I just wanted to bring these two articles to the group's attention:
Could it happen here? Learning from other organizations' safety errors.
Conway J. Healthc Exec. 2008;23:64-67.
Using external errors to signal a clear and present danger.
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2.
They both advocate for defined strategies to be implemented to help with the identification, dissemination and learning from published reports, news and stories about failure. I thought readers of this blog may find them useful in their efforts to get involved in safety work at their organizations.
Piece of my mind. Stories doctors tell. - Moniz T, Lingard L, Watling C. JAMA. 2017;318:124-125.
5 days ago