Use of assessment to reinforce patient safety as a habit
Identifieur interne : 002502 ( Pmc/Checkpoint ); précédent : 002501; suivant : 002503Use of assessment to reinforce patient safety as a habit
Auteurs : R M Galbraith ; M C Holtman ; S G ClymanSource :
- Quality & Safety in Health Care [ 1475-3898 ] ; 2006.
Abstract
The US spends far more than any other nation on health care. Physicians undergo lengthy and comprehensive training that is carefully scrutinized, and are held to high standards in national examinations. At best the care delivered matches or exceeds that in any other country. And yet, often simple preventable medical errors occur at alarming and unacceptable rates. The public, corporate consumers of health care, large payors and malpractice insurance carriers are all becoming impatient with the pace of improvement. The medical profession recognizes that dealing with this problem is an urgent priority and is grappling to find the best approaches. This paper focuses on the constructive use of assessment to embed a pervasive and proactive culture of patient safety into practice, starting with the trainee and extending out into the practice years. This strategy is based on the adage that “assessment drives curriculum” and proposes a series of new assessment tools to be added to all phases of the training‐practice continuum.
Url:
DOI: 10.1136/qshc.2005.015941
PubMed: 17142605
PubMed Central: 2464874
Affiliations:
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PMC:2464874Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>The US spends far more than any other nation on health care. Physicians undergo lengthy and comprehensive training that is carefully scrutinized, and are held to high standards in national examinations. At best the care delivered matches or exceeds that in any other country. And yet, often simple preventable medical errors occur at alarming and unacceptable rates. The public, corporate consumers of health care, large payors and malpractice insurance carriers are all becoming impatient with the pace of improvement. The medical profession recognizes that dealing with this problem is an urgent priority and is grappling to find the best approaches. This paper focuses on the constructive use of assessment to embed a pervasive and proactive culture of patient safety into practice, starting with the trainee and extending out into the practice years. This strategy is based on the adage that “assessment drives curriculum” and proposes a series of new assessment tools to be added to all phases of the training‐practice continuum.</p>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Qual Saf Health Care</journal-id>
<journal-title>Quality & Safety in Health Care</journal-title>
<issn pub-type="ppub">1475-3898</issn>
<issn pub-type="epub">1475-3901</issn>
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<article-id pub-id-type="doi">10.1136/qshc.2005.015941</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Safety by Design</subject>
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<title-group><article-title>Use of assessment to reinforce patient safety as a habit</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Galbraith</surname>
<given-names>R M</given-names>
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<contrib contrib-type="author"><name><surname>Holtman</surname>
<given-names>M C</given-names>
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<contrib contrib-type="author"><name><surname>Clyman</surname>
<given-names>S G</given-names>
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<aff><bold>R M Galbraith</bold>
,<bold>M C Holtman</bold>
,<bold>S G Clyman</bold>
, National Board of Medical Examiners, 3750 Market Street, Philadelphia, PA, USA</aff>
<author-notes><corresp>Correspondence to: Mr R M Galbraith<break></break>
Co‐Executive Director, Center for Innovation, National Board of Medical Examiners, 3750 Market Street, Philadelphia, PA 19104, USA; rgalbraith@nbme.org</corresp>
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<pub-date pub-type="ppub"><month>12</month>
<year>2006</year>
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<volume>15</volume>
<issue>Suppl 1</issue>
<fpage>i30</fpage>
<lpage>i33</lpage>
<permissions><copyright-statement>Copyright ©2006 BMJ Publishing Group Ltd.</copyright-statement>
</permissions>
<abstract><p>The US spends far more than any other nation on health care. Physicians undergo lengthy and comprehensive training that is carefully scrutinized, and are held to high standards in national examinations. At best the care delivered matches or exceeds that in any other country. And yet, often simple preventable medical errors occur at alarming and unacceptable rates. The public, corporate consumers of health care, large payors and malpractice insurance carriers are all becoming impatient with the pace of improvement. The medical profession recognizes that dealing with this problem is an urgent priority and is grappling to find the best approaches. This paper focuses on the constructive use of assessment to embed a pervasive and proactive culture of patient safety into practice, starting with the trainee and extending out into the practice years. This strategy is based on the adage that “assessment drives curriculum” and proposes a series of new assessment tools to be added to all phases of the training‐practice continuum.</p>
</abstract>
<kwd-group><kwd>patient safety</kwd>
<kwd>medical error</kwd>
<kwd>assessment</kwd>
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<kwd>medical education</kwd>
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<name sortKey="Holtman, M C" sort="Holtman, M C" uniqKey="Holtman M" first="M C" last="Holtman">M C Holtman</name>
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