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PEXiS - performance experts in safety - behind human error

Technical Notes:

You will need the Quicktime plugin to view content in this course. You will also need to enable ActiveX within Internet Explorer. To enable ActiveX, do the following:

Go to 'Start' > 'Programs' > 'Internet Explorer'

In Internet Explorer's menu, go to 'Tools' > 'Internet Options' > 'Security' >
'Custom Level' > 'Enable Run Active X controls and plug-ins'

Hit 'Apply' or 'OK' and restart your browser. (these directions are based on the most common install, and may not work for all cases).


PEXiS 1 Course Objectives, Content, and CEU Instructions:

1. Understand what the "New Look" at patient safety is and why it
is important in contrast to the tendency to prematurely and
insufficiently use the label "human error". Thus, in this course
students will learn the following concepts and why they are important in
order to understand the nature of complex systems and how they can
sometimes failure:

2. Develop analytical skills through studying multiple, varied accident investigations:

3. Unify the knowledge gained from studying the general concepts and specific cases, with the practical skills and apply what has been learned to their own work environment and reflect on how it is relevant, and how they should use this new knowledge to improve safety in that context. Thus, students will: 4 . Submit completed work to CEU certificates will be mailed to you. Please provide your mailing address. In order to receive CEUs for the course it is necessary to work through the entire course and complete and submit the evaluation per instructions. To find the evaluation go to Unify->Conclusion section of the course.


Course instructions

This course uses stories about disasters to teach concepts about predictable sources of systems failures within healthcare as well as in other complex industries as an introduction to examining the role of human factors in patient safety.

Error analysis historically has focused on identifying the single "cause" of an incident. The ‘New Look’ proposes that accidents in complex systems occur as a result of multiple contributing failures, each necessary, none alone sufficient. Inherent in this approach is the concept that all complex systems contain latent failures.

A note on the course pedagogical structure:

PEXiS 1: Behind the Label ‘Human Error’ is an educational program designed to improve patient safety by raising understanding of human performance elements implicit in accidents. Each submodule contains a combination of expositions, reflections, walkthroughs, and participatory activities ("doing"), based on the discovery learning model of instructional design. We encourage you to make multiple loops through the exercises, and to review the sample student answers where provided.


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