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

Matthew S. Durstenfeld; Scott Statman; Andrew Dikman; Anahita Fallahi; Cindy Fang; Frank M. Volpicelli; Katherine A. Hochman

Commentary

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

February 27, 2019

Durstenfeld MS, Statman S, Dikman A, et al. Am J Med Qual. 2019;34(6):590-595.

View more articles from the same authors.

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.

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See More About The Topic

Hospitals

Medicine

Epidemiology of Errors and Adverse Events

Root Cause Analysis

Morbidity and Mortality Conferences

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

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

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

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

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