30 hours ago · A new report says some of them are not making the grade when it comes to patient safety and preventable death. The report, conducted by nonprofit watchdog The Leapfrog Group, shines a light on the dangers inherent in some of the area’s safety net hospitals that lack the resources others have. Although Illinois ranks 14th in the country for hospital safety, five … >> Go To The Portal
Case Studies in Patient Safety: Foundations for Core Competencyinvites us into the world of patients, through their stories, their losses, and their suffering.
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The potential for patient harm does not stop at the hospital doors. It has been reported that nearly 1 in 5 patients suffer adverse events fairly soon after coming home from the hospital (Traynor, 2003).
Patient-centred care: Improving safety and quality through partnerships with patients and consumers. Sydney: Author. Barach, P., & Johnson, J. (2006). Understanding the complexity of rede- signing care around the clinical microsystem.
Patient Safety Morning Report is a novel curriculum integrated with real case scenario discussions, identification of specific safety domains, and brainstorming of potential solutions to prevent similar safety errors in the future. This curriculum laid a pathway for students to become PS liaisons, and opportunity to initiate discussion about PS in the early clinical years. It helped students to voice safety concerns and identify possible domains involved. Interestingly, our curriculum assumed that each student would be able to identify at least one safety lapse to discuss, and since starting we have never had a student who was unable to bring a case for discussion. This highlights the ubiquity of PS issues and medical students’ ability to recognize them. We feel this curriculum will serve as a starting point for students to recognize PS events and become more vocal about them, helping develop a positive safety culture in the hospital.
For quantitative analysis, the Wilcoxon signed-rank test was used to compare the number of domains identified per case between students and faculty.
Patient safety (PS) is one of the most important priorities in modern healthcare systems. Unfortunately, PS education is limited in many medical school curricula. Our objective was to implement an innovative curriculum to introduce third-year medical students on their pediatric clerkship to PS concepts and domains, and to provide a safe environment to discuss lapses in PS that they identified while caring for patients.
Leapfrog issues grades for hospitals twice a year. Of the more than 2,600 hospitals that were graded in the latest report, 32 percent earned an A, 26 percent earned a B, 36 percent earned a C, 6 percent earned a D, and just less than 1 percent earned an F.
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Interventions to improve safety through teamwork and communication improved staff morale and reduced nursing turnover. Empowering staff with improvement tools and knowledge is likely to have spillover effects on other domains of quality.
reduction in death rates; improvement in safety attitudes, teamwork, and communications behaviors associated with improved safety performance ; increased reporting of safety incidents and more effective investigations into their causes, leading to more useful recommendations for changes to prevent recurrence;