Examine the safety related literature and web sites. Examine The Joint Commission’s current Patient Safety Goals and AHRQ’s Patient Safety Indicators.

The student will complete a Power-Point presentation based on the following objectives:

Examine the safety related literature and web sites.
Examine The Joint Commission’s current Patient Safety Goals and AHRQ’s Patient Safety Indicators.
Develop a working knowledge of the safety indicators.
Analyze the identified issue using the FMEA process for implementation of the current work environment.
Reflect on their learning.

Components of the project and grading criteria:
Identify a breakdown or imminent breakdown in clinical practice – 25 points
Review the class resources for examples that may apply to current practice and describe a high risk situation or risk for error in a case study format.
Identify the type, frequency and repetition of the problem as you can best determine from the literature.
Complete a Failure Mode Effect Analysis – 50 points