Category Archives: Interventions

PICO Questions and Finding Medical Information

1) Watch PICO video

GOAL: Differentiate a PICO question from a background question.

Instructions: Actively watch video to help understand the components of a PICO question and how you might employ these questions in clinical practice.

2) Watch Finding Medical Information video

GOAL: Understand how to access different sources of information depending on your question.

Instructions: Actively watch video to help understand differences between types of questions and available resources to answer them.

3) Write some PICO questions of your own 

Develop 2-3 PICO question of your own to share in class tomorrow. It may help to think about a patient you have seen or a case discussed during Foundations or EHM so far. You can use the PICO diagramming tool to record your questions.  Be prepared to share and discuss.

 

Adverse childhood experiences and trauma informed care

Activities:

  1. Watch Nadine Burke Harris’s TED talk that introduces key concepts about Adverse Childhood Experiences and how they impact health.
    • Goal: Define the scope and frequency of adverse childhood experiences (ACE) and toxic stress, the connection to illness across the lifespan, and opportunities for clinician intervention
    • Context and Instructions: Dr. Nadine Burke Harris explains how incorporating an understanding of the frequency and effects of adverse childhood experiences (ACES) can impact medical practice.

2. Then READ EITHER:

OR

Optional readings:

  1. NYT article on WA state resilient community success story
    • Goal: compare and contrast effective community interventions to promote resilience in our region
  1. Original ACEs study: Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American Journal of Preventive Medicine. 1998;14(4):245–258. doi:10.1016/s0749-3797(98)00017-8. 
    • Goal: For students who want to read the Kaiser study that introduced the idea of ACES and the impact on health.  A caveat that some language in this original paper (“family dysfunction”) would not be used in the trauma informed care environment that this work ultimately produced.

Additional Resources:

Systems Engineering

IHI online open school. Optional assignment: Students complete the online curriculum and assessment for certificate program.  To provide greater detail and context for the material covered in class.  Recommended for students pursing a certificate in quality and safety.

IHI Online Open School Modules – http://app.ihi.org/lms/home.aspx

  • Define principles of human factors design. Understand how technology can help mitigate against medical error.
    • PS 103 lessons 2-3

Applying Systems Improvement to Patient Safety

IHI online open school optional assignment: Students complete the online curriculum and assessment for certificate program.  To provide greater detail and context for the material covered in class.  Recommended for students pursing a certificate in quality and safety.

IHI Online Open School Modules – http://app.ihi.org/lms/home.aspx

  • Additional depth and detail regarding organizational culture, safety culture, high reliability organizations and reporting systems.
    • PS 101 (Lesson 1-3)
  • Discussion of Swiss cheese model, active and latent failures, unsafe acts and harm
    • PS 102 lesson 1-2
  • Discussion of human factors contributing to error and internal and external factors
    • PS 103 lesson 1