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Fundamentals of health care improvement: a guide to improving your patients' careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Morse, C, Finkelstein, J Tags: PostScript Source Type: journals

Frank and Lillian Gilbreth: scientific management in the operating roomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Baumgart, A, Neuhauser, D Tags: Heroes and martyrs Source Type: journals

Improving the use of venous thromboembolism prophylaxis in an Australian teaching hospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Affordable and accessible interventions can improve the application of VTE prophylaxis guidelines into daily hospital care and are associated with reductions in this potentially life-threatening complication. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Gallagher, M, Oliver, K, Hurwitz, M Tags: Quality improvement reports Source Type: journals

Medication reconciliation in ambulatory care: attempts at improvementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In this setting, it was helpful to engage the active participation of all members of the healthcare team and most importantly the patient to improve the accuracy of medication lists. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Nassaralla, C L, Naessens, J M, Hunt, V L, Bhagra, A, Chaudhry, R, Hansen, M A, Tulledge-Scheitel, S M Tags: Original research Source Type: journals

Exploring policy makers' perspectives on a clinical controversy: airway surgery for adult obstructive sleep apnoeaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This report highlights that this clinical controversy is of interest and relevance from a policy perspective with lessons and potential implications for clinical practice. It further highlights the need for clinical consensus on definitions of surgical "success" in treating this condition, as this forms an important pretext to policy considerations. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Elshaug, A G, Hiller, J E, Moss, J R Tags: Original research Source Type: journals

Development and usability of a behavioural marking system for performance assessment of obstetrical teamsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Feedback regarding usability suggests that the AOTP allows for an accurate reflection of raters’ assessments of the performance of the team, and as a whole, it is comprehensive, quick and easy to use. Studies are underway to establish the validity and reliability of the AOTP and GAOTP. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Tregunno, D, Pittini, R, Haley, M, Morgan, P J Tags: Original research Source Type: journals

Effects of evidence-based clinical practice guidelines on quality of care: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This review demonstrates that Dutch evidence-based clinical guidelines can be effective in improving the process and structure of care. The effects of guidelines on patient health outcomes were studied far less and data are less convincing. The high level of variation in effects across recommendations suggests that implementation strategies tailored to individual recommendations within the guideline are needed to establish relevant improvements in healthcare. Moreover, the results highlight the need for well-designed studies focusing on the level of the recommendations to determine which factors influence guid...
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Lugtenberg, M, Burgers, J S, Westert, G P Tags: Original research Source Type: journals

Safety analysis of patient transfers and handling tasksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Nursing tasks impose high biomechanical demands on the lumbar spine. Excessive lumbar flexion and forces are critical aspects of manual transfers requiring most of the nurses’ capabilities. Evidence-based recommendations to improve low-back safety in common nursing tasks were provided. Fitness to work, job modifications and training programs can now be designed and assessed based on the results. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Vieira, E., Kumar, S Tags: Original research Source Type: journals

Assessment of patients' tendency to give a positive or negative rating to healthcareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: A patient’s "rating tendency" can be measured using a reliable 10-item scale. The utility of adjusting satisfaction scores for rating tendency when comparing hospitals remains to be tested. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Agoritsas, T, Lubbeke, A, Schiesari, L, Perneger, T V Tags: Original research Source Type: journals

Reduced in-hospital mortality for heart failure with clinical pathways: the results of a cluster randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study adds to previous knowledge indicating that CP should be used to improve the quality of hospital treatment of HF. Trial registration number: NCT00519038 (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Panella, M, Marchisio, S, Demarchi, M L, Manzoli, L, Di Stanislao, F Tags: Original research Source Type: journals

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Frontline medical care providers, led by process design specialists, can successfully redesign episodic processes to consistently deliver evidence-based medicine, which may improve patient outcomes and reduce resource use. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Berry, S A, Doll, M C, McKinley, K E, Casale, A S, Bothe, A Tags: Original research Source Type: journals

Improving colon cancer screening rates in primary care: a pilot study emphasising the role of the medical assistantEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The MA can play a key role in improving CRC screening rates as part of a redesigned system of primary care. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Baker, A N, Parsons, M, Donnelly, S M, Johnson, L, Day, J, Mervis, A, James, B, Burt, R, Magill, M K Tags: Original research Source Type: journals

Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in EnglandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Staff feedback was associated with patient-reported experience. Positive staff feedback on availability of hand-washing materials was broadly reflective of positive patient experience. Negative staff experience was reflected in poorer patient experience and vice versa. Although we cannot demonstrate causality, the consistent direction of the findings is indicative of it. Management boards of trusts and clinicians and other staff should monitor and act on the results of their staff surveys. This has the potential for improving quality, safety and patient experience. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Raleigh, V S, Hussey, D, Seccombe, I, Qi, R Tags: Original research Source Type: journals

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older peopleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: That two thirds of residents were exposed to one or more medication errors is of concern. The will to improve exists, but there is a lack of overall responsibility. Action is required from all concerned. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Barber, N D, Alldred, D P, Raynor, D K, Dickinson, R, Garfield, S, Jesson, B, Lim, R, Savage, I, Standage, C, Buckle, P, Carpenter, J, Franklin, B, Woloshynowych, M, Zermansky, A G Tags: Original research Source Type: journals

Estimates of injury risks for healthcare personnel working night shifts and long hoursEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Healthcare managers responsible for quality improvement and patient safety programmes should be aware of the possibility for worker fatigue and injury in particular scheduling arrangements. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Dembe, A E, Delbos, R, Erickson, J B Tags: Error management Source Type: journals

Enhancing medication use safety: benefits of learning from your peersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: MEDSAFE has directly assisted Maryland hospitals in improving medication use safety. The strategies and tools of MEDSAFE have been used in Maryland since 2000 and Singapore and Austria since 2006. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Kazandjian, V A, Ogunbo, S, Wicker, K G, Vaida, A J, Pipesh, F Tags: Error management Source Type: journals

The natural history of recovery for the healthcare provider "second victim" after adverse patient eventsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We now believe the post-event trajectory is largely predictable. Institutional programs could be developed to successfully screen at-risk professionals immediately after an event, and appropriate support could be deployed to expedite recovery and mitigate adverse career outcomes. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Scott, S D, Hirschinger, L E, Cox, K R, McCoig, M, Brandt, J, Hall, L W Tags: Error management Source Type: journals

The role of an ethical culture for the prevention and recovery of "second victims"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Nelson, W. A, Beyea, S. C Tags: Commentaries Source Type: journals

SQUIRE after one yearEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Stevens, D. P Tags: Editorials Source Type: journals

Quality linesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Stevens, D. P Tags: Quality lines Source Type: journals

Fundamentals of health care improvement: a guide to improving your patients' care [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Morse, C, Finkelstein, J Tags: PostScript Source Type: journals

Frank and Lillian Gilbreth: scientific management in the operating room [Heroes and martyrs]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Baumgart, A, Neuhauser, D Tags: Heroes and martyrs Source Type: journals

Improving the use of venous thromboembolism prophylaxis in an Australian teaching hospital [Quality improvement reports]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Affordable and accessible interventions can improve the application of VTE prophylaxis guidelines into daily hospital care and are associated with reductions in this potentially life-threatening complication. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Gallagher, M, Oliver, K, Hurwitz, M Tags: Quality improvement reports Source Type: journals

Medication reconciliation in ambulatory care: attempts at improvement [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In this setting, it was helpful to engage the active participation of all members of the healthcare team and most importantly the patient to improve the accuracy of medication lists. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Nassaralla, C L, Naessens, J M, Hunt, V L, Bhagra, A, Chaudhry, R, Hansen, M A, Tulledge-Scheitel, S M Tags: Original research Source Type: journals

Exploring policy makers' perspectives on a clinical controversy: airway surgery for adult obstructive sleep apnoea [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This report highlights that this clinical controversy is of interest and relevance from a policy perspective with lessons and potential implications for clinical practice. It further highlights the need for clinical consensus on definitions of surgical "success" in treating this condition, as this forms an important pretext to policy considerations. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Elshaug, A G, Hiller, J E, Moss, J R Tags: Original research Source Type: journals

Development and usability of a behavioural marking system for performance assessment of obstetrical teams [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Feedback regarding usability suggests that the AOTP allows for an accurate reflection of raters’ assessments of the performance of the team, and as a whole, it is comprehensive, quick and easy to use. Studies are underway to establish the validity and reliability of the AOTP and GAOTP. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Tregunno, D, Pittini, R, Haley, M, Morgan, P J Tags: Original research Source Type: journals

Effects of evidence-based clinical practice guidelines on quality of care: a systematic review [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This review demonstrates that Dutch evidence-based clinical guidelines can be effective in improving the process and structure of care. The effects of guidelines on patient health outcomes were studied far less and data are less convincing. The high level of variation in effects across recommendations suggests that implementation strategies tailored to individual recommendations within the guideline are needed to establish relevant improvements in healthcare. Moreover, the results highlight the need for well-designed studies focusing on the level of the recommendations to determine which factors influence guid...
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Lugtenberg, M, Burgers, J S, Westert, G P Tags: Original research Source Type: journals

Safety analysis of patient transfers and handling tasks [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Nursing tasks impose high biomechanical demands on the lumbar spine. Excessive lumbar flexion and forces are critical aspects of manual transfers requiring most of the nurses’ capabilities. Evidence-based recommendations to improve low-back safety in common nursing tasks were provided. Fitness to work, job modifications and training programs can now be designed and assessed based on the results. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Vieira, E., Kumar, S Tags: Original research Source Type: journals

Assessment of patients' tendency to give a positive or negative rating to healthcare [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: A patient’s "rating tendency" can be measured using a reliable 10-item scale. The utility of adjusting satisfaction scores for rating tendency when comparing hospitals remains to be tested. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Agoritsas, T, Lubbeke, A, Schiesari, L, Perneger, T V Tags: Original research Source Type: journals

Reduced in-hospital mortality for heart failure with clinical pathways: the results of a cluster randomised controlled trial [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study adds to previous knowledge indicating that CP should be used to improve the quality of hospital treatment of HF. Trial registration number: NCT00519038 (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Panella, M, Marchisio, S, Demarchi, M L, Manzoli, L, Di Stanislao, F Tags: Original research Source Type: journals

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Frontline medical care providers, led by process design specialists, can successfully redesign episodic processes to consistently deliver evidence-based medicine, which may improve patient outcomes and reduce resource use. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Berry, S A, Doll, M C, McKinley, K E, Casale, A S, Bothe, A Tags: Original research Source Type: journals

Improving colon cancer screening rates in primary care: a pilot study emphasising the role of the medical assistant [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The MA can play a key role in improving CRC screening rates as part of a redesigned system of primary care. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Baker, A N, Parsons, M, Donnelly, S M, Johnson, L, Day, J, Mervis, A, James, B, Burt, R, Magill, M K Tags: Original research Source Type: journals

Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in England [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Staff feedback was associated with patient-reported experience. Positive staff feedback on availability of hand-washing materials was broadly reflective of positive patient experience. Negative staff experience was reflected in poorer patient experience and vice versa. Although we cannot demonstrate causality, the consistent direction of the findings is indicative of it. Management boards of trusts and clinicians and other staff should monitor and act on the results of their staff surveys. This has the potential for improving quality, safety and patient experience. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Raleigh, V S, Hussey, D, Seccombe, I, Qi, R Tags: Original research Source Type: journals

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people [Original research]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: That two thirds of residents were exposed to one or more medication errors is of concern. The will to improve exists, but there is a lack of overall responsibility. Action is required from all concerned. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Barber, N D, Alldred, D P, Raynor, D K, Dickinson, R, Garfield, S, Jesson, B, Lim, R, Savage, I, Standage, C, Buckle, P, Carpenter, J, Franklin, B, Woloshynowych, M, Zermansky, A G Tags: Original research Source Type: journals

Estimates of injury risks for healthcare personnel working night shifts and long hours [Error management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Healthcare managers responsible for quality improvement and patient safety programmes should be aware of the possibility for worker fatigue and injury in particular scheduling arrangements. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Dembe, A E, Delbos, R, Erickson, J B Tags: Error management Source Type: journals

Enhancing medication use safety: benefits of learning from your peers [Error management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: MEDSAFE has directly assisted Maryland hospitals in improving medication use safety. The strategies and tools of MEDSAFE have been used in Maryland since 2000 and Singapore and Austria since 2006. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Kazandjian, V A, Ogunbo, S, Wicker, K G, Vaida, A J, Pipesh, F Tags: Error management Source Type: journals

The natural history of recovery for the healthcare provider "second victim" after adverse patient events [Error management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We now believe the post-event trajectory is largely predictable. Institutional programs could be developed to successfully screen at-risk professionals immediately after an event, and appropriate support could be deployed to expedite recovery and mitigate adverse career outcomes. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Scott, S D, Hirschinger, L E, Cox, K R, McCoig, M, Brandt, J, Hall, L W Tags: Error management Source Type: journals

The role of an ethical culture for the prevention and recovery of "second victims" [Commentaries]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Nelson, W. A, Beyea, S. C Tags: Commentaries Source Type: journals

SQUIRE after one year [Editorials]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Stevens, D. P Tags: Editorials Source Type: journals

Quality lines [Quality lines]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - October 7, 2009 Category: Health Management Authors: Stevens, D. P Tags: Quality lines Source Type: journals

Clinical pathways as a healthcare tool: design, implementation and assessment of a clinical pathway for lower-extremity deep venous thrombosis [Quality improvement reports]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The implementation of a lower-extremity DVT clinical pathway in our institution has help to reduce hospitalisation costs, due to a decreased length of hospital stay. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Verdu, A, Maestre, A, Lopez, P, Gil, V, Martin-Hidalgo, A, Castano, J A Tags: Quality improvement reports Source Type: journals

A decision-tree model to estimate the impact on cost-effectiveness of a venous thromboembolism prophylaxis guideline [Quality improvement reports]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The implementation of locally adapted GL on VTE prophylaxis may lead to a benefit in terms of both costs and effects, especially for the highest-risk patients. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Ferrando, A, Pagano, E, Scaglione, L, Petrinco, M, Gregori, D, Ciccone, G Tags: Quality improvement reports Source Type: journals

Application of AHRQ patient safety indicators to English hospital data [Error management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These indicators have potential for use in tracking progress in harm-reducing programmes, but prospective evaluation of data quality and coding practices is required to fully assess their utility. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Bottle, A, Aylin, P Tags: Error management Source Type: journals

Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study [Error management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The incidence of AEs, preventable AEs and potentially preventable deaths in the Netherlands is substantial and needs to be reduced. Patient safety efforts should focus on surgical procedures and older patients. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Zegers, M, de Bruijne, M C, Wagner, C, Hoonhout, L H F, Waaijman, R, Smits, M, Hout, F A G, Zwaan, L, Christiaans-Dingelhoff, I, Timmermans, D R M, Groenewegen, P P, van der Wal, G Tags: Error management Source Type: journals

Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level [Error management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: At a conceptual level, the detection of clustering of responses within units and hospitals confirms the claim that the HSOPS measures group culture and not just individual attitudes. In addition, the results have implications for interventions on patient safety culture. Improvement efforts should be directed at their most relevant organisational level. In general, improvement efforts on patient safety culture should be addressed at the unit level, rather than the individual or hospital level. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Smits, M, Wagner, C, Spreeuwenberg, P, van der Wal, G, Groenewegen, P P Tags: Error management Source Type: journals

Survey evaluation of the National Patient Safety Agency's Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices [Error management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The RCA programme enhanced knowledge of RCA, and participants valued the programme, but further personal development and organisational support are required to achieve continued improvement in practice and sustained organisational learning. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Wallace, L M, Spurgeon, P, Adams, S, Earll, L, Bayley, J Tags: Error management Source Type: journals

How an educational improvement project improved the summative evaluation of medical students [Education and training]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: This educational improvement project decreased waste, increased collaboration and developed locally useful knowledge. By applying continuous improvement principles to the construction of the MSPE the overall efficiency of the process could be enhanced, and the MSPE committee was able to spend less cognitive energy on structure and format and focus more on the content of the letters. Four MSPE cycles have been completed using a new Web-based system; after each cycle, additional enhancements were identified and implemented. This work adds to the literature, as it describes the application of continuous improvemen...
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Hoffman, K G, Brown, R M. A, Gay, J W, Headrick, L A Tags: Education and training Source Type: journals

An educational improvement project to track patient encounters: toward a more complete understanding of third-year medical students' experiences [Education and training]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: Data illustrate high levels of use and satisfaction with the educational innovation. We are in our second year using the new Patient Log (PLOG) process and are now considering expanding the use of PLOG into the fourth year of medical school. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Hoffman, K G, Griggs, M D, Kerber, C A, Wakefield, M, Garrett, E, Kersten, C, Hosokawa, M C, Headrick, L A Tags: Education and training Source Type: journals

Improving measurement in clinical handover [Education and training]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The paper argues that measurement will identify gaps in knowledge about handover practice and promote rigor in the design and evaluation of interventions to reduce patient harm. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Jeffcott, S A, Evans, S M, Cameron, P A, Chin, G S M, Ibrahim, J E Tags: Education and training Source Type: journals

"There is a chain of Chinese whispers ...": empirical data support the call to formally teach handover to prequalification doctors [Education and training]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: New doctors feel unprepared for handover and are seen as poor at handing over. Certain skills are required for effective handover, but professional attitudes are also critical. The skills identified reflect those suggested in policy documents based on expert panel views. Poor systems are a barrier to effective learning and practice. Our empirical approach adds to existing knowledge by highlighting that handover is not solely a skills-based task; there are complex interactions between individual and systems factors; and junior doctors should be prepared for handover prequalification. These data can be used to p...
Source: Quality and Safety in Health Care - August 3, 2009 Category: Health Management Authors: Cleland, J A, Ross, S, Miller, S C, Patey, R Tags: Education and training Source Type: journals