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PSNet: Patient Safety Network
Journal Article
Study

Beyond 'find and fix': improving quality and safety through resilient healthcare systems.

Anderson JE, Ross AJ, Back J, et al. Int J Qual Health Care. 2020.

Using ethnographic methods and resilient healthcare principles (described as systems that anticipate future demands, respond to current demands, monitor for emergent problems and learn from results, both positive and negative), the researchers interviewed and observed staff in emergency departments (EDs) and geriatric wards in one teaching hospital in London to identify system vulnerabilities to target with quality improvement interventions. The observations and interviews revealed difficulties with discharge planning and information integration as priority areas.