Use the Institute for Health Care Improvement Open School resources for the following assignment (www.ihi.org (Links to an external site.) ). Note that you will need to create a free student account in order to access the material. Complete PS 101, Introduction to Patient Safety and PS 102, Error to Harm. Upload your certificate to Canvas. Review one of the short patient stories of harm (with video) on the IHI website, or find another story in the industry press that describes a case of patient harm.
In a short (2-page) paper, summarize the facts of the case. What happened to the patient? Apply James Reason’s model for classifying unsafe acts to the story; which is the best category for describing the incident in your story? What actions could the organization take to prevent a similar situation from occurring in future?