Designing Safer Systems

A powerful idea from the nuclear industry

Posted by  | Designing Safer Systems, Measurement of Safety and Quality, Preventing Patient Harm

Where health care has fallen short in significantly improving quality, our peers in other high-risk industries have thrived. Perhaps we can adapt and learn from their lessons. For example, health care can learn much from the nuclear power industry, which has markedly improved its safety track record over the last two decades since peer-review programs were(...)

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Connecting medical devices and their makers

Posted by  | Designing Safer Systems, Preventing Patient Harm

This week marks a step that holds tremendous promise for patients and clinicians. On Monday the Masimo Foundation hosted the Patient Safety Science & Technology Summit in Laguna Niguel, California, an inaugural event to convene hospital administrators, medical technology companies, patient advocates and clinicians to identify solutions to some of today’s most pressing patient safety(...)

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Big news today from the Armstrong Institute

Posted by  | Designing Safer Systems, Patient-Centered Care, Preventing Patient Harm

We’re pleased to announce that the Gordon and Betty Moore Foundation has awarded Johns Hopkins’ Armstrong Institute a grant of $8.9 million to design safer care in ICUs. This project will have two overriding aims: to better engage patients—and their family members—as integral parts of the care team; and to use systems engineering methods to(...)

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Why can’t the ICU be more like a cockpit?

Posted by  | Designing Safer Systems, Preventing Patient Harm

In the world of patient safety, we’re constantly reinforcing the importance of teamwork and communication, both among clinicians and with patients. That’s because we know that patient harm so often occurs when vital information about a patient’s care is omitted, miscommunicated or ignored. Yet for all we do to improve how humans work together, clinicians(...)

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Part II: ISO clinician leaders in patient safety and quality

Posted by  | Designing Safer Systems, Organizational and Cultural Change, Preventing Patient Harm

I recently gave a talk to the American Medical Student Association. The energy in the room was palpable. The students were excited, passionate and hopeful. We spoke about the urgent need to reduce preventable harm and to enhance value, and we discussed that they will need to be the ones to lead these efforts. Yet,(...)

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