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- Culture of Safety 1
Education and Training
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- Error Reporting and Analysis 2
- Legal and Policy Approaches 1
- Logistical Approaches
- Quality Improvement Strategies
- Teamwork 1
Search results for "Education and Training"
Perspectives on Safety > Interview
Medical Education and Patient Safety, February 2010
Thomas J. Nasca, MD, is the executive director and chief executive officer of the Accreditation Council for Graduate Medical Education (ACGME). Prior to joining the ACGME in 2007, Dr. Nasca, a nephrologist, was dean of Jefferson Medical College and Senior Vice President for Academic Affairs of Thomas Jefferson University. We asked him to speak with us about the role of the ACGME in patient safety.
Journal Article > Study
Mitchell CD, Mooty CR, Dunn EL, Ramberger KC, Mangram AJ. Am J Surg. 2009;198:811-816.
Regulations limiting duty hours for resident physicians were intended to improve safety, as resident fatigue has been linked to self-reported medical errors. Since the regulations were implemented, clinical outcomes have been unaffected, but it remains unclear if patient safety has improved. In this study, investigators performed root cause analyses on more than 100 cases of sentinel events to identify underlying causes, but did not find any cases where resident fatigue was a clear factor in the event. The Institute of Medicine recently issued recommendations for new duty hour regulations, and new regulations are expected to be implemented in 2011.
Journal Article > Commentary
Millard WB. Ann Emerg Med. 2009;54:A25-A29.
The author debates the viability of the Institute of Medicine residency training reforms noted in their 2008 report and outlines concerns related to the 80-hour resident work week.
Cases & Commentaries
- Spotlight Case
- Web M&M
F. Daniel Duffy, MD; Christine K. Cassel, MD; October 2007
Following surgery, a woman on a patient-controlled analgesia pump is found to be lethargic and incoherent, with a low respiratory rate. The nurse contacted the attending physician, who dismisses the patient's symptoms and chastises the nurse for the late call.
ISMP Medication Safety Alert. June 2, 2005.
This article summarizes the effects of workplace fatigue and provides suggestions for minimizing it.