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Perspectives on Safety > Interview
Patient Safety Programs, July 2006
Allan Frankel, MD, is Director of Patient Safety for Partners HealthCare, the merged entity of Harvard hospitals and clinics that includes Massachusetts General and Brigham and Women's Hospital. Dr. Frankel, an anesthesiologist by training, has been a key member of the faculty of the Institute for Healthcare Improvement, co-chairing numerous Adverse Drug Events and Patient Safety Collaboratives. Dr. Frankel's work in patient safety focuses on leadership training, high reliability in health care, teamwork development, and cultural change. We asked Dr. Frankel to speak with us about developing a comprehensive patient safety program.
Journal Article > Study
Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.
Collaboration and communication between team members are key determinants of safety culture, but these concepts have thus far been better studied in the inpatient setting than in ambulatory care. In this study, the Safety Attitudes Questionnaire was used to measure teamwork between nurses, pharmacists, and physicians in four outpatient clinics. While nurses and physicians appeared to work well together, problems were identified with pharmacists' interactions with both nurses and physicians. Based on this finding, the authors suggest that teamwork training interventions in the outpatient setting should focus on these interprofessional interactions. A Patient Safety Primer discusses these and other issues pertaining to ambulatory patient safety.
Journal Article > Review
Barr D, Epps QJ. J Thromb Thrombolysis. 2019;47:146-154.
Anticoagulants are commonly prescribed medications that have high potential for harm if administered incorrectly. This review summarizes common errors at the prescribing, dispensing, and administration phases of direct oral anticoagulant therapy. The authors suggest team-based strategies—such as process assessment, policy development, and medication reconciliation—to prevent adverse drug events associated with direct oral anticoagulants.