Some excellent recommended reading, annoted by PHC QSV Pillar physicians. Fischhoff, B. (1975). Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance, 1(3), 288–299. The classic paper. Knowledge of outcome distorts our understanding of an event and contributes to overconfidence in our ability Read More »
J Patient Saf 2015 Harrison R. Emotion and Coping in the Aftermath of Medical Error: A Cross-Country Exploration: This cross-sectional survey of 265 providers in teaching hospitals in the UK and USA describe the emotional response, coping strategies and perceptions of organizational support when a medical error has been made.
The Canadian Institute for Health Information (CIHI)’s and the Canadian Patient Safety Institute (CPSI) have developed a new measure of harm occurring in Canadian hospitals. This is its national picture for 2016. 2016 CIHI Report Summary Measuring Patient Harm in Canadian Hospitals: This provides a summary of a report developed jointly by the CPSI and Read More »
JAMA 2013 Zimlichman et al. Health Care-Associated Infections: A Meta-Analysis of Costs and Financial Impact on the US Healthcare System: This meta-analysis estimates the costs associated with the most significant and targetable health care-associated infections. CLABSIs were found to be the most expensive, followed by VAPs, SSIs, CDIs and CAUTIs.
Botwinick L, Bisognano M, Haraden C 2006 Leadership Guide to Patient Safety: This IHI White Paper presents 8 steps for leaders to follow to achieve patient safety and high reliability in their organizations. It focuses on the acute care setting but the fundamental concepts can be applied to other healthcare settings.