Journal Article
Commentary

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.

Durstenfeld MS, Statman S, Dikman A, et al. American journal of medical quality : the official journal of the American College of Medical Quality. 2019;34:590-595.

Academic medical centers are working to increase resident engagement in patient safety work. Building on Reason's system failure investigation model, this commentary describes the integration of monthly educational opportunities into actual improvement efforts. Core elements of the program rely on effective case selection, root cause analysis, and resident-led discussion.