On-Demand: Professional Development: Rethinking ‘Human Error’ and Patient Safety in Quality Management for Nurse Leaders

Program Date/Time: Tuesday, Nov. 30, at 1 p.m. ET / 12 p.m. CT

Patient safety ultimately remains in the hands of those who provide healthcare at every level of practice and service. The way we think about patient safety and quality is changing and becoming ever more challenging for nurse leaders. Today, highly reliable organizations are continually managing complex adaptive systems, advancing resilience, and analyzing human factors that determine if they have a culture of blame or one of safety. Quality management and patient safety present growing opportunities for nurse leaders and clinicians, those closest to patients, as we transition from an old view of human error (the people are the problem) to an ever evolving new view (the system is faulty).

In this session, we will explore some safety myths embedded in how we do patient safety and quality management. We will look beyond the old ways of blaming people to new ways of seeing the complexity of human errors and sources of safety and risk everywhere in the system. Finally, we will discuss how nurse leaders create accountability and build a safety culture by balancing how things typically go right (Safety-II) with lessons learned from failure (Safety-I) to put ‘human error’ into perspective and practice.

Learning Objectives:

  • Identify some current safety myths in patient safety and quality management
  • Consider the differences of simple, complicated, and complex adaptive systems
  • Describe the critical balance between Safety-I and Safety-II
  • Discuss two views of human error
  • Explain the role of nurse leaders in managing their reactions to failure
  • Describe the two ways nurse leaders look at building a safety culture

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