Developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety

"Our study demonstrates that an online game is well accepted by junior doctors as a method to increase their quality improvement awareness. Developing effective and sustainable training for doctors is important to ensure positive patient outcomes are maintained in the hospital setting."

A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety
A Janssen et al.
BMC Medical Education, 2016 16:91, DOI: 10.1186/s12909-016-0609-1  J

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How effective are patient safety initiatives?

"Our study shows some improvements in preventable adverse events in the areas that were addressed during the comprehensive national safety programme. There are signs that such a programme has a positive impact on patient safety."

How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time
R Baines, M Langelaan, M de Bruijne, P Spreeuwenberg, C Wagner
BMJ Quality and Safety 2015;24:561-571 doi:10.1136/bmjqs-2014-003702

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Are measurements of patient safety culture and adverse events valid and reliable?

"The aim of this cross sectional study was to explore associations between the safety culture
and adverse events, and evaluate the validity of the tools used for the measurements. "

Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study
PG Farup
BMC Health Services Research 2015, 15:186  doi:10.1186/s12913-015-0852-x

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Intended and unintended effects of large-scale adverse event disclosure

"How patients respond to being notified of a large-scale adverse event (LSAE), such as improper sterilisation of medical equipment that exposes them to bloodborne pathogens, is not well known. The objective of this study was to determine, using administrative data, the intended and unintended consequences of patient notification following a LSAE."

Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications
TH Wagner et al.
BMJ Quality and Safety 2015;24:295-302 doi:10.1136/bmjqs-2014-003800

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Adverse events in patients with return emergency department visits

"We recently implemented an electronic system enabling automated detection, investigation and statistical analysis of Emergency Department return visits. The objectives of this study were to determine what proportion of triggered return ED visits represented adverse events and what patient and visit factors predicted these adverse events"

Adverse events in patients with return emergency department visits
L Calder, A Pozgay, S Riff, D Rothwell, E Youngson, N Mojaverian, A Cwinn, A Forster
BMJ Quality and Safety 2015;24:142-148 doi:10.1136/bmjqs-2014-003194

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Improving patient discharge and reducing hospital readmissions by using Intervention Mapping

"There is a growing impetus to reorganize the hospital discharge process to reduce avoidable readmissions and costs. The aim of this study was to provide insight into hospital discharge problems and underlying causes, and to give an overview of solutions that guide providers and policy-makers in improving hospital discharge."

Improving patient discharge and reducing hospital readmissions by using Intervention Mapping
G Hesselink et al.
BMC Health Services Research 2014, 14:389

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Implementing medication reconciliation from the planner's perspective

"Medication reconciliation can reduce adverse events associated with prescribing errors at transitions between sites of care."

Implementing medication reconciliation from the planner's perspective: a qualitative study
SH Sanchez, SS Sethi, SL Santos, K Boockvar
BMC Health Services Research 2014, 14:290

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Safely and effectively reducing inpatient length of stay

"While various interventions have been proposed to improve the efficiency and quality of inpatient care, with inconsistent results when rigorously evaluated, the General Internal Medicine Care Transformation Initiative did decrease length of stay for hospitalised GIM patients above and beyond existing secular trends in teaching hospitals without increasing post-discharge adverse events."

Safely and effectively reducing inpatient length of stay: a controlled study of the General Internal Medicine Care Transformation Initiative
FA McAlister, JA Bakal, SR Majumdar, S Dean, RS Padwal, N Kassam, M Bacchus, A Colbourne
BMJ Quality and Safety, 2014; 23: 446-456

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Quality of reporting in systematic reviews of adverse events

"Improving reporting of adverse events in systematic reviews is an important step towards a balanced assessment of an intervention."

Quality of reporting in systematic reviews of adverse events: systematic review
L Zorzela, S Golder, Y Liu, K Pilkington, L Hartling, A Joffe, Y Loke, S Vohra
British Medical Journal, 2014, 348 (8th January)

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What are the safety risks for patients undergoing treatment by multiple specialties

"More research is needed to gain insight into the underlying causes of inadequate care when multiple specialties are required to treat a patient."

What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study
RJ Baines, MC de Bruijne, M Langelaan, C Wagner
BMC Health Services Research, 2013, 13:497

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Deciphering harm measurement

"Improvement in health care quality and safety can be notable when measurement criteria are clear, evidence is strong, and policy and interventions are focused."

Deciphering harm measurement
G Parry, A Cline, D Goldmann
Journal of the American Medical Association, 2012, 307(2):2155-2156

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