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P-I Staff and News Services. Seattle Post-Intelligencer. June 15, 2006:A1.
This article article reports on the results of the the 100,000 Lives Campaign.
Journal Article > Study
Struggling to invent high-reliability organizations in health care settings: insights from the field.
Dixon NM, Shofer M. Health Serv Res. 2006;41(4 Pt 2):1618-1632.June 6, 2006 E-pub.
The Agency for Healthcare Research & Quality (AHRQ) conducted interviews with senior staff members at eight health systems regarding implementation of patient safety initiatives. The goal of the interviews was to identify organizational needs when implementing patient safety efforts and summarize ongoing efforts. Although all organizations had many culture-, technology-, and system-focused patient safety projects under way, most had begun only recently. All organizations reported difficulty in implementing initiatives, primarily due to lack of a mechanism for learning from other successful health care systems. AHRQ plans to develop a learning network to facilitate dissemination of effective implementation strategies among health systems.
Newsweek. October 16, 2006:44-68, 72.
This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts as well as several short articles on safety-related topics such as disclosure and computerizing medical care.
Journal Article > Commentary
Wachter RM, Pronovost PJ. [Reply: Berwick DM, Hackbarth AD, McCannon CJ]. Jt Comm J Qual Patient Saf. 2006;32:621-627, 628-633.
In June 2006, the Institute for Healthcare Improvement (IHI) announced that hospitals participating in their 100,000 Lives Campaign saved an estimated 122,300 lives. In an invited commentary, Drs. Robert Wachter and Peter Pronovost critically analyze the campaign, the interventions promoted, and the "lives saved" estimates. While applauding IHI's remarkable efforts in stimulating the system to improve quality and safety, the authors raise concerns about the evidence base behind the recommended interventions (particularly rapid response teams) and the methodology underlying the lives saved estimate. Even as they critique some of the science, they suggest that the campaign's success in engaging so many (approximately 3,000) hospitals may hold lessons for other organizations seeking to promote improved health care. IHI President Dr. Don Berwick and colleagues respond to the commentary (available via the link below), welcoming the critical appraisal while defending both the interventions and the methods used in reporting the campaign's outcomes. Wachter and Pronovost offer further comments in response.
Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.
As part of the "Health for Life" series, Drs. Berwick and Leape discuss the notion of completely eliminating medical errors and share stories about several hospitals' efforts to raise safety standards.
Journal Article > Study
Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.
Weingart SN, Price J, Duncombe D, et al. J Nurs Care Qual. 2009;24:203-210.
This study reports on a patient safety rounding program implemented in an outpatient setting to boost reporting of near misses, adverse events, and unsafe conditions.