Perspectives | AHRQ Patient Safety Network

Perspectives | AHRQ Patient Safety Network

Perspectives on Safety

ANNUAL PERSPECTIVE

Accountability in Patient Safety

with commentary by Christopher Moriates, MD, and Robert M. Wachter, MD, 2015

While the patient safety world has largely embraced the concept of a just culture for many years, in 2015 the discussion moved toward tackling some of the specifics and many gray areas that must be addressed to realize this ideal. This Annual Perspective reviews the context of the "no blame" movement and the recent shift toward a framework of a just culture, which incorporates appropriate accountability in health care.

ANNUAL PERSPECTIVE

Burnout Among Health Professionals and Its Effect on Patient Safety

with commentary by Audrey Lyndon, PhD, 2015

Clinician burnout is prevalent across health care settings and may impair clinicians' ability to maintain safe practices and detect emerging safety threats. This Annual Perspective summarizes studies published in 2015, with a particular focus on the relationship between burnout and patient safety, and interventions to address burnout among clinicians.

ANNUAL PERSPECTIVE

Computerized Provider Order Entry and Patient Safety

with commentary by Urmimala Sarkar, MD, and Kaveh Shojania, MD, 2015

Computerized provider order entry is a cornerstone of patient safety efforts, and the increasingly widespread implementation of electronic health records has made it a standard practice in health care. This Annual Perspective summarizes novel findings and research directions in computerized provider order entry in 2015.

INTERVIEW

In Conversation With…Christine A. Sinsky, MD

Joy in Practice, February 2016

Dr. Sinsky is the Vice President for Professional Satisfaction at the American Medical Association and a primary care physician in Dubuque, IA. We spoke with her about physician professional satisfaction, including its relationship to patient outcomes and safety.

PERSPECTIVE

Relationships Between Physician Professional Satisfaction and Patient Safety

with commentary by Mark Friedberg, MD, MPP, Joy in Practice, February 2016

This piece highlights the importance of focusing on physician professional satisfaction as a way to determine potential patient safety hazards and improve health care quality.

INTERVIEW

In Conversation With… Mark L. Graber, MD

Update on Diagnostic Errors, January 2016

Dr. Graber founded the Society to Improve Diagnosis in Medicine and the journal, Diagnosis. We spoke with him about the recent National Academy of Medicine (formerly Institute of Medicine) Improving Diagnosis in Health Care report, and about diagnostic errors more generally.

PERSPECTIVE

Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice

with commentary by Hardeep Singh, MD, MPH, Update on Diagnostic Errors, January 2016

This piece discusses momentum in the field of diagnostic error over the past several years (culminating in the recent Improving Diagnosis in Health Care report) and outlines future avenues to ensure progress in diagnostic safety.

INTERVIEW

In Conversation With… Kaveh Shojania, MD

Ten years of AHRQ Patient Safety Network: A Window Into the Evolution of the Patient Safety Literature, November 2015

Dr. Shojania is Editor-in-Chief of BMJ Quality and Safety and Director of the Centre for Quality Improvement and Patient Safety at the University of Toronto. We spoke with him about the evolution of patient safety research over the past 15 years.

INTERVIEW

In Conversation With… Lorri Zipperer, MA

Ten years of AHRQ Patient Safety Network: A Window Into the Evolution of the Patient Safety Literature, November 2015

Ms. Zipperer was a founding staff member of the National Patient Safety Foundation as their information projects manager and has also been Cybrarian for AHRQ Patient Safety Network since its inception. We spoke with her about the role of librarians in patient safety.

PERSPECTIVE

Introducing the Redesigned AHRQ Patient Safety Network

with commentary by Robert M. Wachter, MD, Ten years of AHRQ Patient Safety Network: A Window Into the Evolution of the Patient Safety Literature, November 2015

This editorial provides an overview of how PSNet and WebM&M have evolved in the past decade.

INTERVIEW

In Conversation With… Vineet Arora, MD, MAPP

Electronic Tools for Patient Safety: Engaging Patients and Providers, September 2015

Dr. Arora is Director of GME Clinical Learning Environment Innovation and Assistant Dean for Scholarship and Discovery at the University of Chicago Pritzker School of Medicine. We spoke with her about the intersection of health information technology and patient safety.

INTERVIEW

In Conversation With… Eric J. Topol, MD

Electronic Tools for Patient Safety: Engaging Patients and Providers, September 2015

Dr. Topol is Director of Scripps Translational Science Institute and Editor-in-Chief of Medscape. We spoke with him about his book, The Patient Will See You Now: The Future of Medicine is in Your Hands.

INTERVIEW

In Conversation With… Robert M. Wachter, MD

New Insights on Safety and Health IT, July/August 2015

Dr. Wachter is Professor and the Interim Chairman of the Department of Medicine at UCSF. We talked with him about his new book, The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.

PERSPECTIVE

New Insights on Safety and Health IT

with commentary by A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS, New Insights on Safety and Health IT, July/August 2015

This piece provides an overview of health IT usability design, including persisting challenges and progress in the field.

INTERVIEW

In Conversation With… Maureen Bisognano

Organizations Working to Improve Quality and Safety, June 2015

Maureen Bisognano is President and CEO of the Institute for Healthcare Improvement (IHI). We spoke with her about IHI's efforts to improve health care on a global level.

INTERVIEW

In Conversation With… Christine Cassel, MD

Organizations Working to Improve Quality and Safety, June 2015

Dr. Cassel, President and CEO of the National Quality Forum (NQF), is a leading expert in geriatric medicine, medical ethics, and quality of care. We spoke with her about NQF's work in developing and utilizing quality measures to improve safety in health care.

INTERVIEW

In Conversation With… John D. Birkmeyer, MD

Using Video to Assess Quality and Safety, May 2015

Dr. Birkmeyer is Chief Academic Officer and Executive Vice President at Dartmouth-Hitchcock Medical Center. We spoke with him about his seminal New England Journal of Medicine video study that found a link between practicing surgeons' directly observed technical skills and surgical outcomes.

PERSPECTIVE

Video to Improve Patient Safety: Clinical and Educational Uses

with commentary by Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD, Using Video to Assess Quality and Safety, May 2015

This piece explores the advantages of using video in clinical practice and health care education to augment safety and quality.

INTERVIEW

In Conversation With… Lucian Leape, MD

Surgical Checklists, April 2015

A pioneer in patient safety, Dr. Leape is Adjunct Professor of Health Policy at the Harvard School of Public Health and Chairman of the Lucian Leape Institute of the National Patient Safety Foundation. His groundbreaking research has focused on patient safety and quality of care. We spoke with him about checklists and the field of patient safety.

INTERVIEW

In Conversation With… David Urbach, MD, MSc

Surgical Checklists, April 2015

Dr. Urbach is Professor of Surgery and Health Policy, Management and Evaluation at the University of Toronto. We spoke with him about his study evaluating the effectiveness of checklists in Ontario, Canada and its implications for a variety of safety interventions.