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Journal Article > Study
Repeat prescribing of medications: a system-centred risk management model for primary care organisations.
Price J, Man SL, Bartlett S, Taylor K, Dinwoodie M, Bowie P. J Eval Clin Pract. 2017;23:779-796.
Systems thinking enables organization-wide efforts to enhance patient safety. Investigators employed a systems approach to reduce risks associated with repeated medication prescribing in 48 primary care practices in the National Health Service. The authors describe the main themes of the more than 750 improvement ideas generated.
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.