Judy Milne, Duke Patient Safety Officer

The Institute of Medicine estimates that as many as 98,000 people die every year from preventable medical errors. What happens when one of these errors occurs at Duke? IHI invites you to be the detective in an interactive workshop on Root Cause Analysis, the process for understanding these errors.

On Tuesday, February 28th, from 5:15pm-6:45pm Duke Patient Safety Officer Judy Milne will present “Healthcare Root Cause Analysis (RCA): DUH approach to evaluating major medical errors.” Participants will investigate a case together involving a serious patient cardiac event to understand how it occurred from a human and system error perspective.

Where: Duke South Amphitheater
Food: DINNER WILL BE SERVED. So please RSVP here by 2/27.

Why: Errors in medicine affect patients, health professionals, business finances, and raise questions of system design. Yet students’ formal education on it is rather limited. This is a great chance for students to understand how quality and patient safety issues are handled in the real world! So come learn more and stuff your face while you’re at it!