The Patient’s Guide to Preventing Medical Errors

Come across a book name from twitter, it is called The Patient’s Guide to Preventing Medical Errors.  I am surprised patient ever need this kind of book.  That means the heath care system is in a big trouble.  We never need a book called ” Passenger’s Guide to Preventing Aviation Errors”

2010 International Forum on Quality and Safety in Health Care

 2010 International Forum on Quality and Safety in Health Care. Good venue to share the simulation experience to other quality improvement expert in this field. 

Framework for Patient Safety Research and Improvement — Pronovost et al. 119 (2): 330 — Circulation

Simulation is unique tool for patient safety research and improvement.
Framework for Patient Safety Research and Improvement — Pronovost et al. 119 (2): 330 — Circulation

JAMA — Clinicians in Quality Improvement: A New Career Pathway in Academic Medicine, February 18, 2009, Shojania and Levinson 301 (7): 766

Simulation is one great Quality Improvement tool for training, assessment and analysis of the healthcare delivery.  The future is bright.
JAMA — Clinicians in Quality Improvement: A New Career Pathway in Academic Medicine, February 18, 2009, Shojania and Levinson 301 (7): 766

NEJM — A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population

Another great example to using checking list for patient safety. 
NEJM — A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population

Airlines go two years with no fatalities – but a plane goes down into Hudson River few minutes ago

When I attend the 9th IMSH meeting at Florida, read the story about the safety record set by the airline industry. Airlines go two years with no fatalities. It is pretty amazing see their years efforts on safety made a difference.  But just  back to office today and head the news about  Planes goes down [...]

Performance of Certified Registered Nurse Anesthetists and Anesthesiologists in a Simulation-Based Skills Assessment — Henrichs et al. 108 (1): 255 — Anesthesia & Analgesia

Another good example to using simulation for assessment (beyond education training).  Also see the EDITORIAL in the same issue.  It  remind me Dr. Gaba’s paper again for the future vision of simulation in health care
Performance of Certified Registered Nurse Anesthetists and Anesthesiologists in a Simulation-Based Skills Assessment — Henrichs et al. 108 (1): 255 — [...]

ACS NSQIP

The ACS NSQIP provides a good model to systematic collect, analyze and act on outcomes data from daily practice. A paper published by Annals of Surgery gave a detail metrics to measure surgical quality and safety.

10 years ago in New York Time

More need to be done since this report.

The Self-Designing High-Reliability Organization: Aircraft Flight Operations at Sea by Gene I. Rochlin, Todd R. La Porte, and Karlene H. Roberts

Navy did this by young solders with system safety process.
The Self-Designing High-Reliability Organization: Aircraft Flight Operations at Sea by Gene I. Rochlin, Todd R. La Porte, and Karlene H. Roberts