Topic: Case management and outcome improvement.

Order Description a. Describe a past patient critical event (keep key identifiers confidential). b. How was the situation managed? c. What type of questions were asked, were they focused on blame or focused on learning? d. Was there a root cause analysis completed? e. Were any changes made as a result of the event? Readings: 1. Answers the question posted on the discussion board and expands the discussion by bringing in other experiences. Depth and breadth of topic is explored. 2. Three references with citations are included beyond the class readings and can include book chapters, journal articles (primary or secondary) and web based readings, You-Tubes or TED talks. 3. Consistently focuses responses/discussion on class/seminar topic. 4. Critically examines conceptualizations presented in readings/web-based discussions. Required textbook. Koloroutis, M. (2004). Relationship-based care: a model for transforming practice. Minneapolis, MN: Creative Health Care Management. Neuspiel, D. & Stubbs, E. (2012). Patient Safety in Ambulatory Care. Pediatric Clinics of North America 59, 1341-1354. Sheppard, F. et al. (2014). TeamSTEPPS and patient safety in healthcare. Journal of Healthcare Risk Management, 32 (3), pg 5-9. DOI: 10.1002/jhrm.21099