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Jewett C. Kaiser Health News. May 3, 2019.
Transparency has been heralded as a cornerstone to improvement in health care. This news article reports on a government alternative summary reporting program that allowed medical device makers to conceal safety events and malfunction reports associated with medical devices. A new program that expands access to information about device-related failures will be put in place.
Journal Article > Commentary
Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.
Macrae C. J R Soc Med. 2019 May 22; [Epub ahead of print].
Incident investigations present important opportunities for process examination and redesign. This commentary recommends five strategies to ensure investigations inform patient safety improvement. The author emphasizes a focus on system risks, redesigning systems, examination process transparency, public accountability, and consideration of patient, family, and staff experiences.