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Search results for "Education and Training"
Journal Article > Commentary
Schilling L, Dearing JW, Staley P, Harvey P, Fahey L, Kuruppu F. Jt Comm J Qual Patient Saf. 2011;37:532-543.
This article discusses Kaiser Permanente's efforts to develop a performance improvement system and become a learning organization.
Special or Theme Issue
Med J Aust. 2006;184:S37-S72.
This special issue includes numerous articles reviewing the activities and successes of the patient safety movement outside the United States.
Carruthers I, Phillip P. London, UK: National Patient Safety Agency; 2006.
This report reviews the challenges of patient safety efforts of the National Health Service and provides recommendations to further improve health care safety.
Journal Article > Study
Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.
This AHRQ–funded study directly observed residents and attendings in the medical intensive care unit and trauma surgery services at an academic medical center with the goal of examining responses to errors and near misses. The authors analyzed the positive and negative aspects of specific features of the physician work culture, including the "aloofness" of attending physicians, the emphasis on avoiding "surprises" in discussing clinical information, and "pimping" of residents by attendings. Although multiple errors and near misses were observed, these were generally not used as learning opportunities, as has been found in prior research. Specific techniques that encourage a learning culture, such as providing feedback and encouraging inquiry, were rarely used in response to errors.
Grant > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; June 2005. AHRQ Publication No. 05-P003-3.
This program brief summarizes patient safety research projects funded by the Agency for Healthcare Research and Quality (AHRQ) since 2001.