Medical Error Prevention and Root Cause Analysis

The Institute of Medicine's (IOM) 1999 publication To Err is Human: Building a Safer Health System, illuminated the unfortunate reality of medical errors in the healthcare industry. The report reviewed the prevalence of medical errors in the United States and highlighted measures that should be taken to prevent them. Specifically, the authors of the report noted that at least 44,000 and perhaps as many as 98,000 Americans were dying in hospitals each year as a result of medical errors. A 2016 report stated that the average number of annual in-hospital deaths attributable to medical error might actually be much higher, at around 400,000. Certainly, these numbers must be balanced against the millions of admissions to hospitals in the United States, which is in excess of 35 million annually. Healthcare professionals should commit to continuing to pay attention to evaluating current approaches for reducing errors and to building new systems to reduce the incidence of medical errors.

This course fulfills the Florida requirement for 2 hours of education on the Prevention of Medical Errors.

91334

Learning Objectives

Upon completion of this course, you should be able to:

  1. Describe how the Institute of Medicine defines "medical error."
  2. Describe the types of sentinel events the Joint Commission has identified.
  3. Discuss what factors must be included in a root cause analysis in order for the Joint Commission to consider it "thorough" and "credible."
  4. Identify what types of adverse incidents must be reported to the Florida Agency for Healthcare Administration.
  5. Identify the most common sentinel events reported to the Joint Commission.
  6. Evaluate the most common misdiagnoses, as recognized by the Florida Board of Medicine, and outline the safety needs of special populations, including non-English-proficient patients.

Additional Information

Partner: 
NetCE
State Approved: 
Florida
Course summary
Available credit: 
  • 2.00 AMA PRA Category 1 Credit
  • 2.00 ANCC
  • 2.00 ASWB
Course opens: 
09/01/2022
Course expires: 
08/31/2025
Cost:
$15.00
Rating: 
0

Available Credit

  • 2.00 AMA PRA Category 1 Credit
  • 2.00 ANCC
  • 2.00 ASWB

Price

Cost:
$15.00
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This course is offered through NetCE.

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