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- Communication Improvement 1
- Culture of Safety 2
Education and Training
- Students 1
- Error Reporting and Analysis 2
- Legal and Policy Approaches 2
- Logistical Approaches 4
- Specialization of Care 1
- Teamwork 2
Search results for "Hospitals"
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care.
Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C. Washington, DC: Public Citizen; September 13, 2016.
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.
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.
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.
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.
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.
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.
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.
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.
Journal Article > Study
Makary MA, Al-Attar A, Holzmueller CG, et al. N Engl J Med. 2007;356:2693-2699.
This survey revealed that nearly all surgical residents experience a needlestick injury during their training, but the majority are not reported. Feeling "rushed" or fatigued was a frequent contributing factor to needlesticks.
Perspectives on Safety > Interview
The Patient's Role in Safety, March 2007
Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months because of medical errors during a hospitalization at Johns Hopkins Hospital. She has subsequently become one of the nation’s foremost patient advocates for safety, forming an influential foundation (the Josie King Foundation) and partnering with Johns Hopkins to promote the field of patient safety around the world.
Bosk CL. Chicago, IL: University of Chicago Press; 2003. ISBN: 0226066789.
In this seminal study, Bosk, a medical sociologist at the University of Pennsylvania, spent a year observing the surgical residents and faculty at an unnamed hospital, in the process exploring the balance between autonomy and oversight in medical training, how physicians deal with their errors, and the nature of accountability in the medical profession. This edition, published more than two decades after Forgive and Remember was first published, includes a new prologue, epilogue, and list of appendices. The book is informative for both lay readers and clinicians.