jueves, 6 de junio de 2019

Perspectives | AHRQ Patient Safety Network

Perspectives on Safety

INTERVIEW

In Conversation With… Erik Hollnagel, PhD

Resilience Engineering and Patient Safety, June 2019

Dr. Hollnagel is Senior Professor of Patient Safety at the University of Jönköping (Sweden) as well as Visiting Professorial Fellow at Macquarie University in Sydney (Australia). We spoke with him about his work studying safety in health care and the differences between designing safety improvements in health care versus other industries.

PERSPECTIVE

Building a Safety Program Using Principles of Resilience Engineering

with commentary by Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS, Resilience Engineering and Patient Safety, June 2019

This piece explores the key role of emergency medical services in providing care to patients at their moment of greatest need, safety hazards in this field, and opportunities for improvement.

INTERVIEW

In Conversation With… Jane Brice, MD, MPH

Safety in Emergency Medical Systems, May 2019

Dr. Brice is Professor and Chair of the Department of Emergency Medicine at the University of North Carolina. She also serves as the Program Director for the Emergency Medical Services (EMS) Fellowship and was past-president of the National Association of EMS Physicians. We spoke with her about her experience working in emergency medical systems and safety concerns particular to this field.

PERSPECTIVE

Safety in the Prehospital Emergency Medical Services Setting

with commentary by P. Daniel Patterson, PhD, NRP, and Donald M. Yealy, MD, Safety in Emergency Medical Systems, May 2019

This piece explores the key role of emergency medical services in providing care to patients at their moment of greatest need, safety hazards in this field, and opportunities for improvement.

INTERVIEW

In Conversation With… Timothy B. McDonald, MD, JD

New Insights Into Apology and Disclosure Programs, April 2019

Dr. McDonald is President of the Center for Open and Honest Communication at the MedStar Institute for Quality and Safety, and Adjunct Professor of Law at Loyola University-Chicago School of Law and the Beazley Institute for Health Law and Policy. An internationally recognized patient safety expert, he served as a lead architect for the Communication and Optimal Resolution (CANDOR) toolkit, supported by AHRQ. We spoke with him about lessons learned over the years regarding event reporting and his insights about building and disseminating communication-and-resolution programs.

INTERVIEW

In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD

New Insights Into Apology and Disclosure Programs, April 2019

Dr. Schulz Moore is the Director of Learning and Teaching at the University of New South Wales Faculty of Law and an Associate with the University of New South Wales School of Public Health and Community Medicine. Her research in health law draws from her unique training in public health, law, and health social sciences. We spoke with her about disclosure and apology in health care as well as the intersection between health and legal systems in Australia, New Zealand, and the United States.

INTERVIEW

In Conversation With… Susan Haas, MD, MSc

Health System Consolidation and Patient Safety, March 2019

Dr. Haas is an obstetrician–gynecologist and co-Principal Investigator for Ariadne Labs' work focused on health care system expansion. We spoke with her about the trend of health systems getting larger and more integrated, the risks to patient safety, and ways to mitigate these risks.

PERSPECTIVE

Building a Safety Program in a Vast Health Care Network

with commentary by Paul E. Phrampus, MD, Health System Consolidation and Patient Safety, March 2019

This piece outlines how large integrated health care systems can implement effective patient safety programs and spotlights the importance of leadership engagement and a just culture.

INTERVIEW

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

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

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

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

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.