Incident learning is a key component for maintaining safety and quality in healthcare. Its use
is well established and supported by professional society recommendations, regulations …

IntroductIon“Second victims” are health care providers who are involved with patient
adverse events and who subsequently have difficulty coping with their emotions. Growing …

Health care organizations should consider near-misses as opportunities for quality
improvement. The systematic reporting and analysis of near-misses, commonplace in HROs …

Objectives Making a medical error can have serious implications for clinician well-being,
affecting the quality and safety of patient care. Despite an advancing literature base, cross …

Delivering quality health care requires effective communication between health care
providers and their patients. In this article, we call on augmentative and alternative …

Purpose Rigorous use of departmental incident learning is integral to improving patient
safety and quality of care. The goal of this study was to quantify the impact of a high-volume …

Problem: Safety management literature generally categorizes key performance indicators
(KPIs) as either leading or lagging. Traditional lagging indicators are measures related to …

Importance Recommendations in the United States suggest limiting the number of patient
records displayed in an electronic health record (EHR) to 1 at a time, although little evidence …

Introduction: Health care system structure is prone to human error. Medical errors are one of
the major challenges that health systems in all countries are grappling with to minimize and …

Article-at-a-Glance Background A consistent finding in health care is that interns (junior
physicians) are unwilling to “speak up” to attendings or consultants (senior physicians) …