Learning collaboratives within the Canadian Patient Safety Institute are working to implement the Measurement and Monitoring of Safety Framework (MMSF). This paper describes the collaboratives’ experiences with integrating MMSF into their organizations. Hospitals reported small scale success and described challenges with implementation when the Framework was not aligned with existing quality and safety processes.

Implementation science is the practice of applying research to healthcare policies and practices. This study explores the role of implementation science in the success of quality improvement projects. Inclusion of expert implementation specialists and coaches were identified as best practices for successful quality improvement and patient safety projects. COVID-19 presented challenges for some facilities, however, including halting previously successful projects.

As part of clinical learning, residents and trainees are sometimes allowed to make supervised mistakes when patient safety is not at risk. In this study, pediatric hospitalists describe potential benefits and risks of allowing failure, the process of allowing or interrupting failure, and how they decide to allow failure to happen. Consistent with previous research, patient, trainee, team, and institutional factors were identified. Additionally, caregiver/parent factors were noted.

Learning to recover after a medical error is an important component of medical training. This qualitative study, which included postgraduate trainees from Europe and Canada, concluded that failure represents a valuable learning opportunity, but noted the importance of perceived intentions if trainees judge that their supervisors have allowed them to fail.

Achieving high reliability is a goal for every healthcare organization. Based on interviews with hospital leadership, clinicians, and staff, this study explored how healthcare professionals understand and perceive high-reliability principles. Findings indicate that some principles are more supported than others and identified inconsistent understanding of principles across different types of healthcare professionals.

… errors to arise naturally and not preventing them) is a common strategy used in clinical training. This qualitative …

… Barriers and facilitators were also discussed. … Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident management: a qualitative study. J Nurs Care Qual. Epub 2021 Jun 15. …

… errors to arise naturally and not preventing them) was a common strategy, particularly in procedures, medication … of trainee development and was not considered to be a threat to patient safety. …

Learning from failure is more appropriate in some contexts than others. This review examined the use of learning from failures in postgraduate medicine and found further research is needed to understand how this strategy affects patient safety and learner resilience.

… Theory Pract … Uncertainty in complex care situations is a common experience for both trainees and experienced …

This observation and interview study examined instances of surgical trainees hesitating in the operating room. Both trainees and attending physicians interpreted hesitation as incompetence. The authors suggest that this interpretation of hesitation does not support progressive autonomy for trainees and must be addressed in order to promote surgical safety.

Engaging patients and their families in quality and safety is considered central to providing truly patient-centered care. This systematic review included 48 studies involving the input of patients, family members, or caregivers on health care quality improvement initiatives to identify factors that facilitate successful engagement, patients' perceptions regarding their involvement, and patient engagement outcomes.

… These results echo earlier studies demonstrating a gap between patient preferences and clinician concerns around disclosure. … Koller D, Espin S. Views of children, parents, and health-care …

… JAMA … JAMA … The sharing of stories is a key method to provide context to drive change. The authors …

… Adverse events occur frequently in the home care setting. A previous study estimated that about 10% of patients … experienced an adverse event, and research suggests that a significant proportion of these may be preventable . Early … dependency for instrumental activities of daily living and a higher number of comorbid medical conditions placed …

Checklists have been heralded as an important tool to improve health care safety. This review examined whether the science supports that recognition. Numerous studies have been published, but the literature base hasn't been developed to fully understand the complexities of surgical checklist implementation programs.

… among residents who completed experiential training to a historical cohort, this study found that current residents …

… to patients and families is essential for maintaining a therapeutic alliance. However, less is known about what …

… medical errors to patients is essential for maintaining a therapeutic relationship and preventing further harm. This commentary describes a case in which a physician inadvertently used nonsterile instruments to …

… The American journal of medicine … Am J Med … A survey of academic medicine departments sought to identify …