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Journal Article > Study
Dreischulte T, Donnan P, Grant A, Hapca A, McCowan C, Guthrie B. N Engl J Med. 2016;374:1053-1064.
Adverse drug events among outpatients are common and can lead to preventable complications. Conducted in primary care practices, this cluster-randomized trial found that a combination of professional education, electronic health record alerts, and financial incentives for practices to review potentially inappropriate prescribing decreased high-risk medication prescriptions. Investigators also observed a decrease in two of the three medication-related complications associated with use of high-risk medications, suggesting a clinical benefit to this intervention. The success of this study argues for similar larger-scale, multi-modal patient safety studies to detect modest but significant improvements.
Journal Article > Commentary
Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems.
McNab D, Bowie P, Morrison J, Ross A. Educ Prim Care. 2016;27:443-450.
Approaches to preventing medical error have traditionally concentrated on learning from failure. This commentary discusses the value of drawing from excellence to improve outcomes in complex systems. The authors recommend focusing on both what went wrong and excellent performance to inform patient safety training and curriculum development.