This unit employs a blended approach to learning with group discussions, readings with quiz questions, and written assessment tasks. Students are expected to actively participate in group discussion by preparing with the appropriate readings and quizzes. There are three broad themes in this unit of study.
To Err is Human
This module will cover a number of topics concerning human error and safety: how errors occur, human factors, and ways of avoiding or managing error. Broader perspectives of system error and error theory will be introduced, including:
· How we learn
· How we decide
· How we act, react, and interact (work together)
· Understanding error
o How individuals err
o How teams err
o How systems err
To Repent is Divine
· Responding to error
This module addresses responses to error. Protective mechanisms such as denial and projection are acknowledged and developed into an approach for learning from error (incident reporting and root cause analysis).
· Talking about error
In this module, we will focus on how we explain and talk about error. This includes the concepts of debriefing, “difficult conversations” with colleagues, open disclosure, complaints processes, and speaking up about error. We will also discuss how best to provide leadership and support after a serious error.
To Persevere is Diabolical
· Preventing error
This module covers the role of audit and quality improvement leadership, teamwork and culture as well as an overview of several error prevention systems.
· Media, politics and the law
In this module, we will investigate the relationships between medical error, media, politics and the law. This includes consideration of high profile cases both nationally and internationally as well as how these are reported in the media and how they are fed into legislative change.