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- Perspectives on Safety 1
- Study 1
- Audiovisual 1
- Newspaper/Magazine Article 1
- Special or Theme Issue 1
- Web Resource 3
- Meeting/Conference 4
Search results for "Education and Training"
Meeting/Conference > Oregon Meeting/Conference
Oregon Patient Safety Commission. March 15, 2019; Sentinel Hotel, Portland, OR.
This conference will feature sessions presenting tools and practices that help all health care settings move forward in their patient safety work with an emphasis on creating environments that support psychological safety. Featured speakers include Dr. Jo Shapiro. The event will also recognize exemplars from Oregon's Patient Safety Reporting Program.
Web Resource > Multi-use Website
2501 Nelson Miller Parkway. Louisville, KY, 40223.
Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41.
Skills in studying, designing, implementing, and measuring improvement initiatives are necessary to ensure broad transfer of innovations. Articles in this special issue offer insights from an international consensus-building session that explored methods of creating actionable information from health care improvement work. In the editorial, the authors suggest that guidance is needed to help investigators to enhance the rigor and transferability of results to support systemwide learning and improvement.
Audiovisual > Audiovisual Presentation
American Hospital Association and Health Research and Educational Trust. November-December 2015.
The AHA-McKesson Quest for Quality Prize winners are recognized for commitment to the goals outlined in Crossing the Quality Chasm. These webinars shared insights from health care organizations that received recognition in 2015 for implementing programs to form partnerships with patients, families, and their communities to generate improvements in health care and eliminate harm.
Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.
This piece outlines steps such as training and senior leader support that can help enhance the role of middle managers in patient safety and quality improvement.
Perspectives on Safety > Perspective
with commentary by Alison H. Page, MS, MHA, Just Culture, October 2007
We've all been there...something goes wrong, a patient is harmed, and we, as medical directors, managers, and administrators, are forced to judge the behavioral choices of another human being. Most of the time, we conduct this complex leadership function guided by little more than vague policies, personal beliefs, and intuition. Frequently, we are frustrated by the fact that many other providers have made the same mistake or behavioral choice, with no adverse outcome to the patient, and the behavior was overlooked. Quite understandably, the staff is frustrated by what appears to be inconsistent, irrational decision-making by leadership. The "just culture" concept teaches us to shift our attention from retrospective judgment of others, focused on the severity of the outcome, to real-time evaluation of behavioral choices in a rational and organized manner.
Web Resource > Multi-use Website
Maryland Patient Safety Center.
This Web site includes information related to the Collaborative's efforts in supporting safety in hospital-based emergency care.
Journal Article > Study
Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative.
Potylycki MJ, Kimmel SR, Ritter M, et al. J Nurs Adm. 2006;36:370-376.
The investigators conducted a survey to inform the implementation of a nonpunitive medication error reporting policy and educational workshop. A comparison to post-initiative findings revealed that staff perception of reporting improved after the educational initiative.
Meeting/Conference > Government Resource
Workshop Brief, User Liaison Program. Rockville, MD: Agency for Healthcare Research and Quality; June 2-4, 2003.
The goals of this workshop included sharing new knowledge, tools, and strategies for states to use in improving their patient safety programs and policies. The Agency for Healthcare Research and Quality's (AHRQ) User Liaison Program (ULP) developed the workshop to disseminate health services research findings for practical use through interactive sessions.