient-safety-implementation
课程评论：没有评论
课程名称：实施患者安全或质量改进项目（患者安全 V） 课程概述：在仔细规划好患者安全及质量改进项目后，真正的工作开始了。本课程将介绍实施、维护和扩展患者安全及质量倡议时所遇到的独特挑战。学生将学习如何运用4 E 模型和 TRiP 模型的经验教训来制定质量改进（QI）项目的具体目标。此外，学生还将制定计划以应对项目中的适应性和技术性挑战，包括是否需要向机构审查委员会（IRB）提交倡议。最终，学生将制定将地方QI项目扩展为系统范围项目的计划。 课程大纲： 第一部分：案例故事：实践、政策、公共报告与患者参与：从静脉血栓栓塞（VTE）案例中学习 描述：本模块让学习者了解静脉血栓栓塞对患者群体的安全风险及其对患者结果的影响。学习者将学习如何保护患者免受这一几乎完全可预防的伤害事件的影响，包括评估监测偏差、利益相关者参与和护理教育，以提高护理质量，从而降低VTE风险。学习者还将能够制定计划，识别支持其工作的最佳证据，尤其是在国家组织之间存在竞争性推荐时。 第二部分：案例故事：风险与权利 描述：本模块将回顾人类受试者研究和质量改进研究的历史背景。学习者将熟悉大型质量改进倡议中IRB的历史，并识别在开始质量改进或患者安全项目之前需要提交IRB的事项。此外，学习者还将了解在没有风险管理办公室同意的情况下，哪些信息可以共享给组织外部。 第三部分：案例故事：技术工作与适应性工作相交 描述：在本模块中，我们将介绍一个在两个成人重症监护病房实施的质量改进项目，旨在减少中心静脉导管相关血流感染。学习者将理解如何将“证据转化为实践”模型运用到行动中，以制定改善患者安全的技术组件。学习者将熟悉综合病区安全计划（CUSP）以及用于实施质量改进倡议的适应性工作和变更管理方法。 第四部分：案例故事：建立势头 描述：在本模块中，我们将介绍一个在约翰霍普金斯大学成功实施的中心静脉导管相关血流感染程序后建立的质量改进项目。学习者将看到如何通过使用经过验证的质量改进捆绑包和适应性工作的结果来从先前成功建立动力。学习者将理解在将项目转移到其他场所时，支持临床医生所需的严格准备和工具开发。学习者将了解包括内容导入或沉浸、准备时间和支持实施倡议的内容和教练电话的协作方法。学习者还将看到如何利用CUSP程序应对适应性挑战，并了解成功实施质量改进和患者安全程序所需的文件工具包。
Part: 1
Title:Case Story: Practice, Policy, Public Reporting, & Patient Engagement: Learning from the Venous Thromboembolism (VTE) Example
Description:In this module, learners will understand the patient safety risk of Venous Thromboembolism in our patient populations and its impact on patient outcomes. Learners will see what can be done to protect patients from this almost entirely preventable harm event including assessing surveillance bias, stakeholder engagement and nursing education to improve quality of care to reduce VTE risk. The learner will also be able to develop a plan to identify the best evidence to support their work when competing national organizations have competing recommendations.
Part: 2
Title:case story: risks and rights
Description:In this module we will review the historical perspective of human subject's research and quality improvement research. The learner will become familiar with the history of the IRB in large scale quality improvement initiatives and identify what should be submitted to the IRB before beginning a quality improvement or patient safety project. Further, the learner will become familiar with what can and can't be shared outside the organization without the Risk Management office providing consent.
Part: 3
Title:case story: technical work meets adaptive work
Description:In this module we will introduce you to a quality improvement project that we implemented in two adult Intensive Care Units, to reduce Central line associated blood stream infections. The learner will develop an understanding of using the Translating Evidence into Practice model into action in developing a technical component to improve patient safety. Learners will become familiar with the Comprehensive Unit Based Safety program (CUSP) and the adaptive work used to implement the quality improvement initiative and change management methods that help achieve success.
Part: 4
Title:case story: building momentum
Description:In this module we will introduce you to a quality improvement project that was built following successful implementation of the Central Line Associated Blood Stream Infection program developed and implemented at Johns Hopkins. The learner will see that building momentum from a previous success is possible using proven quality Improvement bundles and the results of the adaptive work using the Comprehensive Unit-Based Safety Program to improve unit based culture. The learner will understand the rigorous preparation and tool development needed to support clinicians when you move a program to another venue. They will develop an understanding of the Collaborative approach that includes on-boarding or immersion into the content, allowing preparation time and providing both content and coaching call that support the teams implementing the initiative. Learners will see how to utilize the CUSP program to meet adaptive challenges. Learners will also see the tool-kit that was developed including the documents necessary to provide support for front line clinicians that we believed necessary for a successful quality improvement and patient safety program.
Now that you’ve carefully planned your patient safety and quality improvement project, the real work can begin. This course will introduce students to the unique challenges encountered when implementing, maintaining, and expanding a patient safety and quality initiative. Students will learn to apply lessons learned from the 4 E model and TRiP into developing specific aims for their QI project. Additionally, students will develop a plan to address the adaptive and technical challenges in their projects including whether their initiative needs to be submitted to an Institutional Review Board (IRB). Finally, students will develop plans to grow their local QI project into a system-wide project.
