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Perspectives on Safety > Perspective
with commentary by Amy K. Rosen, PhD, Measuring Patient Safety, November 2010
Emergency medicine has evolved from a location, with variably trained and experienced providers ("the ER"), to a discipline with a well-defined knowledge base and skill set that focus on the diagnosis and care of undifferentiated acute problems.
Perspectives on Safety > Interview
Measuring Patient Safety, November 2010
Patrick S. Romano, MD, MPH, is Professor of Medicine and Pediatrics at the University of California, Davis, School of Medicine.
ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.
This article discusses the difference between a blame-free and just culture and describes why the latter will effectively sustain and support patient safety efforts.
Journal Article > Study
Loren DJ, Garbutt J, Dunagan WC, et al. Jt Comm J Qual Patient Saf. 2010;36:101-108.
Patients desire and deserve disclosure of any errors that occur in their care, but fear of malpractice lawsuits is one of many factors that contribute to clinicians failing to disclose errors in a timely and transparent fashion. This survey compared how risk management professionals and physicians responded to simulated error scenarios. The researchers found that while risk managers were more likely to recommend full disclosure of both serious and less serious errors, physicians were more likely to offer an apology to the patient. Apologies may in fact be used as evidence in a malpractice lawsuit under certain circumstances—a 2008 review of "apology laws" found that while "expressions of sympathy" are generally protected from use as evidence, "admissions of fault" are admissible, even when such admissions include an apology. This fact may have influenced the risk managers' advice against apologizing. The tense relationship between error disclosure and malpractice liability is discussed in a PSNet perspective.
London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.
This report summarizes findings from a survey querying physicians about United Kingdom National Health Service whistleblowing policies.
Zeis M. HealthLeaders Media. July/August 2013;16:26-28.
This article reports on the results of a survey investigating the use of metrics in hospitals to motivate quality and safety improvement work.
Journal Article > Study
Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method.
Rutberg H, Risberg MB, Sjödahl R, Nordqvist P, Valter, L, Nilsson L. BMJ Open. 2014;4:e004879.