Domain 4 Lesson Plan(s)

Manage Safety Risks

Teaching methodologies:

Suggested lesson plans for interactive sessions: (click on links for teaching material)

Session 1: 1-2 hours

• Discussion of "Checklist" case study 
• Checklist case Facilitator Guide
• "Domain 4 Enabling Competency 1" (PowerPoint) - reflective questions are provided in this deck

Session 2: 1hour

• Use Crew Resource Management slide deck to introduce High Reliability Organizations
• Discuss experiences from these "case studies" in aviation and how we can learn from them in health care
• Suggest Helmreich CRM paper as pre or post read for this session

Session 3: 1 hour

• Pre-read Reason's Human Error paper, and discuss
• Use cases in Content Domain 4 document for discussion
  • document addresses systems, error and high reliability (briefly) and medication management.  Citations form Berwick, Reason and Vincent are included. 
  • Questions are embedded as is a case discussion

Session 4: 1 hour

• Explore infection control issues using "Infection Control Through a Patient Safety Lens" (PowerPoint)
• Discuss local issues of infection control
• Suggest Provonost NEJM article Dec 2006, as pre or post reading

Journal club: 1 hour

• Use paper Leonard ADE Oct 2006 on risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a Children's hospital: critique of paper and discussion of measures to reduce adverse drug events

Other Resources

• CAPHC Paediatric Medication Reconciliation Collaborative - Key Strategies and Success Elements