domingo, 16 de noviembre de 2014

AHRQ Patient Safety Network: Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

AHRQ Patient Safety Network

AHRQ Patient Safety Network

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

Gerstein WH, Ledford J, Cooper J, et al. Am J Med Qual. 2014 Oct 20; [Epub ahead of print].

This study describes the implementation of a systems-focused morbidity and mortality conference at a Veterans Health Administration medical center designed to augment patient care and promote interdisciplinary teamwork and transparency, while addressing residency requirements. The intervention demonstrated lasting improvements in systems issues, consistent with prior data using this learning format.

PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website




Related Resources
STUDY
Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference.
McVeigh TP, Waters PS, Murphy R, O'Donoghue GT, McLaughlin R, Kerin MJ. J Am Coll Surg. 2013;216:50-56.
COMMENTARY
Why don't we know whether care is safe?
Pham JC, Frick KD, Pronovost PJ. Am J Med Qual. 2013;28:457-463.
STUDY
PCA safety data review after clinical decision support and smart pump technology implementation.
Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.
View all related resources...

No hay comentarios: