Perspectives | AHRQ Patient Safety Network

Perspectives | AHRQ Patient Safety Network

INTERVIEW

In Conversation With… Susan E. Skochelak, MD, PhD

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Teaching Patient Safety, February 2019

Dr. Skochelak is the Group Vice President for Medical Education at the American Medical Association (AMA). She leads the AMA's Accelerating Change in Medical Education initiative, which aims to align physician training with the changing needs of our health care system. We spoke with her about her experience in medical education.

PERSPECTIVE

Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula

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with commentary by Jed D. Gonzalo, MD, MSc, and Mamta K. Singh, MD, MSc, Teaching Patient Safety, February 2019

This piece spotlights the need for educational and cultural transformation to achieve sustainable progress in patient outcomes and health.

ANNUAL PERSPECTIVE

Maternal Safety

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with commentary by Audrey Lyndon, RN, PhD, 2018

This perspective examines the troubling decline in maternal health outcomes in the United States and summarizes recent national initiatives to improve safety in maternity care.

ANNUAL PERSPECTIVE

Update: Patient Engagement in Safety

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with commentary by Rachel J. Stern, MD, and Urmimala Sarkar, MD, 2018

Patient engagement is widely acknowledged as a cornerstone of patient safety. Research in 2018 demonstrates that patient engagement, when done correctly, can help health care systems identify safety hazards, regain trust after they occur, and codesign sustainable solutions.

INTERVIEW

In Conversation With… David Meltzer, MD, PhD

The Comprehensive Care Physician Model, November 2018

Dr. Meltzer is the Fanny L. Pritzker Professor of Medicine, Chief of the Section of Hospital Medicine, and Director of the Center for Health and the Social Sciences at the University of Chicago. His research aims to improve the quality and lower the cost of hospital care. We spoke with him about the Comprehensive Care Physician Model, which he pioneered and was recently featured in an article in The New York Times Magazine.

PERSPECTIVE

The Comprehensivist Model of Care: A Hospitalist's View

with commentary by Robert Wachter, MD, The Comprehensive Care Physician Model, November 2018

This piece, written by the physician who coined the term "hospitalist," provides an overview of the hospitalist model and reflects on key advantages of and challenges faced by the Comprehensive Care Physician Model.

INTERVIEW

In Conversation With… Michael Cohen, RPh, MS, ScD (hon)

Safety in the Retail Pharmacy, October 2018

Dr. Cohen is President of the Institute for Safe Medication Practices, a nonprofit organization that operates the voluntary and confidential ISMP Medication Errors Reporting Program. He is also coeditor of the ISMP consumer website, chairperson of the International Medication Safety Network, and a consultant to the Food and Drug Administration. We spoke with him about patient safety in the community pharmacy, including challenges associated with production pressures and the importance of reporting concerns.

PERSPECTIVE

Safety in the Retail Pharmacy

with commentary by Michelle A. Chui, PharmD, PhD, Safety in the Retail Pharmacy, October 2018

This piece reviews unique characteristics of community pharmacies that can affect medication safety and spotlights the need for further research examining medication errors in community settings.

INTERVIEW

In Conversation With… Rebecca Lawton, PhD

Patient Engagement, September 2018

Professor Lawton is Director of the Yorkshire and Humber Patient Safety Translational Research Center, a Professor in the Psychology of Healthcare at the University of Leeds, and a health psychologist who conducts research on human factors and patient involvement in patient safety. We spoke with her about her experience with patient engagement and insights gleaned from her research.

INTERVIEW

In Conversation With… Sigall K. Bell, MD

Patient Engagement, September 2018

Dr. Bell is Director of Patient Safety and Discovery at OpenNotes, Beth Israel Deaconess Medical Center, and Associate Professor of Medicine at Harvard Medical School. Her research focuses on transparency in health care delivery systems and partnering with patients to improve health care. We spoke with her about patient engagement and her experience with the OpenNotes project.

INTERVIEW

In Conversation With… Matthew Weinger, MD

Update on Simulation, August 2018

Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthesiology, Biomedical Informatics, and Medical Education at Vanderbilt University. He holds the Norman Ty Smith Chair in Patient Safety and Medical Simulation. We spoke with him about the current state of simulation training in health care, barriers to progress, and potential innovations.

PERSPECTIVE

How Does Health Care Simulation Affect Patient Care?

with commentary by Joseph O. Lopreiato, MD, MPH, Update on Simulation, August 2018

This piece explores health care simulation including the four main methods used and the evidence base for its impact on learning and patient care.

INTERVIEW

In Conversation With… Gordon Schiff, MD

Improving Diagnosis, July 2018

Dr. Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research and Practice, Associate Professor of Medicine at Harvard Medical School, and Quality and Safety Director for the Harvard Medical School Center for Primary Care. He was an invited expert and reviewer for the Improving Diagnosis in Health Care report of the National Academy of Medicine. We spoke with him about understanding and preventing diagnostic errors.

INTERVIEW

In Conversation With… Shantanu Nundy, MD

Improving Diagnosis, July 2018

Dr. Nundy is the Director of the Human Diagnosis Project, a nonprofit organization taking a unique crowdsourcing approach to improving medical diagnosis. He also practices primary care at a federally qualified health center for low-income and uninsured individuals in Washington, DC. We spoke with him about his work with the Human Diagnosis Project.

INTERVIEW

In Conversation With… Richard Hoppmann, MD

Point-of-Care Ultrasound: Safety and Utility, June 2018

Dr. Hoppmann is the Dorothea H. Krebs Endowed Chair of Ultrasound Education, Professor of Medicine, and Director of the Ultrasound Institute of the University of South Carolina School of Medicine. He founded and served as the first President of the Society of Ultrasound in Medical Education. We talked to him about safety and usability of point-of-care ultrasound.

PERSPECTIVE

Safety Considerations in Building a Point-of-Care Ultrasound Program

with commentary by Chris Moore, MD, Point-of-Care Ultrasound: Safety and Utility, June 2018

This piece highlights how point-of-care ultrasound can improve and expedite diagnosis and advocates for having an individual responsible for overseeing point-of-care ultrasound use within a health care delivery organization.

INTERVIEW

In Conversation With… David Blumenthal, MD, MPP

A Decade After HITECH, May 2018

Dr. Blumenthal is President of the Commonwealth Fund and served as the National Coordinator for Health Information Technology from 2009-2011, during early implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act and the accompanying Meaningful Use program. We spoke with him about the HITECH Act and lessons learned in health care since it was enacted.

INTERVIEW

In Conversation With… John Halamka, MD, MS

A Decade After HITECH, May 2018

Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical School, Chief Information Officer of Beth Israel Deaconess Medical Center, and an emergency physician. He is widely known as one of the most thoughtful and provocative experts on the subject of health IT. We spoke with him about the HITECH Act and the consequences—anticipated and otherwise—of the digitization of health care.

INTERVIEW

In Conversation With… Harlan Krumholz, MD, SM

Post-Hospital Syndrome, April 2018

Dr. Krumholz is Professor of Medicine at the University of Yale School of Medicine and Director of the Yale-New Haven Hospital Center for Outcomes Research and Evaluation. We spoke with him about readmissions and post-hospital syndrome, a term he coined in an article in the New England Journal of Medicine to describe the risk of adverse health events in recently hospitalized patients.

PERSPECTIVE

Patient Safety During Hospital Discharge

with commentary by Katherine Liang and Eric Alper, MD, Post-Hospital Syndrome, April 2018

This piece explores the risks patients face after hospital discharge and strategies to address them, such as patient education, Project RED, and the Care Transitions Intervention.