Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 2
- Education and Training 3
- Error Reporting and Analysis 3
- Human Factors Engineering 1
- Legal and Policy Approaches
- Quality Improvement Strategies 4
- Teamwork 1
- Technologic Approaches
Search results for ""
Perspectives on Safety > Perspective
with commentary by Ashish K. Jha, MD, MPH, The Transformation of Patient Safety at the VA, September 2006
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine (IOM), the quality and safety of health care in the United States remains far from ideal.(1) It is easy to feel pessimistic. Can health care organizations really...
Perspectives on Safety > Interview
Health Literacy and Safety, February-March 2009
Dean Schillinger, MD, is a Professor of Medicine at University of California, San Francisco, Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention and Control Program. His role as a practicing clinician at a safety net hospital (San Francisco General Hospital) has put him in a unique position to pursue influential and relevant research related to health literacy and improving care for vulnerable populations.
Journal Article > Commentary
Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.
Two of the leaders in the patient safety movement, Lucian Leape and Donald Berwick, share their perspectives on the progress made since the Institute of Medicine's (IOM) release of To Err is Human. They summarize the shifts in thinking that have occurred, from blaming individual physicians towards targeting systems as a method to improve both quality and safety. Discussion includes the evolution of error prevention strategies, the role of interested stakeholders in the safety movement, and the impact of implementing best practices. Barriers to ongoing progress are also shared, including the increasing complexity of health care, a tradition of autonomy in care, and the current financial incentive systems. The authors provide a vision for the next five years with expectations for rapid change in adoption of electronic medical records, teamwork training, and full disclosure to patients. While they applaud several efforts and initiatives, such as the growth of AHRQ-funded research, the authors call for a rededication of providers and policymakers to the cause of patient safety, promoted by increased funding, better alignment of incentives, and the setting of ambitious but achievable safety targets.
Journal Article > Commentary
Conway PH, Clancy C. JAMA. 2009;301:763-765.
This commentary emphasizes five key drivers to improve health care delivery and suggests next steps to accomplish such changes.
Grant > Government Resource
Understanding Clinical Information Needs and Health Care Decision Making Processes in the Context of Health Information Technology (R01).
Rockville, MD: Agency for Healthcare Research and Quality. Program Announcement No. PA-11-198.
This AHRQ funding program will support research in team decision making processes in health care.