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Patient Safety at the Crossroads

Gandhi TK, Berwick DM, Shojania KG. Patient safety at the crossroads. Journal of the American Medical Association. 2016;315(17):1829-1830.

This article reevaluates the status of patient safety improvements 15 years after "To Err Is Human" was published, noting there have been varying levels of improvement and effectiveness, and proposes a course for future patient safety work.

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Organizational Trustworthiness in Health Care

The Institute for Healthcare Improvement partnered with the American Board of Internal Medicine Foundation to identify key organizational-level drivers and change ideas that repair, build, and strengthen trust between health care organizations and clinicians, and between health care organizations and the communities they serve. This report describes a theory of how to repair, build, and strengthen trust, presented as a three-step approach with specific change ideas and associated measures for improvement.
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults

The primary aim of the IHI innovation project described in this report was to assess the use of predictive analytics, specifically machine learning, to improve patient safety through emerging and existing approaches to predict risk, such as technologies and decision support tools. Specific attention was given to how predictive analytics and machine learning can assist in monitoring patient deterioration in the home setting for adults ages 18 and older.
Avoiding "Drift" into Harm

This article presents specific steps leaders can take to reinforce effective patient safety practices and address workarounds that may unintentionally result in harm.
Preventing Health Care Workforce Suicide

Based on available literature and consensus among leading suicide prevention experts, this article highlights three key areas of mental health that all health care leaders need to prioritize: reduce stigma, increase access to mental health services, and address job-related challenges.
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence

Organizations can use this self-assessment tool with 10 recommended practices for diagnostic excellence to understand current diagnostic practices, identify areas to improve, and track progress toward diagnostic safety and excellence over time.

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Patient Safety at the Crossroads