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- Communication Improvement 2
- Culture of Safety
- Education and Training 3
- Error Reporting and Analysis 2
- Human Factors Engineering 1
- Quality Improvement Strategies 3
- Teamwork 1
Search results for "Culture of Safety"
- Culture of Safety
- Outpatient Surgery
Journal Article > Commentary
Mueller BU, Neuspiel DR, Fisher ERS; Council on Quality Improvement and Patient Safety. Pediatrics. 2019;143:e20183649.
This updated policy statement from the American Academy of Pediatrics reviews the epidemiology of medical errors in children, examines unique issues in safety for pediatric patients, and discusses specific approaches to improving safety in pediatrics. The article emphasizes the responsibility of pediatricians to be familiar with patient safety concepts and techniques, and the importance of establishing a culture of safety in both inpatient and outpatient settings. The article concludes with a series of specific recommendations for advancing the science of patient safety within the field of pediatrics.
Special or Theme Issue
Azar FM, ed. Orthop Clin North Am. 2018;49:A1-A8,389-552.
Quality and value have intersecting influence on the safety of health care. Articles in this special issue explore key principles of safe orthopedic care for both adult and pediatric patients. Topics covered include leadership's role in implementing sustainable improvement, postsurgery patient education as a safety tactic, and the impact of surgical volume on safe, high-quality care.
Journal Article > Study
Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting.
Farag AA, Anthony MK. J Perianesth Nurs. 2015;30:492-503.
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.
This report makes recommendations and provides strategies to ensure safe practice in surgical care.
Journal Article > Study
“Water cooler” learning: knowledge sharing at the clinical “backstage” and its contribution to patient safety.
Waring JJ, Bishop S. J Health Organ Manag. 2010;24:325-342.
Reporting systems, morbidity and mortality conferences, and case review all serve as mechanisms to learn about adverse events and identify opportunities for improvement. However, many of these forums rely on voluntary measures to bring issues to the forefront, leaving many ''water cooler'' conversations as a lost opportunity for organizational learning. This ethnographic study explores how informal knowledge sharing, the proverbial water cooler conversation, takes place in a staff lounge, a storeroom, and an operating room corridor. The authors found rich information sharing in this context, perhaps fueled by the trusting and mutually desired setting for the exchanges. They advocate for greater attention to capturing and fostering these communications as a potentially important source of hidden advancement in patient safety knowledge and a positive safety culture.
Journal Article > Review
Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.
Clayman MA, Clayman SM, Steele MH, Seagle MB. Ann Plastic Surg. 2007;58:288-291.
The authors review data on adverse events after outpatient surgical procedures in the state of Florida and discuss efforts to improve the safety culture within the field of plastic surgery.
Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.
This article discusses the application of several Joint Commission on Accreditation of Healthcare Organizations (JCAHO) National Patient Safety Goals in ambulatory surgery centers (ASCs) and interviews one practitioner about implementing patient safety interventions in his ASC.
Legislation/Regulation > Congressional Testimony
Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations.
Testimony before the Permanent Subcommittee on Investigations of the Senate Committee of Governmental Affairs, 108th Cong, 1st Sess (June 11, 2003) (statement of Carolyn M. Clancy, MD).
In this statement, AHRQ Director Carolyn Clancy reviews the work of the Agency for Healthcare Research and Quality and other health care entities to build support for research and improvements in patient safety.