Implementing a Patient Safety or Quality Improvement Project (Patient Safety V)

Go to Course: https://www.coursera.org/learn/patient-safety-implementation

Introduction

### Course Review: Implementing a Patient Safety or Quality Improvement Project (Patient Safety V) **Overview** The course "Implementing a Patient Safety or Quality Improvement Project (Patient Safety V)" on Coursera is an excellent opportunity for healthcare professionals eager to translate their theoretical knowledge into actionable improvement initiatives. As the healthcare landscape becomes increasingly complex, the criticality of patient safety and quality improvement cannot be overstated. This course bridges the gap between planning and execution, teaching students to navigate the unique challenges associated with implementing, maintaining, and expanding quality initiatives. Students will engage with practical frameworks, including the 4 E model and TRiP (Translating Research into Practice), equipping them with the tools to refine their quality improvement (QI) project goals effectively. Particularly valuable are the case studies that facilitate real-world learning and offer insights into addressing both adaptive and technical challenges within the QI process. **Syllabus Breakdown** The course syllabus comprises several well-structured modules, each presenting an in-depth exploration of relevant topics: 1. **Case Story: Practice, Policy, Public Reporting, & Patient Engagement: Learning from the Venous Thromboembolism (VTE) Example** This module delves into the risks associated with VTE, highlighting its preventability and discussing strategies to enhance patient safety. The focus on stakeholder engagement and nursing education underscores the collaborative nature of quality care and the necessity of evidence-based approaches. 2. **Case Story: Risks and Rights** Here, students gain insights into the ethical considerations surrounding human subject research within quality improvement, including the functions of Institutional Review Boards (IRBs). This knowledge is crucial for ensuring that QI projects adhere to ethical standards and legal requirements. 3. **Case Story: Technical Work Meets Adaptive Work** This module highlights the conscious integration of technical and adaptive methodologies, using a real-world example from adult ICUs to combat central line-associated bloodstream infections. Students will become familiar with established frameworks like the Comprehensive Unit-Based Safety Program (CUSP) and learn about change management principles vital for success. 4. **Case Story: Building Momentum** Expanding on previous successes, this module emphasizes the importance of harnessing past achievements to propel future initiatives. The course offers a comprehensive toolkit to support clinicians, fostering a culture that embraces ongoing improvement. **Recommendation** "Implementing a Patient Safety or Quality Improvement Project (Patient Safety V)" is highly recommended for healthcare professionals, including nurses, physicians, quality improvement specialists, and healthcare administrators. The course is particularly beneficial for those currently engaged in, or seeking to initiate, quality improvement projects in their institutions. **Pros:** - The interactive case studies provide a rich learning experience, enabling students to apply concepts directly to real-world scenarios. - The course content is designed and delivered by industry experts, ensuring that learners receive credible, relevant, and up-to-date information. - Flexibility in course structure allows participants to learn at their own pace. **Cons:** - As with many online courses, some learners may miss the face-to-face engagement that traditional learning environments offer. - The depth of the content may be overwhelming for those new to the concepts of patient safety and quality improvement. In conclusion, this Coursera course stands out as a thoughtful and well-structured program aimed at enhancing the skills necessary for successful patient safety initiatives. Whether you are a seasoned professional looking to refine your expertise or a newcomer eager to dive into the realm of quality improvement, this course provides robust training and essential insights that can lead to significant advancements in patient care.

Syllabus

Case Story: Practice, Policy, Public Reporting, & Patient Engagement: Learning from the Venous Thromboembolism (VTE) Example

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.

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.

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.

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.