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Cases & Commentaries
- Web M&M
Ken J. Farion, MD; July 2003
A physician in the ED mistakenly glues a child's eye shut when attempting to close a facial wound with skin adhesive.
Tools/Toolkit > Toolkit
Building the Future for Patient Safety: Developing Consumer Champions—A Workshop and Resource Guide.
Chicago, IL: Consumers Advancing Patient Safety; 2007.
This guide describes the Consumers Advancing Patient Safety workshop process, which can be adapted and used to help consumers become active partners in patient safety work. Resources to be used during a workshop are also provided.
Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.
This piece outlines steps such as training and senior leader support that can help enhance the role of middle managers in patient safety and quality improvement.
Audiovisual > Audiovisual Presentation
Agency for Healthcare Research and Quality. July 15, 2015.
Ambulatory surgery centers have been the focus of patient safety concerns due to high-profile incidents of harm. This webinar highlighted the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture, results of its pilot test, and insights from hospitals using the survey.
ProPublica. March 23, 2016; Kaiser Family Foundation's Barbara Jordan Conference Center, Washington, DC.
Reporting mechanisms to share performance data with consumers have been launched in an effort to increase transparency, but there are criticisms regarding their usefulness. In response to the launch of the Surgeon Scorecard, this session features a discussion on causes of patient harm, the role of transparency in enhancing safety, and the value of publicly available data in assisting in provider selection. Featured panelists include Dr. Ashish Jha and Dr. Martin Makary.