INTRODUCTION

[Please Note: Continuing education credit is no longer available for this course.]

Welcome to Anatomy of an Error, the first in a series of continuing education programs about patient safety and quality for healthcare systems. Our curriculum is designed to provide educational opportunities geared toward the discovery of innovative solutions for safe, accurate and effective patient care.

This course walks through a medication error that occurred in Denver and asks you to think about why this incident occurred. As you read the facts of the case, you'll be asked to stop, reflect, and offer opinions. Of course, this part of the course will not be graded. You'll get a chance to see how others have responded and to read our authors' opinions.

HOW TO USE THIS PROGRAM

Carefully read through the course and consider the facts presented. At several points you will be asked to consider what common system failures might have occurred. Your response here is optional, and of course not graded. When you enter your responses you'll get a chance to see how other participants have responded.