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Improving patient safety by instructional systems design
  1. J B Battles
  1. Correspondence to:
 Dr J B Battles
 Senior Service Fellow for Patient Safety, Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety, 540 Gather Road, Rockville, MD 20850, USA;jabattles{at}ahrq.gov

Abstract

Education and training are important elements in patient safety, both as a potential contributing factor to risks and hazards of healthcare associated injury or harm and as an intervention to be used in eliminating or preventing such harm. All too often we have relied on training as the only interventions for patient safety without examining other alternatives or realizing that, in some cases, the training systems themselves are part of the problem. One way to ensure safety by design is to apply established design principles to education and training. Instructional systems design (ISD) is a systematic method of development of education and training programs for improved learner performance. The ISD process involves five integrated steps: analysis, development, design, implementation, and evaluation (ADDIE). The application of ISD using the ADDIE approach can eliminate or prevent education and training from being a contributing factor of health associated injury or harm, and can also be effective in preventing injury or harm.

  • patient safety
  • instructional design
  • education
  • medical error

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Footnotes

  • Competing interests: none declared.

  • The opinions and assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the Agency for Healthcare Research and Quality, the United States, Department of Health and Human Services.

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