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- Culture of Safety 3
Education and Training
- Residents and Fellows
- Students 3
- Error Reporting and Analysis 1
- Legal and Policy Approaches 1
- Logistical Approaches 6
- Quality Improvement Strategies 1
- Specialization of Care 1
- Teamwork 2
- Clinical Information Systems 1
Search results for "Residents and Fellows"
- Newspaper/Magazine Article
- Residents and Fellows
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.
Blau M. STAT. April 20, 2018.
The hidden curriculum, staff burnout, and other organizational norms contribute to behaviors that put both care teams and patients at risk. Reporting on clusters of safety violations the Centers for Medicare and Medicaid Services found at teaching hospitals, this news article suggests that trainees who learn in environments where patients receive unsafe care may perpetuate poor practices and reviews how teaching hospitals are working to change behavior and educate trainees about patient safety.
Landro L. Wall Street Journal. August. 8, 2016.
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to demonstrate competency. This newspaper article reports on one hospital's strategy to enhance communication among residents and attendings, which encourages residents to ask questions of senior clinicians who are coached to welcome learning conversations.
Sanghavi D. New York Times Magazine. August 5, 2011.
This news article discusses the problem of fatigue in resident physicians and the fragmented systems of care that contribute to error.
Leape L, Haskell H. Los Angeles Times. July 01, 2011.
ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.
This piece discusses the effects of personal behaviors and peer interactions on an organization's safety culture.
Shapira I. Washington Post. March 18, 2010;B01.
This news piece examines the work week of resident physicians and discusses how further limiting trainees' work hours might reduce their experiential learning.
Kuehn BM. JAMA. 2009;301:259-261.
This article summarizes findings of the recent Institute of Medicine report, which advises against resident work shifts of longer than 16 hours without sleep and recommends better supervision of residents to improve patient safety.
Landro L. Wall Street Journal. July 11, 2007:D1.
This article reports on hospitals that are creating dedicated teams of experts who have the skills to perform risky medical procedures.
Young D. Am J Health Syst Pharm. 2005;62:2450-2451.
This news piece highlights a medication-use safety residency program at Johns Hopkins Hospital.
Hester JL. The Atlantic. October 1, 2015.
Although there is no consensus regarding whether the "July effect" actually exists, it is not hard to imagine the difficulties associated with the first days of practice for a new physician. This magazine article reports on the challenges first-year residents face, including burnout and gaps in practical experience, and describes efforts meant to address this problem, such as duty-hour reform and humanistic curricula in medical schools to help physicians develop their own professional identity.
Webster H. US News & World Report. October 27, 2014.
This magazine article explores whether receiving care at a teaching hospital affects patient safety and highlights how the demands of the educational process can actually augment safety, as attendings at these institutions typically remain up-to-date on new evidence to respond to students' questions and supervision is required for students performing procedures.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
This article discusses how several health care organizations used health information technology to improve organizational transparency.
Egerton B. Dallas Morning News. November 14, 2010;A01.
This newspaper article investigates how surgical errors and postoperative complications affected one woman's life and discusses factors that contributed to the errors, including ineffective trainee supervision.
Kalb C. Newsweek. Oct 4, 2010;156:48.
This news piece describes adjustments made in medical training to enable safe, team-oriented practice during residency.
Dunklin R, Goetinck Ambrose S, Egerton B. Dallas Morning News. August 1, 2010:A01.
This newspaper article reveals how one teaching hospital facilitated error through ineffective resident training, weak oversight, and poor safety culture.
Chen PW. New York Times. January 28, 2010.
This newspaper column explains how simulation training is being integrated into medical education to help clinical teams improve their skills and ensure patient safety.
Voelker R. JAMA. 2009;302:2190-2192.
This news article reports on the growth of simulation as a teaching tool and describes several examples of its successful use in clinical education.
Chen PW. New York Times. October 1, 2009.
This column discusses how life stresses affect the reliability and safety of care provided by over-extended clinicians in light of a recent study on the topic.
Kowalczyk L. Boston Globe. September 7, 2008;Metro section:1A.
This article reports on violations of ACGME work hour restrictions in some Boston hospitals. Approximately 9% of all training programs in the United States have been cited for such violations in the past year.