This article describes the implementation of the University of Washington Medicine’s COVID-19 surge management plan, which included changes to space, supply management, and staffing plans. Based on their experiences, the authors share key insights and strategies for policymakers and health system decision-makers who are preparing for the next wave of COVID-19 or for a future pandemic. 

This project report describes how an academic health system utilized a modified Lean framework to uncover weaknesses in reporting processes for student mistreatment. The authors found that reporting was hindered by lack of student awareness regarding reporting mechanisms and perceptions that no action would result from reporting mistreatment. The authors outline recommendations to address these challenges.

… could be an effective improvement strategy. … Petrilli CM, Del Valle J, Chopra V. Why July Matters.  Acad Med . …

… medicine … J Gen Intern Med … This commentary describes a framework to help physicians track their patient safety and …

… Qual … This commentary characterizes one residency program’s experience building patient safety content into an existing …

This study analyzes findings from a 2-year program to share best practices and train hospitalists as patient safety champions in a consortium of nine Michigan hospitals.

Internal medicine residents felt that duty hours regulations had reduced errors related to fatigue, but pressure to adhere to regulations may have increased some types of errors.

Research into the effects of residency work hour restrictions on patient safety has yielded mixed results in the surgical, medical, and intensive care settings. This retrospective analysis of patients admitted with an acute coronary syndrome—both before and after work hour restrictions had gone into effect—demonstrated improvements in the quality and efficiency of care with no adverse impact on patient outcomes. While the authors point out that a concurrent quality improvement program was also implemented during the study period, they call for greater research into the structural and process factors that may contribute to improved outcomes.

The authors reviewed seven studies relating to the ACGME work hour limits and found that the research was not robust enough to reveal whether these changes directly improve patient safety.

The authors review the literature on systems changes implemented following the ACGME work hour limits for residents. They found that the research to date does not clearly indicate how such changes have affected residents' education and call for more rigorous study in this area.