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Search results for "Educators"
Safer delivery of surgical services: a programme of controlled before-and-after intervention studies with pre-planned pooled data analysis.
McCulloch P, Morgan L, Flynn L, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2016.
This publication reports five British hospitals' experiences with teamwork interventions in surgical teams. Although teamwork training alone improved how teams functioned, it did not always enhance clinical performance. The investigators found that integrated training that combines technical and social improvements, such as Lean, resulted in more effective improvements.
Lopreiato JO, Downing D, Gammon W, et al; Terminology & Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publication No. 16(17)-0043.
Developed by AHRQ in partnership with the Society for Simulation in Healthcare, this dictionary represents an effort to standardize language associated with simulation in order to improve communication about and application of the strategy. The terms in the initial collection will be expanded and revised over time.
Trowbridge RL Jr, Rencic JJ, Durning SJ, eds. Philadelphia, PA: American College of Physicians; 2015. ISBN: 9781938921056.
Safety Cases Working Group. London, UK: Health Foundation; 2015.
This report describes a consensus-building initiative in the United Kingdom seeking to determine ways safety cases can be used as learning tools. The results explain how to utilize cases to introduce changes, improve services, and enhance safety efforts in hospitals. Practical application of this technique may also help promote a culture of safety.
Manchester, UK: General Medical Council; November 2014.
Waterson P, ed. London, UK: Ashgate; 2014. ISBN: 9781409448143.
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration.
Tucker AL. Cambridge, MA: Harvard Business School; November 19, 2012. (Revised September 2013). HBS Working Paper No. 13-044.
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings.
Roundtable on Value and Science Driven Healthcare; Institute of Medicine. Washington, DC: National Academies Press; 2013. ISBN: 9780309288965.
This publication reports on a workshop that explored methods to engage patients and families in safety improvement efforts, including shared decision making and providing information to consumers about costs.
WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958.
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.
The 2003 regulations limiting housestaff work hours have had a profound impact on residency training. Although clinical outcomes appear to be unaffected, faculty and residents have expressed concern that education has been harmed, and the regulations' effect on patient safety remains unclear. The Institute of Medicine's report bases its recommendations on the growing body of research linking clinician fatigue and error, and recommends eliminating extended-duration shifts (defined as more than 16 hours), increasing days off, and improving sleep hygiene by reducing night duty and providing more scheduled sleep breaks. The report estimates that approximately $1.7 billion would be required to hire additional staff to allow residency programs to adhere to these recommendations. A related editorial discusses the balance between patient safety, resident safety, and resident education that was central to the development of these recommendations.
Oakbrook, IL: Joint Commission Resources; 2007. ISBN: 9781599400846.
This workbook includes background on disruptive behaviors and provides tools for health care managers to develop awareness initiatives and policies to reduce the impact and occurrence of such behavior.
Norman DA. New York, NY: Basic Books; 2002.
Norman, a cognitive psychologist, outlines the elements of effective user-centered design, which include making the inner workings of devices visible, exploiting natural function, controlling relationships, and using constraints successfully. Through both fable and anecdote, Norman illustrates forcing functions and how bad design can exacerbate the consequences of human error. This classic text is a valuable introduction to the role of design in patient safety. [Note: Originally published in 1988 as The Psychology of Everyday Things.]
Weick KE. Thousand Oaks, CA: Sage Publications; 1995.
Weick's work has influenced many important thinkers in patient safety, most notably Don Berwick, as seen in his story Escape Fire, which illustrates the disasters that befall teams when "sensemaking" is absent or disappears in a crisis. Weick's thinking encompasses the notion that both individuals and teams often overlook important problems because they put on cognitive blinders based on their biases and expectations and that individuals or teams working in complex enterprises often err because they lose the ability to make rational decisions in the face of crises. All of this is useful and intuitively logical, although one finishes Weick's book not entirely sure how to improve sensemaking in a clinical context.
London, UK: Royal College of Surgeons of England; 2019.
Physical demands and technical complexities can affect surgical safety. This resource is designed to capture frontline perceptions of surgeons in the United Kingdom regarding concerning behaviors exhibited by their peers during practice to facilitate awareness of problems, motivate improvement, and enable learning.
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019.
Burnout can diminish the safety of clinicians, students, health care workers, and patients. This report suggests institutions apply design thinking and systems thinking methods to develop interventions to reduce burnout and stress. A past Annual Perspective covered the impact of burnout on patient safety.
Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
Surgical residency can be a stressful learning experience. This textbook provides an introduction to nontechnical aspects of safe surgical practice, a collection of case studies that illustrate technical challenges in the operating room, and insights regarding other elements of health care that can affect the safety of surgical care, such as health information technology.
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
Surgical training is demanding and can result in burnout. This publication explores deficiencies in surgical training that can contribute to a stressful work environment and diminish the safety of care delivery. The report recommends changes to improve work climate and reduce the potential for error, including establishing a strong team culture and promoting human factors training.
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance—A Handbook for Acute Care Health Professionals.
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2017. ISBN: 9781926588414.
Nontechnical skill development has gained attention as a way to enhance patient safety. This publication highlights how crisis resource management can help develop nontechnical expertise to enhance team performance. Strategies covered in the text include situational awareness, team communication, decision making, and leadership in the acute care environment.
Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016.
Integrating patient safety concepts into graduate medical education addresses an unmet need. This report draws from the results of a multidimensional review of learner perspectives to gain insights regarding how their education has prepared them for safe practice. The analysis highlights the current status of patient safety in resident and fellow education, reporting and incident review, and monitoring outcomes of safety interventions in the experiential learning environment.
RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
The Institute of Medicine called for enhanced transparency in the reporting of health IT safety incidents to inform implementation and use of such technologies. This report reviews insights from a multidisciplinary task force that discussed how to design an entity focused on improving health IT–related safety that enables collaboration and learning.